Summer Institute Application

The Summer Institute is Nourish International's annual leadership conference.

Join us Thursday, July 28 – Monday, August 1 for the 2016 Summer Institute!

The Institute is an exciting opportunity to meet members from Nourish Chapters across the U.S. and Canada, connect with Nourish Alumni, attend useful workshops and listen to inspirational speakers in the field of international development and social entrepreneurship.

Location: NORTH CAROLINA STATE UNIVERSITY, RALEIGH, NC

**Students must apply by March 31 to be considered for a scholarship**

Form Login Account (optional)

New Users / Returning Users CLICK HERE to setup or return to your account for this form. Creating an account enables you to return to this form and your submitted results. An account will also enable you to partially complete this form and return later to finish the form. The account you establish is only for this form.

Personal Information

First Name *

Last Name *

Permanent Street Address *

Address Line 2

City *

State or Province *

Zip Code *

Phone Number *

Email Address *

School *

Graduation Year *

Chapter Role: Please select all that apply *

Diet and Health Information

Do you have any dietary restrictions or food allergies? Any other diet-related information we should know? *

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Do you have any health conditions of which we should be aware? Any allergies? *

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Emergency Contact Information

First Name *

Last Name *

Email Address *

Phone Number *

Relationship to Participant *

Travel Information

All participants are expected to arrive by noon on Thursday, July 28th and leave no earlier than 3pm on Monday, August 1st, unless a part of a new Chapter opening in 2016-2017.

All participants from new Chapters are expected to arrive by 6pm Wednesday, July 27th.

How are you getting here? *

Bus

Train

Car

Plane

If driving, are you bringing anyone else in your car? Who?

Incoming flight information: Airline, flight number and time of arrival in RDU

Departing flight information: Airline, flight number and time of departure in RDU

Application Questions

What do you hope to gain from this experience? What do you hope to contribute? *

How will you bring the Summer Institute back to your Chapter? *

Will you be on your Chapter's executive board next year? If so, what position? *

Scholarship Applicants

Do you wish to be considered for a scholarship for the 2016 Summer Institute? *

I would like to be considered for a Summer Institute scholarship from the National Office.

I do not require a scholarship.

In as much detail as you are comfortable, explain your financial situation and why you need a scholarship.

We aim to cover a portion of student costs with Summer Institute scholarships (up to 60%). Is this a financial situation that is feasible for you? How would you make up the remaining funds?

If you are seeking a scholarship, you must apply by the March 31 deadline and you are not required to pay the registration fee in advance. If you are not awarded scholarship funding to cover your costs, your registration payment will be due by May 31, 2016.

Payment Options * 🛈

Free Registration: Giving Challenge Prize ($0)

Scholarship Application ($25 deposit)

Partial Early Bird Deposit for Registration by 3/31 ($50 deposit)

Full Early Bird Deadline Pricing by 3/31 ($225)

Regular Deadline Pricing by 5/15 ($250)

Late Deadline Pricing by 6/24 ($275)

Local Student Pricing by 6/30 ($100)

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