IYG Application 2024 – Part 4: Teacher Chaperone & Delegation Section

    School & Student Delegation Information (Required)

    School Name:

    School Address:

    Principle/Guidance Contact:

    Is this a mixed gender delegation? YesNo

    Student 1:

    Student 2:

    Student 3:

    Student 4:

    Travel and accommodation subsidies may be provided if sufficient funding is available.

    • Does your group need accommodation? YesNo

    • Does your group need a travel subsidy? YesNo

    Chaperone Information

    Chaperone 1 (Required)

    Name:

    Email Address:

    Best phone to reach you:

    Alternate phone:

    Do you self-identify as an Indigenous person?

    YesNoPrefer not to say

    Do you have any dietary restrictions and/or allergies?

    YesNo
    If yes, please specify:

    Do you have any accessibility requirements?:

    YesNo

    Chaperone 2 (Required for mixed gender delegations)

    Name:

    Email Address:

    Best phone to reach you:

    Alternate phone:

    Do you self-identify as an Indigenous person?

    YesNoPrefer not to say

    Do you have any dietary restrictions and/or allergies?

    YesNo
    If yes, please specify:

    Do you have any accessibility requirements?:

    YesNo

    Submitter Information (Required)

    Name of person submitting form:

    Email Address:

    Best phone to reach you:

    What's Next?

    • After clicking on the "SUBMIT" button, this information will be sent to the IYG organizers and a copy emailed to the submitter of this form.

    • The information is not retained on our website. Once the email is received by the IYG organizers, the information is considered confidential.

    • If you wish to change any information, follow the instructions in the acknowledgement email.