2025 Michigan Youth Institute Adult Registration Form

2025 Michigan

Youth Institute

Adult Registration Form

Contact Information

Email Address*

Please enter your email below to receive a confirmation message upon the completion of your registration.

Your Prefix

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Your First Name*

Your Last Name*

Please indicate how you would like your name displayed on your name tag at the event

Ex: "Dr. Norman E. Borlaug", "Dr. Borlaug", "Norman Borlaug", "Norm Borlaug

Your Office Phone Number

Numbers only, no punctuation. (Example: 5552551000)

Your Cell/Mobile Phone Number*

Numbers only, no punctuation. (Example: 5552551000)

Preferred Contact Method*

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Your Discipline*

Select all teaching fields that apply. Choose "Parent/Guardian" if the student's parent/guardian is serving as mentor.

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Emergency Contact - Name

In case of emergency who should we contact?

Emergency Contact - Relation to Mentor/Chaperone

Example: Spouse, Significant Other, Mother, Father, Sibling, etc.

Emergency Contact - Phone Number

Numbers only, no punctuation. (Example: 5552551000)

School/Organization Information

School/Organization Full Name

Example: Roosevelt High School

School Address

School/Organization City

School/Organization State

School/Organization Zip Code

School/Organization County

Main School/Organization Phone

Numbers only, no punctuation. (Example: 5552551000)

Global Challenge Student Engagement*

In total, how many students in your school/organization did you engage through the World Food Prize Foundation Global Challenge curriculum?

Include the number of students in your school/club that wrote a paper and/or participated in some other way through the Global Challenge curriculum (poster presentation, hunger banquet, food drive, discussion on global food security issues).

Global Challenge Student Support*

What type of support did you provide to students? (e.g., research guidance, paper editing, etc.)

Information for Michigan Youth Institute

Participants can attend the 2025 World Food Prize Michigan Youth Institute by attending in-person on the campus of the MSU in East Lansing, MI or by attending online/virtually using Zoom. Those attending online/virtually will need to have their own individual computer, tablet, or phone in order to participate, as the program will be interactive. The agenda for in-person and virtual attendees will vary slightly at times to maximize the experience for participants in both attendance formats.

Please indicate your level of participation for the Youth Institute.*

A chaperone is who will be bringing the student to the event and will also attend the event in person or virtually

A mentor, on the other hand, helps students with their Global Challenge Research Paper, supporting the student while writing the Global Challenge research paper.

Some people may choose to be both a chaperone and a mentor, helping with both the event and the research. When you register, you can let us know if you’ll be a chaperone, a mentor, or both.

Yes, I am attending the event as a Chaperone.

Yes, I am attending the event as both a Chaperone and a Mentor for the Global Challenge Research Paper.

No, I am only helping a student/s with their Global Challenge Research Paper

Accompanying Chaperone Information*

please provide the name and contact information of the individual who will be accompanying the student/s at the Youth Institute.

If student is attending virtually please but "Virtual Attending"

Networking Breakfast Reception Option*

We will be hosting an optional networking breakfast reception prior to the start of the WFP MIYI on May 8. The informal networking breakfast will be an opportunity for youth participants and teachers/mentors to meet MSU faculty, students, and other experts, as well as other students and teachers, and to learn about opportunities for prospective MSU students related to addressing food, hunger, and other grand challenges.

The Networking Breakfast will be held from 7:30 am - 8:45 am on May 8, 2025 for both in-person and online participants. The reception will be informal and you do not need to join for the entire time.

Please let us know if you would like to participate in the Networking Breakfast Reception.

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Indicate whether you plan to attend the Michigan Youth Institute in-person in East Lansing, MI (US), or online/virtually via Zoom*

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What time zone will you be in during the event?*

Describe the quality and connectivity of your internet access that you will use to connect to the event.*

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Do you personally have access to a dedicated computer or laptop that you can use for Michigan YI Virtual sessions?*

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Planned Student Attendance*

How many students do you plan to bring? List the names of the student/s you are traveling with.

Your Dietary Restrictions*

Please indicate if the student has any dietary restrictions. Some examples may include vegetarian, vegan, food allergies, etc. If there are none, please state "None" as your answer.

Your Medical/Health Information*

Please indicate if any special accommodations are needed. If you need special assistance for mobility reasons (wheel chair, signers, etc.) during the Iowa Youth Institute, let us know at this time. We are happy to help. If there are none, please state "None" as your answer.

How did you hear about the Michigan Youth Institute?

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By checking below, I agree to ensure the attendance and participation of my student/s in the Michigan Youth Institute, on May 8, 2025 at Michigan State University.*

*If for any reason I am unable to participate in the Institute, I will ensure my student is supported, either with another teacher/mentor or by working with my student ahead of time to ensure their preparation.

*All youth participating in the World Food Prize Michigan Youth Institute must complete an enrollment (or reenrollment) in the Michigan 4-H 2024/2025 program. A parent or guardian must complete the enrollment for minor youth.

Parents/guardians will go to https://v2.4honline.com/#/user/sign-in to enroll their child in Michigan 4-H (if the WFP Michigan Youth Institute will be their first Michigan 4-H experience) or re-enroll (if they have been a 4-H member in the past but are not enrolled in the 2024/2025 4-H program year)

Enrollment/Reenrollment in Michigan 4-H is free and is required for youth in order to participate in the World Food Prize Michigan Youth Institute. Download the Michigan 4-H Online Family Enrollment Guide for enrollment instructions

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