2025 Missouri Youth Institute Student Registration Form

Background Information

Student Email Address*

Please enter your personal email in this form to receive a confirmation message upon the completion of your registration. Many school emails do not allow us to send you messages.

Student First Name*

Student Preferred Name

Student Last Name*

Student Home Address*

Student City*

Student State*

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Student Zip Code*

Student Cell/Mobile Phone Number*

Please provide your contact number. Numbers only, no punctuation. (Example: +15152551000). This information will only be used for event purposes.

Student Gender*

Our program is open and inclusive to all and does not discriminate on the basis of gender identity or expression. In order to ensure effectiveness in our programming and to consider the needs of every participant, please select all that apply.

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Student's Country of Origin*

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Parent/Guardian and Emergency Contact Information

Parent/Guardian First Name*

In case of emergency, who should we contact?

Parent/Guardian Last Name*

Parent/Guardian Relation*

Example: Mother, Father, Grandparent, Guardian, etc.

Parent/Guardian - Phone Number*

Numbers only, no punctuation. (Example: 5552551000)

Parent/Guardian Email

Student Interests

Post Secondary Education:

If you are planning to enroll in a college for the upcoming fall semester, could you please specify the institution you intend to attend and what you are planning on studying?

Are you interested in pursuing a career related to agriculture, food security or sustainability issues?*

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What career paths are you thinking about pursuing*

School Information

School Full Name*

Example: Roosevelt High School

School City*

Teacher/Mentor Information

Please provide information for the mentor who supported you while writing the Global Challenge research paper.

Teacher/Mentor Email Address*

Teacher/Mentor First Name*

Example: Jane

Teacher/Mentor Last Name*

Example: Doe

Information for the Missouri Youth Institute

Have you previously attended the Youth Institute?*

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Have you previously attended the GYI?*

The Global Youth Institute is a week-long academic conference hosted by the World Food Prize Foundation in October. This is a separate event from our regional/state Youth Institutes.

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Student Paper: Country*

Which country, territory, or independent economy did you focus on in your Global Challenge Paper? PLEASE NOTE: Your paper should be focused on a country other than the ones you lived in.

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Student Global Challenge Paper*

Please upload your Global Challenge Paper no later than April 15, 2025

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How did you learn about this opportunity?*

Did someone let you know? Were you actively looking? Did you stumble across this by chance? Let us know how you found us!

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How are you traveling to the Youth Institute Event?*

My parent/guardian or other adult will drop me off and pick me up

With my school/school affiliated organization

On my own

Health Information

We welcome people with all abilities. To request accommodation due to dietary restrictions, medical condition or accessibility needs please indicate below.

Student's 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.

Student's 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 Youth Institute, let us know at this time. We are happy to help. If there are none, please state "None" as your answer.

Media Release*

I, along with my parent or guardian, grant permission to the event organizers to use my image, likeness, and statements captured in photographs, videos, and other media formats for promotional, educational, and fundraising purposes related to the event. I understand that these materials may be used in various media, including print, online, and social media.

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Send me a copy of my responses