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Global Youth Institute Participant Checklist

TEACHERS, PLEASE COMPLETE THIS FORM to allow us to place orders for student shirts and to arrange your meals and hotel assignments. If you are attending with multiple students, please complete the form for each student. You must upload your student's revised research paper below to complete your submission.

The World Food Prize Foundation requires that Global Youth Institute student and teacher participants arrive in Des Moines for hotel check-in by Wednesday evening, October 12, in order to  take part in all three days of planned activities October 13-15. Please notify Lisa Fleming at (515) 245-3795 or lfleming@worldfoodprize.org if you have any questions.  

Please use a desktop computer or laptop to complete the form as mobile devices are not supported on this site.

Note: We are unable to accommodate family observers at the Global Youth Institute due to limited space. 

* denotes a required field.
GYI High School Information
High School Name: *
High School City: *
High School State/Territory/Province: *
For example, "California" or "Virgin Islands" or "Hebei" as applies based on your home country  
High School Country: *
GYI Teacher/Chaperone Information (adult attending with student)
Teacher/Chaperone First Name: *
This adult is required to accompany student for entire 3-day program in Des Moines.  
Teacher/Chaperone Last Name: *
Teacher/Chaperone Email: *
Teacher/Chaperone Cell Phone Number: *
For example, 5152453795  
Teacher's/Chaperone's Dietary Restrictions & Food Allergies:  
Please detail any restrictions or allergies related to food.  
Teacher's/Chaperone's Health & Accessibility Needs:  
Please detail any health, medical, allergy or mobility needs that would be relevant to the program.  
Teacher's/Chaperone's Gender: *
Select all that apply.  
 
Teacher/Chaperone Hotel Room Required:  
The teacher/chaperone is required to stay in the hotel for three nights. The WFP reserves and fully funds all three nights in the GYI hotel.  
Wednesday (Oct. 12): *
   
Thursday (Oct. 13): *
   
Friday (Oct. 14): *
   
Special Requests:  
Must specify if parent is chaperone and wishes to share a room with child or other requests. Unless otherwise noted, two teachers/chaperones (same gender) share a hotel room & two students (same gender) share a hotel room.  
GYI Teacher/Chaperone Activity Preference Friday Afternoon (Oct. 14)

Below, please rank your Friday afternoon activity preference from 1 (first preference) through 3 (last preference).  Each teacher/adult chaperone will participate in one activity on the afternoon of Friday, October 14. We can accommodate numerous teachers in the professional development session.  However, due to the large number of total participants, we are unable to guarantee first choice placements for all teachers selecting one of the two field experiences.  We will do our best!  This is the first year that we are providing three activity options for teachers. 

Professional Development Session - Global Career and Technical Education (CTE) Toolkits: *
GYI Professional Development on the Asia Society's "PD Module - Global Career and Technical Education (CTE) Toolkits", Facilitator, Heather Singmaster, Assistant Director, Education, Asia Society  
Iowa Soybean Farm Tour: *
(Sponsored by the Iowa Soybean Growers Association)  
Food Science and Technology: *
GYI Student Participant Information
Student Participant First Name: *
Student Participant Last Name: *
Student Home Email: *
Student Cell Phone Number: *
For example, 5152453795  
Student's Dietary Restrictions & Food Allergies:  
Please detail any restrictions or allergies related to food.  
Student's Health & Accessibility Needs:  
Please detail any health, medical, allergy or mobility needs that would be relevant to the program.  
Student Gender: *
Select all that apply.  
Student's Grade Level: *
As of fall 2016.  
Student Hotel Room Required:  
The student is required to stay in the hotel for three nights. The WFP reserves and fully funds all three nights in the GYI hotel.  
Wednesday (Oct. 12): *
   
Thursday (Oct. 13): *
   
Friday (Oct. 14): *
   
Student's Shirt Size: *
Cotton Polo Shirt (men's sizes run large)  
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)
GYI Student Field Experience Preferences Friday Afternoon (Oct. 14)

Below, please rank this student's field experience preferences from 1 (first preference) through 4 (last preference).  Each student will participate in one field experience on the afternoon of Friday, October 14. Due to the large number of participants, we are unable to guarantee first choice placements for all students.  

Food Science and Technology: *
Aquaponics and Organic Farming: *
Animal Science: *
Plant Science: *

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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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