The World Food Prize Foundation

WFP Minnesota Youth Institute Registration Form

Please complete the online registration form and submit your student's paper by March 9, 2015 for the 2015 Minnesota Youth Institute. Due to space limitations, registration does not guarantee participation.

Once you have submitted your online form, Dr. LaJoy Spears, the Minnesota State Coordinator, will review it and officially confirm your registration.

* denotes a required field.
School Name: *
School Address: *
School City: *
School State: *
Use State Acronym only (example: IA, MN, OH, NY)  
School Postal Code: *
Main School Phone: *
Numerals Only (ex: 5152453783)  
School Fax:  
Numerals Only (ex: 5152453785)  
Principal/Administrator Prefix: *
Principal/Administrator First Name: *
Principal/Administrator Last Name: *
Teacher/Mentor Prefix: *
Teacher/Mentor First Name: *
Teacher/Mentor Last Name: *
Teacher's Discipline: *
Courses taught (biology, ag ed, history  
Teacher/Mentor Gender: *
Select all that apply.  
Teacher/Mentor Work E-mail: *
Teacher/Mentor Home E-mail:  
Teacher/Mentor Home Address: *
Teacher/Mentor City: *
Teacher/Mentor State: *
Use State Acryonym (ex: IA, MN, OH, NY)  
Teacher/Mentor Postal Code: *
Teacher/Mentor Home Phone:  
Numerals Only (ex: 5152453783)  
Teacher/Mentor Cell Phone: *
Numerals Only (ex: 5152453783)  
Student First Name: *
Student Last Name: *
Student Gender: *
Select all that apply.  
Student Home Email: *
Student Home Address: *
Student City: *
Student State: *
Use State Acronym (ex: IA, MN, OH, NY)  
Student Postal Code: *
Student Home Phone: *
Numerals only (example: 5152453783)  
Student Cell Phone:  
Numerals Only (example: 5152453783)  
Student Year in School: *
As of Fall 2016  
Check the boxes of organizations student is a member:  
Local Newspaper Name: *
Local Newspaper E-mail:  
Other Local Media Name:  
Other Local Media E-mail:  
Is the student's GPA 3.25 or higher?: *
How did you learn about the Minnesota Youth Institute?:  
Categories: Principal, a letter from the World Food Prize, a teacher or past participant, a student, etc.  
© 2024 The World Food Prize Foundation. All Rights Reserved.