2008 POP SUMMIT REGISTRATION

Schools can register now to participate in Power Over Prejudice (POP) Summit online.
POP 2008 will be held Nov 11, Nov 12, Nov 13, 2008 at the Georgia Tech Student Center. Please fill out the following online form to register by September. You’ll receive confirmation once your form has been submitted.

School Enrollment Form
Deadline: October 15, 2008


School Name *


School Contact Person *


Street Address


City


State


Zip


School Principal


Principal's Phone


Guidance Counselor/Teacher Attending


Counselor's Phone *


Fax


Email Address *


Web site address


Did your school attend the 2007 Power Over Prejudice Summit?
Yes
No

If yes, did your ambassadors complete an In-School Follow-up Project?
Yes
No

How successful would you say that project was in getting the message of the POP Summit across to other students in your school?
Very Successful
Moderately Successful
Somewhat Successful
Not Successful

How many POP Summits have you personally attended?


Has your school ever attended a Power Over Prejudice Summit?
Yes
No

Request Program Date (please select one):

Due to overwhelming demand, we are now only accepting waiting-list applications for the 2008 Pop Summit.
Add me to the waiting list

 Do you require transportation assistance? **
Yes
No
If yes, please describe:


Are there special dietary needs for students or counselors?
Yes
No
If yes, please describe:


Please list any special guests attending:


* - required fields

** - Transportation assistance is available to schools unable to provide their own transportation. Students must arrive at Georgia Tech by 8:30 am and depart no earlier than 2 pm to return to their school.