• Personal information

  • Required if you are under 18 at the time of the trip
  • Required if you are under 18 at the time of the trip
  • e.g. 123-456-7890
  • e.g. 123-456-7890
  • e.g. 123-456-7890
  • Required if you are under 18 at the time of the trip
  • This is needed because, when we register our conference with hotels in Rome, Italian law requires that the hotels collect some basic information about conference participants. Specifically, they need each person's name, date of birth, place of birth, and nationality.
  • Passport Information

  • If you already have a passport, enter your name as printed in the passport. If you do not have a passport yet, enter your full name exactly as you will submit it in the passport application.

    Visit travel.state.gov for instructions on getting a passport.
  • Education

  • Participation in the UNIV Conference

    Let us know if you are applying simply to attend the UNIV Conference or would like to submit a paper. Be sure to submit your paper by the deadline.
  • For whose writing and presenting a paper at the conference:

  • Miscellaneous

  • Parents must sign for applicants under 18 years of age.

    I hereby authorize and consent to the use and reproduction by YSI staff or an authorized agent or assignee of any and all photographs taken of the above-named applicant for the purpose of promoting YSI programs, without any compensation to me. All film, together with any prints, shall constitute property of YSI, solely and completely.
  • Do you have any special dietary needs or medical conditions that we should be aware of?
  • Who recommended this program to you?