ICC Student Information

Mobile Phone *

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Date of Birth *

MM

DD

YYYY

Emergency Contact 1 - Phone *

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Student Orientation Manual *

The Student Orientation Manual is not a comprehensive list of policies and procedures, and the ICC and Cedarville University have the right to amend and revise content on an as-needed basis, and will make all reasonable efforts to provide either verbal or written notification to all students who are enrolled in the program. By checking the box below, I attest to have read the International Center for Creativity Student Orientation Manual and agree to the policies and procedures.

I agree (student orientation manual)

Security Cards *

Each student will be given a security card that will provide access to the building during normal hours of operation. Lost or stolen security cards must be reported to ICC staff immediately and students will be charged a $50 fee to issue a new card. It is important to report cards immediately so security to the building is not compromised. By checking the box below, you acknowledge receipt of your security cart and agree to the terms and conditions.

I agree (security card)

Media Authorization *

By checking the box below, I authorize the International Center for Creativity to use student work and images that may include my likeness for educational or promotional purposes in any type of media including, but not limited to, social media, marketing materials, public relations activities, etc. The images may not be used for profit without my express permission. I understand that I will not be paid or rewarded for providing this authorization.

I authorize (media)

I do NOT authorize (media)