MECA PRE-COLLEGE '21 STUDENT SUPPLY LIST

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MECA PRE-COLLEGE ’21 STUDENT SUPPLY LIST
PRE-COLLEGE '21’ ONLINE STUDENT SUPPLY LIST UPDATED
Pre-College 21’ Online Student Supply List Updated                       ILLUSTRATION: COMICS+GRAPHIC NOVELS:
(We have added resources to help guide you as you                        +Drawing pencil set
pack. Feel free to bring what you have and or shop                       + Paper: 11x14 Bristol Board pad (smooth or vellum)
where you would like.)                                                   + Tracing paper pad
+ High-speed internet (100 to 900 Mbps)                                  + Eraser: white plastic, kneaded and/or rubber
+ Computer needs to have enough working memory                             (something better than the one on the end of an
  to participate in streaming video (2 GB or more)                         office pencil; either is fine)
+ Webcam (1080p or high-resolution--ideally this
  should disconnect from your computer so you can                        + Markers/Felt tip pens: 3 sizes: Black
  pull it off and point it at your artwork. A Smart                        (Micron 05 or 08 size, Kuretake Bimoji Fudepen
  Phone would work, too, as a back-up)                                     (or other brush pen)
+ Microphone (ideally a headset or earbuds with a                        + White gel pen
  microphone)                                                            + Masking Tape or washi tape
+ Quiet spot to work where you can safely paint and                      + Blank Avery Labels
  draw near a computer (you may want to get a                            + Pencil Sharpener
  keyboard and/or computer/laptop protector to                           + Something to take pictures with (Digital Camera,
  avoid getting paint on it)                                               Scanner, Smart Phone)
+ Tarp to protect the floor if working inside                            + Drawing Surface (Drawing board, Masonite,
+ Sketchbook                                                               drafting table)
+ Notebook for taking notes                                              + T-Square and/or Ruler (metal is best, at least 15”)
+ Pens/pencils                                                           + Sketch paper (for roughs; ideally 11x14, but
+ Personal favorite supplies such as colored pencils                       standard copy paper will do!)
  and markers, etc                                                       + Scissors/X-acto knife
+ Portfolio and sample work from home
+ Portable Hard Drive or Thumb Drive: 16GB preferred                     OPTIONAL:
                                                                         + Pen & Ink
ANIMATION:                                                                (Ink brands: Speedball, Higgins,Winsor and Newton)
+ Graphics Tablet: Wacom Intuos (recommended),                            (Nibs sizes: 512, other + nib holder)
  Wacom Cintiq (if you already have one!!) (these
  three are recommended by and are compatible
                                                                         PAINTING:
  with ToonBoom. Prices start at $80.                                    + Trash barrel for your rags
+ Smartphone or ipad(or comparable)                                      + Handiwipes/ Paper towels
+ Stop Motion Studio (free app that should be                            + Containers (like a toolbox) to contain all supplies
  installed on the phone or ipad/tablet)                                 + Brushes (You want a good variety of sizes and shapes)
+ Blank Index Cards                                                      + Acrylic Paint (red, yellow, blue, white, and black) No
+ Rubber Bands                                                             less then 75 ml tubes (medium size) You will learn
+ Stikkiwax                                                                about different brands and grades of paint in class
+ Scotch Tape                                                              but anything will work.

MAINE COLLEGE OF ART | 522 CONGRESS STREET, PORTLAND, MAINE 04101 | 207.772.5074 | 800.639.4808 | MECA.EDU
MECA PRE-COLLEGE ’21 STUDENT SUPPLY LIST
PRE-COLLEGE '21’ ONLINE STUDENT SUPPLY LIST UPDATED
+ Palette (Disposable palette pad or a plastic palette                    + Small container or cup for water for art purposes
  with plenty of room for mixing)                                           ONLY -Recycled jars or containers are perfect
+ Brush soap or dawn dish detergent. And an optional                      + Bristol paper
  drying rack.                                                            + Small tarp OR plastic garbage bags to put on
+ Drop cloth or tarp                                                        floor and wall of workspace
+ Easel (optional)                                                        + Thumbtacks for exhibiting work
+ Disposable gloves (optional)                                            + Assorted found materials to use to experiment
+ One pre-primed/gessoed canvas At least 16” by 18” by 1”                   making marks with ink. Ex: fruit peels, fabrics/
+ 4 pre-primed/ gessoed canvas board or panel no                            assorted textile materials, old erasers, old paint
  smaller than 9” by 11”                                                    brushes, found objects from nature
+ 2 large mixed media paper no smaller than 18” by 24”                    + Wipes or spray cleaner
                                                                          + Paper towels
DRAWING:
+ A small drawing sketchbook approximately                                OPTIONAL MATERIALS
7x10/8.5x11 - Drawing sketchbook l
+ Vine charcoal                                                           If you choose to buy an easel you will also need a
+ Compressed charcoal                                                     drawing board, and metal bulldog clips.
+ Conte crayon/charcoal (black)                                           If you do not choose to buy an easel you will have to
+ Pink eraser                                                             tape your work to your wall. If drawing on your wall you
+ Cap erasers (that go on the end of a pencil)                            will want to take a plastic bag and tack it to your wall to
+ Tortillons assorted sizes (for blending charcoal)                       avoid getting any charcoal on the wall. (A demo video
+ Q tips (for blending charcoal)                                          of set up will probably be necessary for this)
+ Newsprint pad appx 18x24
+ Portfolio case to hold all work at least 20x26 in.                      + Metal bulldog clips
+ Small tackle box to hold all your materials                             + Easel
+ Masking tape                                                            + Disposable gloves
+ Black india ink                                                         + Drawing board- at least 18x24 or larger
+ Bamboo brushes
+ Bamboo sketch pen                                                       Podcasting:
+ Small reusable paint palette                                            + Smartphone or digital recorder (to capture sounds)
 (will be used for ink washes)                                            + Open-source software, Audacity

MAINE COLLEGE OF ART | 522 CONGRESS STREET, PORTLAND, MAINE 04101 | 207.772.5074 | 800.639.4808 | MECA.EDU
MECA PRE-COLLEGE ’21 STUDENT SUPPLY LIST
PRE-COLLEGE '21’ IN-PERSON STUDENT SUPPLY LIST UPDATED
Your studio fee includes general foundation supplies                      Suggested packing list for the Program:
such as paper, charcoal, utility knives and other basic                   * Please note that many of the items below can be
supplies.                                                                   purchased at Renys (discount department store),
                                                                            if you can’t/ don’t want to travel with them. Reny’s
* Recommended Art Supplies for all Majors                                   is located between MECA and the Residence Hall.
* Please note that students can purchase any
  of these items at Art Mart, an art supply store                         + Several cloth face masks (Masks are defined as
  located across the street from MECA. All students                         fabric coverings of the mouth and nose that are
  get a 10% discount.                                                       independent of use by your hands or arms)
+ Sketchbook to be used in all majors (9”x12”is good,
  but anything bigger than 5”x8” will do)                                 + Reading lamp (there are none in the rooms)
+ Notebook for taking notes                                               + Small fan
+ Pens/pencils                                                            + Sheets and blankets for a single bed (standard twin)
+ Lock to secure lockers (optional)                                       + Pillow and pillow case
+ Personal favorite supplies such as colored pencils                      + Toiletries including soap, toothpaste, shampoo, etc.
  and markers, etc                                                        + Towels (including hand towels)
+ Portfolio and sample work from home                                     + Hand soap
+ Box of Latex free disposable gloves                                     + Bath mat
+ Spending money                                                          + Hangers
+ Computer needs to have enough working memory                            + Wastebasket
  to participate in streaming video (2 GB or more)                        + Power strip with surge protector
+ Portable Hard Drive or Thumb Drive: 16GB preferred                      + Laundry basket/bag & detergent (laundry machines
                                                                            are free)
ANIMATION:                                                                + Swimsuit and sunscreen
                                                                          + Good walking shoes
+ Smartphone or ipad(or comparable
                                                                          + Raincoat
+ Scissors and/or x-acto knife w/ cutting mat
                                                                          + Water bottle
  (or cardboard)
                                                                          + Clothing: Maine weather is unpredictable in the
                                                                            summer, occasionally ranging from 50 to 90
ILLUSTRATION: COMICS+GRAPHIC NOVELS:
                                                                            degrees. Layers, sweatshirts, shorts, and pants are
+ the above supplies for all Majors
                                                                            all good ideas.
PRINTMAKING:
+ the above supplies for all Majors

PAINTING:
+ the above supplies for all Majors

MAINE COLLEGE OF ART | 522 CONGRESS STREET, PORTLAND, MAINE 04101 | 207.772.5074 | 800.639.4808 | MECA.EDU
MECA PRE-COLLEGE ’21 DIRECTIONS a PARKING

 FROM THE NORTH                                                                       PORTLAND PARKING GARAGES a LOTS
 Take Interstate 295 to Exit 7 \onto Franklin Arterial.                               + One City Center Parking Garage

 From the South                                                                       + Monument Square, 773.2761

 Take the Maine Turnpike northbound to Exit 44, Interstate                            + Midtown Parking Lot, 44 Fore St.
 295. Follow Interstate 295 to Exit 7, Franklin Arterial. Then,                       + Top of the Old Port Parking Lot,
 From Franklin Arterial. Stay on Franklin Arterial until you hit                        119 Pearl & Congress Sts., 828.1212
 the top of the hill. Take a right onto Congress Street. Passing                      + Temple Street Parking Garage,
 City Hall on your right, you will continue on Congress several                         11 Temple St., 772.5762
 more blocks, past Monument Square (you’ll see the statue
                                                                                      + Cumberland County Parking Garage,
 on your left). MECA’s Porteous Building (#522) will be a large
                                                                                        Newbury St., 871.8275
 building on your left shortly after Monument Square.
                                                                                      + Custom House Sq. Parking Garage,
 Oak St. is the first street after MECA’s Porteous Building. The                        Pearl & Fore Sts.
 Oak Street Residence Hall is about halfway down the short                            + Fore Street Parking Garage,
 block, on the left.
                                                                                        439 Fore St., 772.7738

 Parking                                                                              + Casco Bay Parking Garage,
                                                                                        Commercial St. at Maine State Pier,
 Street Parking is available every day and requires plugging a
 meter, however parking is FREE on Sundays. After first pulling                         774.8653
 over to drop your belongings, proceed to a street spot or use                        + Cotton & Center Parking Lot,
 the public parking garage around the corner. To get there,                             57 Center St., 879.8983
 pass the Oak St. Residence hall and take your first left onto                        + Public Market Parking Garage,
 Free St. The parking garage (874.2842) is a short distance on                          315 Cumberland Ave, 774.2829
 your right. (At the parking garage entrance you will see the
                                                                                      + Spring St. Parking Garage,
 back entrance to MECA’s Porteous across the street.)
                                                                                        45 Spring St., 874.2842
                                                                                      + Gateway Parking Garage,
                                                                                        181 High St., 761.1568
                                                                                      + Harbor Plaza Parking Garage,
                                                                                        Union St., 775.3788
                                                                                      + Monument Square Parking Garage,
                                                                                        Cumberland and Brown Sts.

MAINE COLLEGE OF ART | 522 CONGRESS STREET, PORTLAND, MAINE 04101 | 207.772.5074 | 800.639.4808 | MECA.EDU
MECA PRE-COLLEGE ’21 PHOTO RELEASE FORM
PLEASE RETURN BY 5/ 21/ 21

Photo Release Policy
I acknowledge that a portion of this program is administered using on-and-off-campus videoconferencing
technology and secure online software to connect both the in-person and online participants. I give
permission to Maine College of Art and press and media admitted to the program by MECA to photograph,
videotape or otherwise digitally collect my name, likeness, voice and sounds during my participation in
the program. I further acknowledge and grant MECA all rights to use my name and likeness in all media
and in all forms or purposes, including without limitation, advertising and other promotions for MECA.
I also acknowledge that the program will be using social media and students may post to instagram and
tag #mecaprecollege21. The images that are tagged #mecaprecollege21 may be used to promote student
activities in the program. I further acknowledge and grant MECA the right to use my images and posts.

Student Name (please print) ____________________________________________Age:_______
Student Signature_____________________________ Date______________________________
Parent Name (please print) ________________________________________________________
Parent Signature_____________________________ Date_______________________________
Comments: ____________________________________________________________________
______________________________________________________________________________

MAINE COLLEGE OF ART | 522 CONGRESS STREET, PORTLAND, MAINE 04101 | 207.772.5074 | 800.639.4808 | MECA.EDU
MECA PRE-COLLEGE ’21 POLICY AGREEMENT
 The primary goal for practicing these stated Rules and Responsibilities is to ensure your safety during this
 summer college experience.

 The following are standards of conduct expected from all participants in the Pre-College program.
 Violations of the following standards will result in sanctions that range, depending on the severity of the
 offense, from warning to probation to dismissal from the program. Parents will be notified by telephone if
 their son or daughter has a Rules and Responsibilities violation.

 Full policies are on the following page.

 OTHER MECA POLICIES
 General Refund Policy: Requests for refunds must be received in writing by June 1, 2021. No refund
 requests will be considered after that date. Application fees ($40) and Program deposits ($500) are not
 refundable.

 Maine College of Art reserves the right to hold students to generally accepted standards of behavior,
 in addition to the policies stated in the Handbook of Policies and any other MECA publications given to
 students. MECA has the right to amend and supplement policy when necessary.

 Depending on the severity of the violation students may be issued a warning or may be immediately
 dismissed from the program or residence hall. Students in violation of the Student Code of Conduct
 may be subjected to any of the following:

 1. Verbal warning issued by Pre-College Coordinator or Resident Advisor.

 2. Written warning issued by the Pre-College Coordinator or Resident Advisor.

 3. Student called in to meet with Pre-College Coordinator and Director. Parents notified.

 4. Student dismissed from Program. There will be no refund of tuition or fees in such circumstances
 and parents will be held responsible for the immediate collection of the dismissed student.

MAINE COLLEGE OF ART | 522 CONGRESS STREET, PORTLAND, MAINE 04101 | 207.772.5074 | 800.639.4808 | MECA.EDU
MECA PRE-COLLEGE ’21 POLICY AGREEMENT

RULES a RESPONSIBILITIES
1. Alcohol and Drugs: The possession and/or consumption                   students responsible for the damaged space. No painting
of alcohol or illegal drugs is expressly forbidden and will               or drawing on walls, floors, ceilings or dormitory fixtures is
result in immediate dismissal.                                            tolerated.

2. Sexual Acts: Any sexual activity will be automatic                     12. Harassment: Intimidation or harassment will not be
grounds for dismissal.                                                    tolerated under any circumstances.

3. Academic Dishonesty/Behavior: Plagiarism, theft or any                 13. Loss: Maine College of Art accepts no responsibility
behavior that threatens or endangers one’s self or others’ well-          for items that are lost, stolen, or damaged. Participants
being or property is prohibited. This includes the alteration             are asked to lock their residence hall room door whenever
or destruction of artwork of others.                                      they are not in the room or when they are asleep.

4. Tobacco: The use of tobacco by anyone under the age of                 14. Transportation: During scheduled or unscheduled
18 is illegal in the State of Maine. Maine College of Art is a            program events, students must travel in transportation
tobacco-free campus. No smoking is allowed within 20 feet                 provided by the program.
of any entrance/exit.
                                                                          15. Parent Release Letter: Should a student need to leave
5. Health: All participants are expected to be able to take               the program for short or extended periods of time, parents
care of themselves and show minimal competencies, such                    must submit a Parental Release form at least 24 hours prior
as taking medication in a safe and appropriate way.                       to the departing. This form will state the date, time and
                                                                          purpose of the program departure, and releases Maine
6. Hours: Students must abide by the posted hours of the                  College of Art from any and all liability during this period.
program. There is a 9:45pm residential hall check-in curfew
(Sunday to Thursday) and a 10:30pm check-in curfew (Friday                16. If a student and/or parent/guardian chooses for the
and Saturday), and students may not leave scheduled program               student to leave the Program prior to Graduation, the
events without permission by the Pre-College Coordinator.                 student and parent/guardian must fill out an Exit form. If
                                                                          a student leaves the Program in this way, there will be no
7. Guests: Guests are not allowed at MECA during the course               refund of tuition or fees.
of the program. Please contact the Director of Continuing
Studies and Pre-College with any special requests.                        17. Obstruction or disruption of teaching, administration,
                                                                          or other College activities are prohibited and may lead to
8. Residence Hall Safety: Going onto the roof, sills, balconies           dismissal from the Program.
or ledges of Oak St Residence Hall is strictly prohibited and
will result in dismissal from the program.                                18. Verbal or physical abuse of any person in the College
                                                                          community is prohibited and may lead to dismissal from
9. Fire Safety: Tampering with, disconnecting or obstructing              the Program.
fire alarm bells, smoke detectors or other fire equipment is
strictly prohibited. Students must evacuate the building when             19. Unauthorized entry or use of College facilities is
a fire alarm sounds and follow the instructions of the residential        prohibited and may lead to dismissal from the Program.
staff. Fire doors cannot be used to enter or exit buildings and
should not be opened except in an emergency.                              19. Behavior that is self-destructive or threatening to the
                                                                          safety of the individual or other members of the college
10. Fireworks/Weapons: The use or possession of firearms,                 community is prohibited and may lead to dismissal from
other weapons, explosives or fireworks are prohibited.                    the Program.

11. Damage: Damages to a student’s room beyond normal                     20. False reporting of emergency, including false reports
wear and tear will be billed to the responsible student.                  of fires/bombs, is prohibited and may lead to dismissal
Costs for anonymous damages will be shared among the                      from the Program.

MAINE COLLEGE OF ART | 522 CONGRESS STREET, PORTLAND, MAINE 04101 | 207.772.5074 | 800.639.4808 | MECA.EDU
MECA PRE-COLLEGE ’21 POLICY AGREEMENT
PLEASE RETURN BY 5/ 21/ 21
Student’s Name_________________ Student’s Preferred Name________________________

The primary goal for practicing these stated Rules and Responsibilities is to ensure your safety during this
summer college experience.

The Rules and Responsibilities are standards of conduct expected from all participants in the Pre-College
program. Violations of the following standards will result in sanctions that the program. Parents will be
notified by telephone if their son or daughter has a Rules and Responsibilities violation.

Maine College of Art reserves the right to hold students to generally accepted standards of behavior, in
addition to the policies stated in the Handbook of Policies and any other MECA publications given to
students. MECA has the right to amend and supplement policy when necessary.

We agree to the Rules and Responsibilities and further agree to indemnify and hold the college harmless from any
and all claims, demands, actions, and causes of action, damages, expenses, losses or liabilities arising in any way
from or out of the occupancy, use, or enjoyment of the premises by me, my guests, and invitees.

By signing this form the student and parent/guardian have read, understood, and will abide by the
Rules and Responsibilities.

Student Signature ____________________________________                              Date_____________

Parent/Guardian Signature _____________________________ Date______________

Depending on the severity of the violation students may be issued a warning or may be immediately
dismissed from the program or residence hall. Students in violation of the Student Code of Conduct
may be subjected to any of the following:

+ Verbal warning issued by Pre-College Coordinator or Resident Advisor.
+ Written warning issued by the Pre-College Coordinator or Resident Advisor.
+ Student called in to meet with Pre-College Coordinator and Director. Parents notified.
+ Student dismissed from Program. There will be no refund of tuition or fees in such circumstances and
  parents will be held responsible for the immediate collection of the dismissed student.

Note: The use of tobacco by anyone under the age of 18 is illegal in the State of Maine. Maine College of Art is a
tobacco-free campus. No smoking is allowed within 20 feet of any entrance/exit.

MAINE COLLEGE OF ART | 522 CONGRESS STREET, PORTLAND, MAINE 04101 | 207.772.5074 | 800.639.4808 | MECA.EDU
MECA PRE-COLLEGE ’21 ROOMMATE QUESTIONNAIRE
(AKA-TELL US ABOUT YOU!EVERYONE GETS A SINGLE ROOM THIS YEAR)
PAGE 1/ 2 • PLEASE RETURN BY 5/ 21/ 21

Name________________________ Preferred Name______________________ Age________________

Gender: Female ____                 Male ____          Non-Binary ____             Other _____________________________

Date of Birth_________________                City___________________                State/Zip _________________________

Name you would like listed on your graduation diploma? _________________________________________

What is the cell phone number you will have with you at MECA? (_____)_______ – __________________

Will you be traveling by plane for Pre-College?                Yes      No

Please provide thoughtful answers to the following questions.

Please circle all that apply:

Do you study/read with music on?                                         Yes            No

Is quiet time important to you?                                          Yes            No

Are you an early riser?                                                  Yes            No

Do you like to sleep late whenever possible?                             Yes            No

Do you let others borrow your things?                                    Yes            No

Do you play your music loudly?                                            Yes           No

How do you tend to keep your surroundings?                                Neat          Messy            Varies

On most nights, what time do you go to sleep?                           9–10pm         10–11pm         after 12pm

What are your preferred pronouns? 		                                    He/Him         She/Her          They/Them

MAINE COLLEGE OF ART | 522 CONGRESS STREET, PORTLAND, MAINE 04101 | 207.772.5074 | 800.639.4808 | MECA.EDU
MECA PRE-COLLEGE ’21 ROOMMATE QUESTIONNAIRE

PAGE 2/ 2 • PLEASE RETURN BY 5 / 21/ 21

Name________________________ Preferred Name______________________

Please provide thoughtful answers to the following questions.

What is your favorite food?

What kind of music do you listen to?

What are your interests outside of art?

Anything else you would like to say about yourself?

Do you have any specific requests/concerns that might affect your living environment?

MAINE COLLEGE OF ART | 522 CONGRESS STREET, PORTLAND, MAINE 04101 | 207.772.5074 | 800.639.4808 | MECA.EDU
MECA PRE-COLLEGE ’21 MEDICAL FORM

 PAGE 1/ 4 • PLEASE RETURN BY 5/ 21/ 21

 Student’s Name___________________ Student’s Preferred Name________________________________

 Student’s Home Address: _________________________________________________________________

 Social Security # ___________________ Student’s Date of Birth _________________________________

 (We need SS# in order to assign 3 college credits at the end of the Program)

 Parent/Guardian Name _________________________ Relationship______________________________

 Home Address, City, State ________________________________________________________________

 Cell Phone # _____________ Home Phone # _____________ Occupation _________________________

 Employer’s Name/State/Zip _______________________________________________________________

 Parent/Guardian Name _________________________ Relationship______________________________

 Home Address, City, State ________________________________________________________________

 Cell Phone # _____________ Home Phone # _____________ O ccupation ________________________

 Employer’s Name/State/Zip _______________________________________________________________

 Person responsible for payment of tuiton and fees: ___________________________________________

 Relationship to student: _________________________________________________________________

 Signature: ____________________________________________________________________________

MAINE COLLEGE OF ART | 522 CONGRESS STREET, PORTLAND, MAINE 04101 | 207.772.5074 | 800.639.4808 | MECA.EDU
MECA PRE-COLLEGE ’21 MEDICAL FORM

PAGE 2/ 4 • PLEASE RETURN BY 5/ 21/ 21

Name________________________ Preferred Name______________________

Please write N/A on each line that is not applicable.

     Date of last Tetanus Shot: ________________________________________________
     (Note: Tetanus shot required; must be within 10 years for Pre-College participation).

     I verify ______________________’s tetanus shot is current within the last 10 years.
                 (Student’s Name)

     Parent/Guardian’s Signature: _____________________________________________

2. Allergies to food, or medication:

3. If vegetarian or vegan, please describe needs:

4. Medications, current or anticipated:

5. Are there any medical or emotional difficulties that may prevent the student’s full participation? Use this
  opportunity to let us know of anything that might come up during the Pre-College timeframe.

MAINE COLLEGE OF ART | 522 CONGRESS STREET, PORTLAND, MAINE 04101 | 207.772.5074 | 800.639.4808 | MECA.EDU
MECA PRE-COLLEGE ’21 MEDICAL FORM
 PAGE 3/ 4 • PLEASE RETURN BY 5/ 21/ 21

 Name______________________________ Preferred Name_____________________________________

 Please write N/A on each line that is not applicable.

 6. Health History (please check):
 o        No significant medical history  o    Heart Defect     o     Latex
 o        Ear infections                  o    Hives            o     Convulsions
 o        Diabetes                        o    Hay fever        o     Hemophilia
 o        Allergies                       o    Fainting         o     Penicillin Allergy
 o        Uncontrolled Bleeding           o    Epilepsy         o     Asthma
 o        Insect Stings (which?) _______________________________________________________
 o        Environmental ____________________________________________________________
 o        Pollen/Dust/Mold __________________________________________________________
 o        Other ___________________________________________________________________

 7. If an emergency arises, please contact (list in order of priority):

 A. Name/Relationship: _________________________ Address: ________________________________

 Cell Phone________________ Home Phone________________ Work Phone______________________

 B. Name/Relationship: _________________________ Address: ________________________________

 Cell Phone________________ Home Phone________________ Work Phone_____________________

 8. In case of medical emergency, Pre-College students will be taken to Portland’s Mercy Hospital.
 MECA has my permission to obtain emergency medical care for __________________________________
 if necessary. Please print Student’s Name in the above sentence.

 Parent’s Signature: ____________________________________________________________________

 Address (if different from above): _________________________________________________________

MAINE COLLEGE OF ART | 522 CONGRESS STREET, PORTLAND, MAINE 04101 | 207.772.5074 | 800.639.4808 | MECA.EDU
MECA PRE-COLLEGE ’21 MEDICAL FORM

PAGE 4/ 4 • PLEASE RETURN BY 5/ 21/ 21

Name_____________________________ Preferred Name_______________________________________

Pre-College student coverage at MECA is limited to accident insurance.
Primary coverage is considered the parent/guardian’s responsibility.

______ No, I do not have other insurance coverage (either individual or group) under which
       I am covered as an individual or as a dependent.

______ Yes, I do have other insurance (either individual or group) under which I am covered as
       an individual or as a dependent. (Please complete information below.)

Does your insurance require pre-certification?                      Yes 		           No

Pre-Certification Phone # __________________________________________________________________

Name of Insured if other than Student ________________________________________________________

Insurance Name ________________________________________________________________________

Address _______________________________________________________________________________

Phone # of Carrier _______________________________________________________________________

Policy #______________________________ Group # __________________________________________

Subscriber _____________________________________________________________________________

MAINE COLLEGE OF ART | 522 CONGRESS STREET, PORTLAND, MAINE 04101 | 207.772.5074 | 800.639.4808 | MECA.EDU
MECA PRE-COLLEGE ’21 TRAVEL INFORMATION

PLEASE RETURN BY 5/ 21/ 21

Student’s Name_________________ Student’s Preferred Name________________________

Home Address, City, State _____________________________________________________

On Friday, July 2nd, my plans for arriving at MECA are:

______ My parents/guardians are dropping me off on Friday, July 2nd between 1–3pm.

______ I am arriving on my own and will make my own arrangements to get to MECA from:

______ Concord Trailways station, Portland, ME, Friday, July 2nd at ________ am/pm

______ Greyhound Bus station, Portland, ME on Friday, July 2nd at _________ am/pm

______ Amtrak train station, Portland, ME on Friday, July 2nd at ___________ am/pm

______ Portland International Airport, Portland, ME on Friday, July 2nd

My flight # is ____________ on _____________ air carrier and arrives at _______ am/pm

On Saturday, July 24th, my plans for returning home are:
______I am leaving with my parents/guardians on Saturday, July 24th between 1–3pm.

______I am leaving on my own on Saturday, July 24th between 1–3pm.

______At the Concord Trailways station, Portland, ME, Sat, July 24th at ________ am/pm

______At the Greyhound Bus station, Portland, ME on Sat, July 24th at _________ am/pm

______At the Amtrak train station, Portland, ME on Sat, July 24th at ___________ am/pm

______At the Portland International Airport, Portland, ME on Sat, July 24th

My flight # is ____________ on _____________ air carrier and departs at ________ am/pm

Parent/Guardian Name (please print) _________________________________________

Signature _______________________________________________________________

MAINE COLLEGE OF ART | 522 CONGRESS STREET, PORTLAND, MAINE 04101 | 207.772.5074 | 800.639.4808 | MECA.EDU
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