Full Name:

Email:

DOB:

Home Phone:
Cell Phone:

---

Academic Year Mailing Address:

Academic year address valid Until:

---

Summer Mailing Address:

Summer address valid from:

Summer Phone:

 

ACADEMIC INFORMATION

Current University or College:

Major Field(s) of Study:

Type of Program and Year in Program:

GPA:

List any courses you have taken that might be relevant to this conference:

 

EXTRACURRICULARS

Please list any relevant extracurricular activities:


List any organizations in which you have been active:


Have you taken any courses outside of school? If yes, please list them:

 

 

ESSAY

In no more than 500 words, write an essay examining the question: “What are the foundations of a free society?”
Please submit your essay saved as a word or text document to cisc@clemson.edu, and please be sure to include your name and current school in your essay.

---

How did you find out about this conference?:


Is there anything else we should know about you?:



I certify that all of the above information is true and correct.
E-Sign Here:

---