GYAP Enrollment Form
Building the Next Generation: The New Producers of Tomorrow in Agriculture, Allied Industries, and Entrepreneurship
SECTION 1: PERSONAL INFORMATION
Name
*
First Name
Last Name
Date of Birth:
*
-
Month
-
Day
Year
Date
Age:
*
University/Institution:
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
SECTION 2: PROGRAM INTEREST
Please indicate your areas of interest by selecting all that apply:
*
Marketing & Business Development
Food & Agriculture
Allied Industries (input suppliers, equipment, packaging, logistics, facilities)
Information & Communication Technology
Other
SECTION 3: AVAILABILITY CONFIRMATION
*
I confirm my availability to participate in the virtual training sessions on Saturdays starting March 28 – June 20 (schedule available at www.nsied.org/global-youth).
Submit
Should be Empty: