Dear TIME 2000 Students,
Happy new year! I hope you are enjoying the winter break. If you are attending
LIMAÇON
in March, the college requires that each student complete and submit a
Participation, Waiver, and Emergency Contact Form. Please read the instructions below and then complete the form. Note that it must be sent to two people, Sadia Ishak in the Provost’s office and me. The deadline for submitting the form is February 8,
2023, but early submission would be appreciated.
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Complete the form and save it. See instructions below regarding how to sign the form electronically. If you have difficulty with the e-signature, you can print the document, sign it, and then send a scan or photo of the form. You may also email Tobi for
help with the e-signature at time2000.officeassistant@gmail.com.
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Rename the saved document using the following format with your name and id:
First Name Last Name_(CUNY ID #)_Waiver_Course-Section_FA22
For example: Joe Smith_(11111111)_Waiver_208-1A_FA22
·
The completed form should be emailed to
Sadia.Ishak@qc.cuny.edu and copied to
Naomi.Weinman@qc.cuny.edu
·
The subject line of the email should be "TIME 2000 Trip"
·
The form can be found by clicking on
Participation,
Waiver, and Emergency Contact Form
Thank you for your attention to this matter.
Sincerely,
Mrs. Weinman
How to electronically fill out the permission slip-
For Microsoft Edge and Firefox Users:
1) Open the contact form link:
https://www.cuny.edu/wp-content/uploads/sites/4/page-assets/about/administration/offices/ehsrm/risk/travel/FinalOffCampusActivityParticipationWaiverandEmergencyContactForm021512.pdf
2) In the PDF viewer, fill out your emergency contact information using the fillable text boxes on page 3.
3) Insert your signature on page 3 by using the textbox tool or drawing tool.
Microsoft Edge users should look out for these icons if they're unsure where to find them:
Firefox users should look out for these icons:
4) Save the form, and email it to TIME 2000.
For other browser users:
1) Download the contact form:
https://www.cuny.edu/wp-content/uploads/sites/4/page-assets/about/administration/offices/ehsrm/risk/travel/FinalOffCampusActivityParticipationWaiverandEmergencyContactForm021512.pdf
2) Use Adobe's in-browser PDF editor:
https://www.adobe.com/acrobat/online/pdf-editor.html. Create an account.
3) Fill out your emergency contact information using the fillable text boxes on page 3.
4) Insert your signature on page 3 by using the textbox tool or drawing tool. These can be found in the area I circled.
Place your signature on the signature line.
5) Download the form using the button in the top-right corner, and email the form to TIME 2000.
Remember, let Tobi know if you have any questions.
Sincerely,
Mrs. Weinman
Naomi Weinman
TIME2000/SEYS
Queens College, CUNY | 65-30 Kissena Blvd | Queens,
NY |11367
(w) 718-997-5377 | (f) 718-997-5173