Center For The Environment - Redesigning Our Future Application

*Fields marked as '' are mandatory. Summit Application Deadline Extended to June 14th, 2012** Personal Information
Mandatory field Last Name*
Mandatory field First Name*
Mandatory field Middle Initial*
Mandatory field Preferred Name*
Mandatory field Home Phone Number*
Mandatory field Cell Phone Number*
Mandatory field Email Address*
Mandatory field Mailing Address*
Mandatory field City*
Mandatory field State*
Mandatory field ZipCode*
Mandatory field Birthday Month*
Mandatory field Birthday Day*
Mandatory field Birthday Year*
School Information
*If homeschooled, please enter homeschooled* in the Name of High School field and use your home address.**
Mandatory field Name of High School*
Mandatory field Mailing Address*
Mandatory field City*
Mandatory field State*
Mandatory field ZipCode*
Mandatory field School Phone Number*
Mandatory field Expected Graduation Date*
All participants in Redesigning Our Future 2012 must be high school juniors or seniors during academic year 2012-2013. An application fee of $15 is required for your application to be considered. Please click here to submit payment.
Download the supplementary form: Microsoft Word document Download the recommendation form Microsoft Word document
Through the generous donations of scholarship funds, students are only asked to pay $300 for the 6 day/5 night experience. However, the actual cost for attending is $1300. If you feel you need further financial assistance, please see the section on "scholarships" located on the "Supplementary Form." Scholarships are for the program tuition and does not include travel to and from the Summit. Thank you for your interest.

Fields marked as '*' are mandatory.

Personal Information

School Information

Download the supplementary form:

Download the recommendation form

**Fields marked as '*' are mandatory.**