Cave Canem Retreat TRAVEL PLANS

If you’re planning to travel by air, bus or train to , please note: • On June 11, 2017, a chartered bus will depart the Pittsburgh Airport’s Hotel Hyatt for at 4:30 pm. A van for late arrivals—individuals with delayed flights—will depart the airport at 6:30 pm. (If your flight arrives after 6:30 pm, you will be responsible for finding transportation to campus. Cab fares to Greensburg from the Pittsburgh airport can exceed $100.) • On June 17, 2017, a chartered bus will depart the Greensburg campus for the Pittsburgh Airport promptly at 8 am.

∗ There is a Greyhound/ station in Greensburg. No taxis are available on Sunday; please contact CC staff in advance if you choose this option: 718.858.0000.

______Name

______Address

______City State Zip

______Telephone

______E-mail

ARRIVE IN GREENSBURG NO LATER THAN 6 PM, JUNE 11, 2017  Car  Pittsburgh International: Carrier______

Flight: #______Arrival time ______ AmTrak: Originating city ______Destination city______Arrival time ______

 Greyhound: Originating city ______Destination city______Arrival time ______

DEPART GREENSBURG NO LATER THAN 12 PM, JUNE 17, 2017 Car  Pittsburgh International: Carrier ______ Fl Flight: # ______Arrival time ______

 AmTrak: Originating city ______Destination city ______Arrival time ______

 Greyhound: Originating city ______Destination city ______Arrival time ______

Travel Plans Rev. 02/3/2017 2017 Retreat Cave Canem Housing Preference / Page 1 of 1

201 7 RET RE AT HOU SING PR EF EREN CE

Name:

I identify as: Female  Male  Other: ______Select Female or Male Housing: F  M 

1. I generally retire for the night at ____PM / ____AM.

2. My room is usually:

Neat  Messy  Somewhere in between 

3. I am a:

Smoker  Non-smoker 

(Note: There is NO SMOKING inside any buildings on the Greensburg campus).

4. I am:

Quiet  Noisy  Somewhere in between 

5. Are you requesting a suite with a university-provided laptop?  Yes No 

6. Please request below any special accommodations needed for a medical condition. Example: accessible, ground-floor housing; or transportation to the dining room from central campus. This information will be held in strictest confidence.

Though Cave Canem will do its best to find you a good match, there is no perfect situation when it comes to sharing living space. Please be as flexible as possible with your rooming assignment. If a serious conflict arises during the course of the week, please apprise retreat staff. 2017 Cave Canem Retreat Emergency Information / Page 1 of 1

Confidential Emergency Information

Two people who can be contacted in case of an emergency:

Name: ______Name: ______

Relationship: ______Relationship: ______

Address: ______Address: ______

Home Phone: ______Home Phone: ______

Work Phone: ______Work Phone: ______Include area codes. Include area codes.

List any medical conditions or allergies (food, drug or other) that you have:

______

______

______

List any medications and dosages you currently take (include prescription and non‐prescription):

______

______

______

Date of birth ______Blood Type ______Social Security Number______

If applicable, provide the names, contact information and policy numbers of your health and automobile insurance carriers:

Health Insurance Company Auto Insurance Company

______

Agent/Address/’Phone Agent/Address/’Phone

______

Policy # Policy #

______

My typed name below serves as my signature agreeing to the above stipulations.

Name: ______Date: ______2017 Retreat Cave Canem

LIABILITY WAIVER

I understand and agree that during my residence at the Cave Canem 2017 Retreat in Greensburg and Pittsburgh, PA, Cave Canem Foundation is not liable for the loss or theft of my personal property; and that Cave Canem Foundation is not liable for any costs incurred for my hospitalization, medical treatment or medical care.

I affirm that I am at least 21 years of age. My date of birth is: ______

My typed name below serves as my signature agreeing to the above stipulations.

Signature: ______Date: ______CAVE CANEM FOUNDATION, INC

BOARD OF DIRECTORS A H O“. M . .E a soulF O Rfilling B L A experie C K P nce.”O E T R Y

Jacqueline Jones LaMon President Cornelius Eady MEDIA RELEASE & WAIVER Vice President & Treasurer Parneshia Jones Secretary In exchange for the opportunity to participate in the 2017 Cave Canem Carleasa Coates Retreat, I irrevocably authorize Cave Canem and its affiliates, licensees, Toi Derricotte assignees, and successors to record, videotape or photograph me and to Robert Polito use such recordings, video clips and/or photographs from the 2017 Cave Canem Retreat. ELDERS Marilyn Nelson Sonia Sanchez I authorize Cave Canem to use any such recording, video clip and/or Afaa M. Weaver photograph in s narrated story or report concerning my performance or Al Young in a compilation of performance recordings, stories, or reports via the internet, broadcast television, radio, print or other digital platforms. HONORARY DIRECTORS Elizabeth Alexander In addition, I voluntarily waive any right, cause of action or demand of Lee Briccetti any kind whatsoever resulting from Cave Canem’s documentation of the Barbara Bristol 2017 Cave Canem Retreat. Nikky Finney Nikki Giovanni Marilyn Hacker I also understand that Cave Canem will not give me any compensation Bob Holman for using my image. Thus, by signing this document, I waive any rights Yusef Komunyakaa to any compensation now or in the future. E. Ethelbert Miller Walter Mosley I understand that this document represents the entire agreement and Sharon Olds Tim Seibles understanding between me and Cave Canem with respect to the release of recordings, video clips, or photographs of me at the 2017 Cave Canem Nicole Sealey Retreat. Executive Director My typed name below serves as my signature agreeing to the above stipulations.

Signature: ______Date: ______

20 Jay Street, Suite 310‐A, Brooklyn, New York 11201‐8301 ______718.858.0000 telephone / 718.858.0002 facsimile / www.cavecanempoets.org Cave Canem Foundation, Inc. Policies ratified on May 11, 2016

Anti‐Discrimination, Anti‐Harassment Policy / Code of Conduct Cave Canem Foundation, Inc. will not tolerate any instances of discrimination, harassment, or any other form of abuse in conjunction with any of our programs or activities. Respect and consideration for others, both within and outside workshop sessions, readings and other activities are core values to be upheld by all. Harassment of community members on the basis of race, color, religion, sex, sexual orientation, national origin, age, marital status or disability is unacceptable and will not be tolerated. Participants are expected to adhere to all federal, state and local laws and regulations while enrolled in a Cave Canem program or participating in a Cave Canem activity. Should a staff member, faculty member, instructor, volunteer or participant be found to violate any aspect of the organization’s code of conduct, Cave Canem reserves the right to dismiss her or him from the program or activity. Consequences may include, but not be limited to, suspension, dismissal from the current program or activity, and/or ineligibility for all future activities.

Policy on Sexual Harassment It is the policy of Cave Canem Foundation, Inc. that no member of the Cave Canem community— faculty members, instructors, staff, administrators, contractors, fellows, workshop participants or third parties—may sexually harass any other member of the community. Sexual harassment violates the community values and principles of our organization and disrupts the living and learning environment for all. Sexual harassment is any unwelcome conduct of a sexual nature, which includes, but is not limited to, unwelcome sexual advances; the use or threatened use of sexual favors as a basis for Cave Canem program decisions; conduct that creates a hostile, intimidating or offensive environment; conduct that has the effect of unreasonably interfering with an individual’s activity in Cave Canem programs; and other verbal, nonverbal, or physical conduct of a sexual nature that is sufficiently severe, persistent or pervasive to limit a person’s ability to participate in or benefit from a Cave Canem program or activity. Examples of sexual harassment may include: • Pressure for a dating, romantic or intimate relationship • Unwelcome sexual advances • Unwelcome touching, kissing, hugging or massaging • Disregarding “no means no” • Pressure for or forced sexual activity • Unnecessary references to parts of the body • Remarks about a personʹs gender, nonconformity with gender stereotypes, or sexual orientation • Sexual innuendoes or humor • Obscene gestures • Sexual graffiti, pictures or posters • Sexually explicit profanity • Stalking or cyberbullying that is based on gender or sex • E‐mail, texting (“sexting”) and Internet use that violates this policy • Sexual assault or violence

Page 1 of 2

Cave Canem Foundation, Inc. Policies ratified on May 11, 2016

Resolution If a complaint of sexual harassment is found to be substantiated, appropriate corrective action will follow, up to and including separation of the offending party from Cave Canem programs and activities.

Retaliation Cave Canem prohibits retaliation against anyone for registering a complaint pursuant to this policy, assisting another in making a complaint, or participating in an investigation under this policy. Anyone experiencing any conduct that he or she believes to be retaliatory should immediately report it to the staff person designated to receive such reports.

If you believe you have been harassed: • Contact the Programs Coordinator, Retreat Coordinator, or other staff member designated to receive such reports. • Donʹt blame yourself. • Donʹt delay reporting a problem.

If you witness or become aware of possible harassing conduct by others: • Contact the Programs Coordinator, Retreat Coordinator, or other staff person designated to receive such reports.

If you think you may have offended or harassed someone: • Donʹt assume others will tell you when they feel offended or harassed by what you say and do. • Examine how others respond to what you say and do. • Change your behavior.

I, ______Name, Printed have read, understand, and will comply with the above Anti‐Discrimination, Anti‐Harassment Policy / Code of Conduct and Policy on Sexual Harassment.

______Participant Signature: Date

Page 2 of 2

2017 Retreat Cave Canem

Directions to the Greensburg Campus

From the metropolitan Pittsburgh Area Depending on your starting location you may take either the Turnpike (I-76), U.S. Route 22, or U.S. Route 30 If you take: • The Turnpike, exit at Irwin new # 67 (old #7) and follow directions as outlined in 4 below. • Route 22, follow it to the intersection of Routes U.S. 22 and Toll Route 66 and then follow directions in 5 on opposite side. • Route 30, follow it to Irwin area and then follow directions in 4 below.

From the East (via the Pennsylvania Turnpike) • Exit at New Stanton new #75 (old #8) – take U.S. Route 119 north about six miles to the Greensburg area. • At intersection of U.S. Routes 119 and 30, turn left at the traffic light and follow U.S. Rt. 30 east for about one mile. • Exit right from U.S. Rt. 30 at the Greensburg- Mt. Pleasant Road Exit • At Stop sign at foot of the ramp turn right and follow Mt. Pleasant Road for approximately 8/10 mile. • Turn right at the traffic light (Finoli Drive) and right again at the first turn (North Campus Road).

From the East/Latrobe Airport (via U.S. Route 30) • Follow U.S. Route 30 west past Westmoreland Mall (Note: DO NOT exit into downtown Greensburg. Route 30 bypasses the city; stay on the bypass). • Exit right from U.S. Rt. 30 at the Greensburg- Mt. Pleasant Road Exit. • At Stop sign at foot of the ramp turn left and follow Mt. Pleasant Road for approximately 8/10 mile. • Turn right at the traffic light (Finoli Drive) and right again at the first turn (North Campus Road).

From the West (via Pennsylvania Turnpike) • Exit at the Irwin new #67 (old #7)- take U.S. Route 30 East for about 9 miles (Note: DO NOT exit into downtown Greensburg. Route 30 bypasses the city; stay on the bypass). • Exit from 30 east at the Greensburg- Mt. Pleasant Road exit. • At Stop sign at the foot of the ramp turn right and follow Mt. Pleasant Road for approximately 8/10 mile. • Turn right at the traffic light (Finoli Drive) and right again at the first turn (North Campus Road).

From the North (via Toll Route 66) automatic tollbooth requires correct change $0.75 in any combination of quarters, dimes, & nickels—no pennies. • Toll Route 66 south for approximately 7 miles to the U.S. Route 30 exit. • Turn left at the light and follow U.S. Route 30 east for approximately 4.7 miles. • Exit right from U.S. Rt. 30 at the Greensburg – Mt. Pleasant Road exit. • Turn right at the traffic light (Finoli Drive) and right at the first opportunity (North Campus Road).

From the North (via Routes U.S. 119 or PA 66) • U.S. Route 119 and PA 66 become Main Street in Greensburg • Follow Main Street (U.S. Route 119) south to its intersection with U.S. Route 30 and go under the underpass and then immediately…

Retreat Driving Directions / Page 1 of 2 2017 Retreat Cave Canem

• Turn right at traffic light onto ramp and follow U.S. Rt. 30 east for about one mile. • Exit right from U.S. Rt. 30 at the Greensburg- Mt. Pleasant Road exit. • Follow Mt. Pleasant Road for about 8/10 mile after you pass under the U.S. Route 30 interchange. • Turn right at the traffic light (Finoli Drive) and right at the first opportunity (North Campus Road).

Form the South and/ or Southwest (via U.S. Route 119 and I-70) Follow directions from East on opposite side from New Stanton area.

From Greater Pittsburgh International Airport

This airport is located about 14 miles west of center city Pittsburgh. There are two alternate routes offered below for your consideration. The first is direct, shorter, and it involves transiting Center City via Interstate Highway – more visually interesting to the first-time or infrequent visitor to Pittsburgh. The second is a bit longer, less direct, skirts the city proper, and yet can offer a timesaving alternate route during rush-hour traffic.

Direct –Through the City • From the airport, follow PA Route 60 East just a few miles to where it merges with U.S. Routes 22 and 30 (also call The Parkway West). • Now follow U.S. 22/30 just a few additional miles to where it begins to be additionally designated as I- 279 (DO NOT turn onto I-79). • Follow I-279 into the city of Pittsburgh. As you come down the hill and approach the Fort Pitt Tunnel, you would do well to be in the right lane before entering the tunnel. • As you leave the Fort Pitt Tunnel behind and drive onto the Fort Pitt Bridge stay in the RIGHT LANE and prepare to make a ninety degree RIGHT TURN at the far end of the bridge. • Center City Pittsburgh is now on your left and the Monongahela River is on your right. You should now be traveling east on I-376 (also known as the Parkway East). • Follow I-376 East for about 12 miles to the Monroeville area and take the exit designated for the Pennsylvania Turnpike (I-76). • Follow I-76 (the turnpike) East for about 14 miles to the first exit, Irwin new #67 (old #7) and follow the directions outlined in 4 on the opposite side.

Indirect – Avoiding the City From the airport, follow PA Route 60 East just a few miles to where it merges with U.S. Routes 22 and 30 (also call The Parkway West). • Now follow U.S. 22/30 just a few additional miles to its intersection with I-79. • Turn south and stay on I-79 to its intersection with I-70, eastbound. • Follow I-70 East to New Stanton • From New Stanton take U.S. Route 119 north about six miles to the Greensburg area. • At intersection of U.S. Routes 119 and 30, turn left at traffic light and follow U.S. Rt. 30 east for about one mile. • Exit right from U.S. Rt. 30 at the Greensburg- Mt. Pleasant Road exit. • At Stop sign at the foot of the ramp turn right and follow Mt. Pleasant Road for approximately 8/10 mile. • Turn right at the traffic light (Finoli Drive) and right again at the first turn (North Campus Road).

Retreat Driving Directions / Page 2 of 2