Printer Friendly Version

 

2018 IOWA STUDENT GLOBAL LEADERSHIP CONFERENCE (ISGLC)

 

Student Aplication

(to be filled out and submitted by the Agency Representative, on behalf of the student)

Student Information

Last Name (Surname): (As appears on Passport if applicable)
First Name: (As appears on Passport if applicable)
Gender:
What Country Are You From?
Preferred Name: (for nametag) (Example: First Name: Robert, Preferred Name: Bob)
Iowa Mailing Address:
City:
State:
Zip:
Student Email:


Dietary Restrictions (if any):


Host Family or Emergency Contact Information:

Host Family Name(s):
Host Family Phone Number:
Alternate Phone Number:
Primary Email Address:

Leadership Opportunity for Students

I volunteer to facilitate one of the global issues sessions. The topic I want to discuss is:


Transportation:


Departure times listed below are approximate. A final bus schedule will be posted at a later date. In most cases, attending ISGLC will necessitate early dismissal from school.

If you live more than 50 miles from Des Moines and need transportation to the conference, please select the route and stop that you will be using:
Route A:
Route B:


Any comments or information you wish to share:

Submitted By:

Name: with
Phone:
Email:
Mailing Address:


Application Deadline:

Your application must be received online by November 28, 2017.
Please note: no refunds will be offered for cancellations after January 23, 2018.

Terms of use | Privacy policy © 2017 by The Stanley Foundation

Web Design by DWebware