Student Diplomat Program / Jr. Model United Nations Interest Form

Thank you for your interest in our Jr. Model United Nations Program! Applications for this year’s program are currently closed.

Please complete our interest form to receive updates and be notified when applications open for next year’s program.

School Information

School Name

Please search and select your school name from the list

Account ID

My school is not on this list

New School Name

Please provide more details

School Level

Middle SchoolMiddle and High School

School Street Address

City

State

Zip Code

School District

School Phone Number

Note: Please provide your School's Main Office number, not your number.

Does your school have a World Affairs or Model UN club or class?

If no, do you plan to start one?

Administrative and Faculty Information

Administrator

Please submit contact information for an administrator at your school (Principal, Vice Principal, etc.). If you are a homeschool group without an administrator, please input "N/A" for each required section.

Salutation

i.e. Mr., Ms., Dr.

Head Administrator First Name

Head Administrator Last Name

Head Administrator Title

ex. Principal, Head of School, etc.

Primary Email Address

Work Phone

Please include extensions

Is your school a federally designated Title-I school?

Billing Contact Information

Billing Contact Salutation

i.e. Mr., Ms., Dr.

Billing Contact First Name

Billing Contact Last Name

Billing Contact Email Address

Billing Contact Work Phone

Please include extensions

Is your school interested in participating in the Global Smarts Mentoring Program?

Faculty Advisors

All programming correspondence will be sent via email to the primary (and secondary, if submitted) faculty advisor(s) or homeschool group lead contact.

Faculty Advisor

Salutation

i.e. Mr., Ms., Dr.

Faculty Advisor First Name

Faculty Advisor Last Name

Faculty Advisor Job Title

Ex. Social Studies Teacher, Guidance Counselor, etc.

Faculty Advisor Primary Email Address

Faculty Advisor Alternate Email Address

Work Phone Number

Please include extensions

Cell Phone Number

We ask for your cell phone in case we need to contact you on conference days.

Would you like to register a second Faculty Advisor?

YesNo

Second Faculty Advisor

Second Faculty Advisor Salutation

i.e. Mr., Ms., Dr.

Secondary Faculty Advisor First Name

Secondary Faculty Advisor Last Name

Secondary Faculty Advisor Job Title

Ex. Social Studies Teacher, Guidance Counselor, etc.

Secondary Faculty Advisor Primary Email Address

Secondary Faculty Advisor Alternate Email Address

Work Phone Number

Please include extensions

Cell Phone Number