SUSI Participant Information Form

Complete this form to share important information about yourself with program staff. **This form is only for students who have been accepted to the Study of the U.S. Institute for Student Leaders on Youth, Education, and Closing the Skills Gap (SUSI). If you have not been accepted into this program, please do not fill out this form.**


Have you been accepted to the Study of the U.S. Institute for Student Leaders on Youth, Education, and Closing the Skills Gap? *
Please confirm that you have already been accepted by the U.S. Embassy in your home country (Brazil, India, Indonesia, Nigeria, or Tunisia). This form is *not* an application; it is ONLY for students who have been accepted to the SUSI program! **If you are NOT an accepted SUSI participant, please do not fill out this form.**
By what first name do you prefer to be called? This is the name that we will print on your nametag for the program.
What is your date of birth? *
What is your date of birth?
Please put your month of birth in the first field, followed by the day and year.
Gender *
Please indicate which THREE topics related to workforce development that you are MOST interested in: *
On Saturday, July 6, participants will have the option to join one of two volunteer projects. Please indicate which project you would prefer to join. *
Please note that we may not be able to accommodate everyone's first choice.
Please note that smoking indoors is not permitted anywhere in Seattle.
Please let us know how we can best support you in terms of religious, medical, and dietary accommodations.
(For example, allergic to pollen, shellfish, peanuts, cats, dust)
Please select each of the items that you are able to eat below. *
For example, opportunities for regular prayer, or help finding services to attend if possible.

Thank you for provided detailed information. The more we know about you, the better we can shape your program experience!