Summer Seminar on Global Issues
Application for Admission
First Name *
Last Name *
Gender *
Street Address *
City *
State *
Zipcode *
Cell Phone *
E-mail Address *
Emergency Contact Name *
Relationship to Student *
Emergency Contact Phone Number *
High School *
Grade Level during 2014-2015 School Year *
School/Extracurricular Activities and Offices Held *
Community/Volunteer Service *
Additional activities not previously mentioned (includes summer employment) *
World Affairs Council programs attended *
Approximate grade point average this year *
Are you planning to attend college? *
If so, what major(s) are you considering?
What topics or issues are you interested in learning about during this year's Summer Seminar? *
Please list any special accommodations needed (if any). Please note, this will not affect admission *
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