Chatham University

New & Transfer Student Orientation

Wednesday, August 20-Sunday, August 24

All new students are required to participate in the orientation program. Registration must be completed by July 15. This form will be reviewed by the Office of Student Affairs prior to orientation.

Questions?

Contact the Office of Student Affairs, Student Activities at studentactivities@chatham.edu or at 412-365-1281

Registration Form

Student Information

First Name :
Last Name :
Email :

Emergency and Parent/Guardian Contact Information

*This information will be used to inform your parents/guardians of Chatham Family & Friends Association membership, family and friends newsletters & activities. Contact information will not be shared with any third parties.

Primary Contact
Full Name :
Relationship :
Address :
City :
State :
Zip :
Phone :
Email :
Secondary Contact
Full Name :
Relationship :
Address :
City :
State :
Zip :
Phone :
Email :

Certain health/medical information must be made known to the instructor(s) conducting programs, so that they can be prepared to respond appropriately. This information will be held in confidence.

Do you have any allergies? (If yes, please list below)
Do you have any chronic conditions (asthma, diabetes, etc)? (If yes, please list below)
Are you taking any medications? (If yes, please list and indicate dosage and interval taken below)
Name any limiting physical and/or emotional disabilities or illnesses not already mentioned.
R.I.S.E. (Retain. Involve. Strengthen. Excel.):

R.I.S.E. (Retain. Involve. Strengthen. Excel.) is a program designed to increase the academic success, professionalism and leadership skills of students of color at Chatham University. R.I.S.E. provides incomingstudents of color (New, Transfer or Gateway) with a mentor, institutional support(faculty, staff & administrators) and a series of co-curricular programming throughout the transition period into college. By now, you should have received a R.I.S.E. booklet describing the program in detail in the mail. If you did not receive it in the mail, please call (412) 365-1286 or email osa@chatham.edu and we will send you one.

If you are interested in participating in the R.I.S.E. Mentorship program, there will be an early August move-in to participate in a Kick-Off Reception and Programming beginningMonday, August 18 through Wednesday, August 20, 2014. There is no cost to participate in the R.I.S.E. Program. Please select your response below.

Yes! I am interested in participating in the R.I.S.E. Mentorship program. Please note, Move-in will occur from 10:00 a.m. to 2:00 p.m. on Monday, August 18, 2014.
I still have some questions about the R.I.S.E. Mentorship program. Please call or email me at
Religious Affiliation (OPTIONAL):
By selecting an religious affiliation you are granting Chatham University permission to release your contact information to members of the Chatham Multi-Faith Council.
Other :