Accompanying Adult Form

This form must be submitted for each adult who will be accompanying one or more MIT INSPIRE 2017 Finalists to the final round of the competition from April 10-12, 2017.

Each adult must also fill out and attach a separate Recordings Release Form

* Indicates a Required Field.

Note: If an adult is accompanying multiple students, only one copy of each form is required per adult and the form must indicate the names of all students who will be accompanied.

If you are a high school teacher/ educator who has mentored students for INSPIRE, we hope that you will join us at our Mentor Development Workshop on April 11th.

This form must be submitted by 11:59:59 PM EST on March 15, 2017.

Identification Details
Format: ###-###-####
If you are not a mentor, choose Not Applicable.
If you are not a mentor, please choose Not Applicable. Note: If Yes, please register for the Mentor Development Workshop online by March 20, 2017.
Travel/Diet Details
e.g. Boston Logan Airport
e.g. hotel information
Please note that MIT INSPIRE is not responsible for providing travel or housing arrangements for Accompanying Adults.
e.g. vegan, vegetarian, allergies, other dietary restrictions.
Upload Release Form
Files must be less than 2 MB.
Allowed file types: pdf doc docx.