Join a program to impact the world. Apply For PIC Register for PIC Name * First Name Last Name Email * Phone * Country (###) ### #### What would you like to be called or addressed by? * Optional: What are your pronouns? What is your country of origin and where do you reside now? * Please state any dietary restrictions: What’s important for faculty & staff to know about you? * What brings you to the Power, Influence, and Change program? Share with us your goals for attending the program, and what’s important for you to gain from the program? * We will be taking group pictures throughout the program that will be used on the GII website. Do we have your permission to do so? * Yes No Thank you!
