Form

Returning Student Application
Gender:*
First Name:*
Last Name:*
Preferred Name, if Different.
Cohort Last Year
Years Attended Sc3:*

2009 2010 2011
Birthday: (mm/dd/yyyy)*
School*
Grade:*
Telephone Number:*
Street Address:*
City:*
State:*
Zip:*
E-mail:*
Note: We will communicate with you primarily through email. You must provide an email address that is active and that you check regularly.

Please explain how you have used the knowledge, tools, and resources you gained at the Congress to plant seeds of change in your school, community, or world.*
Please explain how Sc3 better prepared you for leadership.*
Please explain why you want to return to Sc3 and what are the insights that you can contribute to new students.*
Did you nominate a student from your school to be a fellow this year.*
Upload your resume or any additional information you would like us to have:
Note: Room and board will cost $600 for regular returning fellows. (If selected for student leadership position, cost will be covered.) If necessary, check the following box for financial aid info.

Please send me financial aid forms to fill out.
Special accommodations can be made available upon request. Please list any special needs here:
Certification Statements: Please check the following boxes.
>*

I certify that all of the information I have provided is accurate.
>*

I am available and plan on participating if accepted in the U.S. Green Schools Fellows Program. I understand that by checking this box I am committing to attend this summer's conference if accepted.
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I am available if selected as a Cohort Assistant to arrive two days before the conference begins.
If you are unavailable to arrive at NCTC, please explain why.
Applicant's Electronic Signature:*
Parent/Guardian's Electronic Signature:*
Should be Empty:

Returning Student Application