PARTICIPANT INFORMATIONEmory Morningside Global Health Case Competition2024

PARTICIPANT INFORMATION

Emory Morningside Global Health Case Competition

2024

The Emory Morningside Global Health Case Competition brings together students from diverse disciplines and multiple countries to address a real-world global health challenge. The 2024 competition will take place from March 14 to 23, 2024 on the Emory University campus.

Please complete your participant information by Wednesday, February 21, 2024.

First Name*

Last Name*

Gender*

How do you identify? You may refuse to answer (prefer not to answer).

Select

Race/Ethnicity*

Please check all that apply. You may refuse to answer (prefer not to answer).

Select

First generation?*

Do you identify as a first generation college student?

Select

Email Address*

Cell Phone Number*

Date of birth*

Month/Day/Year

Country of citizenship*

Street address*

Mailing Address

City*

Mailing Address

US State/Canadian Province*

Mailing Address

State/Province/Region (non-US/Canada)*

Mailing Address

Zipcode/Postal Code*

Mailing Address

Country*

Mailing Address

University*

School within University*

Example: School of Law

Major/Concentration*

Example: Humanitarian Law

Degree Seeking*

Example: JD

Emergency Contact Information (Name, Phone Number)*

Dietary Restrictions (please indicate severity)*

Mode of transportation to Atlanta*

Select or enter value

Arrival Date and Time*

Arrival Carrier/Flight Information*

Departure Date and Time*

Departure Carrier/Flight Information*

Roomate Preference*

Signed Rules and Code of Conduct Document*

Available in January on website

Signed Release of Liability Form*

Available in January on website

Send me a copy of my responses

Privacy Notice|Report Abuse