Summer Institute Choose an Opportunity*No opportunities are currently availableFirst Name (exactly as it appears on passport)*Middle Name(s) (leave this field blank if it doesn't appear on your passport)*Last Name (exactly as it appears on your passport)*Student Number*Name of Niagara College Program (e.g. BBAH 6000)*NC Username (the first part of your NC email address)*Niagara College Email*Preferred Email (if different)Gender*MaleFemalePrefer to self-identifyDate of Birth* Date Format: MM slash DD slash YYYY Passport Upload*Please upload a scanned copy of your VALID passport (ensure that all text is legible as this information will be used for purchasing airline tickets, insurance etc.)Passport Expiry Information* YES, my passport is valid for 6 months after my return date NO my passport is not valid for 6 months after my return date Your passport MUST be valid for a minimum of 6 months beyond your expended date of return to Canada. Example: If your trip dates are August 26th 2018 returning September 1st 2018, your passport must not expire before March 1st 2019. If your passport is not valid for 6 months after your return date to Canada, it is your responsibility to have your passport renewed before your departurePhone NumberEmergency Contact Name*Relationship to Applicant (e.g. mother/father/friend etc.)*Emergency Contact Phone Number*BWR Cancellation & Refund Policy* I have read and understood the BWR cancellation and refund policyNiagara College can use my photos, comments and quotes, from my BWR Grant reflection or from social media, for marketing and promotional items**Yes, I agree to allow Niagara College these rightsNo, I do not agree to allow Niagara College these rightsI confirm that I am in good academic standing in my Niagara College program (i.e. GPA 65% +)** Yes No Niagara College Enrollment: I understand and acknowledge that it is my responsibility to notify the Be World Ready team, of any changes in my enrollment or academic standing at any point prior to participating in an IFS. I acknowledge that not notifying the Be World Ready team of changes to my enrollment status or academic standing could result in no longer qualifying for the Be World Ready grant or removal from the opportunity with refunds in accordance to the stated cancellation/refund policy.** I agree to the policy. This iframe contains the logic required to handle Ajax powered Gravity Forms.