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WFP Texas Youth Institute Registration Form

Please complete the online registration form (including paper submission) for your student by January 30, 2015 for the 2015 World Food Prize Texas Youth Institute.

Once you have submitted your online form, Dr. Danielle Harris, the Coordinator of the Texas Youth Institute, will 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/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 Research Paper Upload: *
Select the button to the right to locate and submit your student's research paper. Paper must be in WORD format (.doc or .docx files only). Note: The World Food Prize Foundation will submit all papers to iThenticate, a plagiarism detection service, to protect the integrity of your student's original work.  
(doc,docx)
Upload Resume: *
Must use template found on Texas Youth Institute page.  
(doc,docx,pdf)
Upload Liability Waiver: *
Must use template found on Texas Youth Institute page.  
(doc,docx,pdf)
Student Year in School: *
As of Fall 2016  
Check the boxes of organizations student is a member:  
Is the student's GPA 3.25 or higher?: *
Local Newspaper Name: *
Local Newspaper E-mail:  
Other Local Media Name:  
Other Local Media E-mail:  
How did you learn about the Texas Youth Institute?:  
Categories: Principal, a letter from the World Food Prize, a teacher or past participant, a student, etc.  

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Contact World Food Prize

100 Locust Street
Des Moines, Iowa 50309 USA

Phone: +1 515-245-3783+1 515-245-3783

Fax: +1 515-245-3785

wfpf@worldfoodprize.org
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