Youth Diplomat Program Sponsor Form Please enable JavaScript in your browser to complete this form.Organization Name *Full Name of Representative *FirstLastTitle of Representative *Email *Phone Number *Mailing Address *City *Zip Code *Yes, we will support ICCR's Youth Diplomat Program at the following level:$2,000+ Presenting$1000 Valedictorian$500 Salutatorian$250 Dean’s List$100 Honor RollSilent Auction Item Donation Silent Auction Item Cash Value (min. $50)Electronic Signature *The undersigned hereby affirms that, “I am duly authorized to enter this contract and personally and individually guarantee the terms specified herein.”Submit