Model UN Secretariat Registration
Email address *
Demographic Info
First name *
As you would like it on your nametag
Your answer
Last name *
As you would like it on your nametag
Your answer
Birthdate *
MM
/
DD
/
YYYY
What is your cell phone number? *
Your answer
How do you identify? *
Racial/Ethnic Background *
What school do you attend? *
Your answer
What year in college are you? *
Are you an alum of Youth in Government? *
This can include Model Assembly, Model UN, or any other state's program.
If yes, what delegation or group did you participate with?
Your answer
If yes, when did you graduate high school?
Your answer
Emergency Contact Info
Emergency Contact Name *
Your answer
Emergency Contact Phone Number *
Your answer
Emergency Contact Relationship to You *
Your answer
Program Info
Secretariat Program Area Preferences *
Select all that apply. This is only to collect your preferences. You may not get choices you indicate.
Required
Are you interested in being a High Commissioner at this year's conference? *
YMCA Volunteer Background Check
All volunteers will be asked to complete a Criminal Background check. Details for completing the background check will be sent to volunteers once their registrations have been processed at the YIG State Office.

SECRETARIAT WHO COMPLETED A BACKGROUND CHECK FOR THE MOST RECENT MODEL ASSEMBLY DO NOT NEED TO COMPLETE IT AGAIN!

Employees of the YMCA of the Greater Twin Cities will not need to complete the background check, though all other adult volunteers must do this annually.

Please open the following page in a separate tab or window and complete the background check after your registration: http://bit.ly/YIGADVREG.

Registration Agreement
As an advisor for Minnesota YMCA Youth in Government, I realize that such a privilege involves certain responsibilities. I have read and agree to abide by the Youth in Government Code of Conduct and Code of Conduct for Adults, understanding that all rules and regulations exist for the good of the program. I further understand that my attitude and example will affect the students, other advisors, Youth in Government, each school and each YMCA represented in the program. I further understand that if my conduct does not meet these standards, my affiliation with Minnesota YMCA Youth in Government programs may be terminated by the Youth in Government State Office. I acknowledge that my participation in Minnesota YMCA Youth in Government programs indicates personal acceptance of the Code of Conduct, Code of Conduct for Adults and all program rules.

I understand that my advisor status with Minnesota YMCA Youth in Government will be contingent on satisfactory clearance of a volunteer background check. I further understand that my registration may be considered incomplete unless I have completed the check. I understand that some of my biographical data may be included in a participant directory for distribution to delegates, adult advisors, program sponsors and others. I understand that all photos, images and recordings (audio, visual and others) are property of Minnesota YMCA Youth in Government; that they can be used hereafter without further permission.

I have read this registration agreement; have read the Code of Conduct & Code of Conduct for Adults and agree to the terms in each document. I understand that YIG advisors are housed two to each room and that in order to participate in this program, I must reside in the conference hotel. Advisors will have their own bed, but will be housed with another advisor of the same sex (unless a spouse is also an advisor).

I understand that the sponsoring delegation, the YMCA and Minnesota YMCA Youth in Government assume no responsibility for injuries or illnesses which may be sustained as a result of persona, physical condition or resulting from participation in any activities or off-site programs, including transportation to and from these programs. I expressly acknowledge on behalf of myself and heirs that I assume the risk of any and all injuries and illnesses which may result from participation in these activities. I hereby release and discharge the sponsoring delegation, the YMCA and YMCA Youth in Government, its agents, servants and employees from any and all claims for injury, illness, death, loss or damage which I may suffer as a result of participation in these activities.

The health information listed on this form is correct so far as I know and I am able to engage in all activities except as noted. I authorize the YMCA staff/volunteers to give me reasonable first aid and to transport me to a health care facility for emergency services as needed.

In the event that the emergency contacts cannot be reached in an emergency, I hereby give permission to health care facility/physician to use prudent, professional judgment in applying medical treatment to me, which may include surgical procedures.

Do you agree to the above Registration Agreement? *
A copy of your responses will be emailed to the address you provided.
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