ITI Team Application

High School Camp, Monday, July 12 - Friday, July 16

Team Registration $1,500, Additional Team Participants $275 each

Middle School Camp, July 20 - Friday, July 23

Team Registration $1,120, Additional Team Participants $200 each

To apply online, please review the participant criteria and provide the following information (Please note: Individual applicants who are not registering as a member of a school or community based team should not use this online form, but rather use the Individual Application Form):

ITI encourages administrators, coordinators and sponsors to carefully review candidates interested in attending a summer camp. It is helpful to screen applicants to ensure the most capable and qualified youth and adult community representatives attend. The ITI Team discourages communities from using a “First come, first served,” or “Any volunteers?” recruitment process. Rather, we suggest selecting applicants who best meet the following criteria.

Middle School Youth participants must be in grades 6-8 in 2010-11

To apply online, please review the participant criteria and provide the following information:

Please verify the camp you are registering to attend:

Has your school or organization previously attended an ITI summer camp?

(registration information will be sent to the contact person)

Has the contact person previously attended an ITI summer camp?

Adult Participant (must be at least 21 years old)

Sex:

T-shirt Size (check one):

Youth Participants

Sex:

T-shirt Size (check one):

Sex:

T-shirt Size (check one):

Sex:

T-shirt Size (check one):

Sex:

T-shirt Size (check one):

Sex:

T-shirt Size (check one):

Sex:

T-shirt Size (check one):

Sex:

T-shirt Size (check one):

Sex:

T-shirt Size (check one):

Sex:

T-shirt Size (check one):

Sex:

T-shirt Size (check one):

(additional registration fees will apply)

(If the participant is an adult, please enter an age in the grade level box)

The Indiana Teen Institute has a 28 year commitment of providing quality summer camps while keeping the financial burden for participating teams to a minimum. The 2011 all inclusive team registration fees are as follows (a team is defined as four youth participants and one adult participant):

High School Camp, Monday, July 18 - Friday, July 22

All inclusive registration is $300 per participant.

All inclusive registration is reduced to $275 per participant if registering 6 or more.

* A reservation will be held when the registration form, and payment or purchase order number, is received. All payments are refundable, less a $150 administrative fee, if the ITI office receives the cancellation request no less than 15 business days prior to the event. Fees are non-refundable if cancellation notification is received with fewer than 15 business days. All fees must be paid by August 31, 2011. Late fees may accrue a penalty of 5% interest per month after August 31, 2011.

Space is limited at each session and reservations are not valid until the Team Registration Form is received and/or your reservation is confirmed by ITI via phone, email, or postal mail.

Each individual team member must also complete separate ITI consent forms.

Please check this form for accuracy before clicking the "Submit Application" button.

We look forward to meeting your team this summer!

Contact Person

Team Member Information

Additional Team Members

Payment Information

High School youth participants must be in grades 9-12 in 2011-12

All youth and adult participants must be able and willing to attend THE ENTIRE PROGRAM, participate in all scheduled activities (ITI is an active, intensive leadership experience), follow the rules and regulations of ITI and Vincennes University. Participants may not possess or use tobacco products, alcohol, or other illicit substances at any time.

Indiana Teen Institute | 5190 N. High School Road | Indianapolis | IN | 46254

317-299-7831 office | 317-299-7832 fax | 1-888-ITI-2033 toll free

email: ITI@IndianaTeenInstitute.com

How to Recruit Dynamic Participants!

Eligible youth and adult participants must:

Have demonstrated leadership potential.

Have demonstrated the maturity and ability to work as a team member.

Have demonstrated tolerance of those seen as different from him/herself.

Be making healthy decisions concerning alcohol, tobacco and other drugs.

Have a desire to improve conditions for Hoosiers in their community and beyond.

Be prepared for an Active & Rigorous, indoor-outdoor experience!

Have the ability to attend the entire conference.

Be willing and capable of following all rules and guidelines established by ITI.

Meet the session age requirements.

Have parental-guardian consent to attend as a youth participant.

Have time and energy to take action upon return to the community.

The ITI Team also encourages organizations to select new, youth participants each year.

Since 1984, countless ITI team coordinators have confirmed: The greater your investment in carefully recruiting committed and talented participants, the greater the participant’s investment will be in your community for years to come.

Please contact the ITI office for additional recruitment assistance or any questions about Indiana Teen Institute summer camps.

Indiana Teen Institute

5190 N. High School Rd

Indianapolis, IN 46254

office: 317-299-7831

fax: 317-299-7832

toll free: 1-888-ITI-2033

email ITI