IC3 Regional Forum Host High School/University Application Form
The IC3 Regional Forums are aligned with IC3’s mission to empower schools to build and maintain robust, well-resourced and research-oriented career and college counseling offices. The IC3 Regional Forums enable access for hundreds of schools that have limited resources for travel and training of their principals, teachers and counselors. Other key objectives of the IC3 Regional Forums are bringing inclusiveness, diversity and quality.

Hosted at local high schools, the IC3 Regional Forums provide an opportunity for learning and new knowledge creation along with networking. Counselors, teachers and principals from the local area interact with universities from across the globe.

In 2021, IC3 Regional Forums will be held during the months of January - May 2021, as a pre-cursor to the annual IC3 Conference to be held in August 2021. Each IC3 Regional Forum is expected to host between 100-150 delegates.

Benefits of hosting an IC3 Regional Forum:
• Get recognized as a leading institution in the region
• Showcase your facilities and institution to educators globally
• Host global universities at your campus

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HIGH SCHOOL/UNIVERSITY INFORMATION
Name of institution *
Address *
City *
Country *
We are a *
Main contact person *
Title *
E-mail *
Phone *
Please include country code.
Mobile phone *
Please include country code.
Number of students at your institution *
Has your institution hosted any events in the past with 100-150 attendees/participants? *
If you answered YES to the question above, please provide detail including event name and month/year when hosted.
Have you or your colleagues attended an annual IC3 Conference? *
If you answered YES, what year(s) did you attend an annual IC3 Conference?
Have you or your colleagues attended an IC3 Regional Forum? *
If you answered YES, what year(s) did you attend an IC3 Regional Forum?
Please list other professional development conferences/events you or your colleagues have attended.
Please, briefly describe the key reasons that hosting the IC3 Regional Forum at your institution will benefit the local educators. *
Please share your expectation of the number of high schools in your immediate vicinity (~50 kms) that may benefit from the event. *
Please describe how you will engage local counselors and universities to attend the event. *
What modes of communication (e.g. personal visits, phone calls, emails, WhatsApp, Facebook, etc.) will you use to promote the event?
How many delegates do you anticipate being able to invite and bring in for the event? *
For outstation delegates who will plan to attend, are there hotels close to your institution that will be able to accommodate 50-75 delegates? *
(Please share hotel name and address)
Would your institution be able to organize an education fair for students/parents from schools in the city during the day to meet with visiting universities? *
RESPONSIBILITIES OF THE INSTITUTION
Tick the box acknowledging you have read all of the responsibilities of the host institution and that you hereby certify you are able to fulfill all of them. *
Yes
The institution will provide a venue (main hall plus 2 breakout rooms, if necessary) for the gathering of 100-150 delegates along with audiovisual equipment (projector, microphones, speakers, clickers, white board/charts) etc.
The institution will provide 2 servings of refreshments/tea plus lunch for all attendees.
The institution will provide five (5) student volunteers and one (1) teacher supervisor to help with venue logistics including: welcoming delegates, providing directions, answering questions, assisting with registration, etc., and other tasks as needed.
The institution will be primarily responsible to conduct outreach to high schools, universities, associated organizations in a ~50-km. radius to promote the event and encourage participation.
The institution may be requested to provide invitation letters to international attendees for supporting documentation as part of their visa application process to attend the event.
The institution will ensure there is relevant branding and signage at the venue.
We understand that this is a counseling-based event, with the purpose of professional development for counselors to learn from other counselors in the field. We understand that IC3/the organizers cannot guarantee a certain number of universities participating at the event.
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