About Us
2014 Global Social Impact House
Past Institutes
2014 Penn Social Impact House
2013 Penn Social Impact House
2012 Dell Social Innovation Lab
Get Involved
Social Impact House
About Us
2014 Global Social Impact House
Past Institutes
2014 Penn Social Impact House
2013 Penn Social Impact House
2012 Dell Social Innovation Lab
Get Involved
Additional Fellow Information
Name
*
First Name
Last Name
Email Address
Phone Number
(###)
###
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Emergency Contact Person
*
Name and Relationship to You
Emergency Contact's Phone Number
Country
(###)
###
####
Emergency Contact's Email
*
Dietary Considerations
*
Vegetarian? Allergies? Don't like olives?
Other health considerations?
Just what you think we should know!
How are you getting to the Berkshires?
*
Train? Car? Hot air balloon? Just tell us your most likely method so we can get an idea, even if your plans change!
Anything else you'd like us to know about you?
*
Thank you!