Application Form: Study of the United States Institutes for Student Leaders

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About the Applicant: Prefix: Last Name: First Name: Middle Name: Gender Date of Birth (please spell out Month, Day, Year): Birth City: Birth Country: Residency: Citizenship: Medical, Physical, Dietary or other Personal Considerations:

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Contact information: Address: City: Home State or Province: Home Country Name: Residence No: Mobile No: Email: About Family: Parent or Guardian Name (s): o Mother: o Father: Parent or Guardian Occupation (s): o Mother: o Father: Address (if different from yours): Telephone: Email: Brothers/Sisters

Name

Gender

Age

Occupation

Application Form: Study of the United States Institutes for Student Leaders

5.

About Education Education, Academic and Professional Training, Including degree earned and fields of specialization Degree Earned Year Earned Specialization/ Institution

Academic Major, Institution Major: Home Institution: Country Name: Institution Name: Year in School (choose one): 1st 2nd 3rd 4th Expected Graduation Date: Are you currently on or have ever earned any kind of scholarship (if yes, please provide details) Work and Volunteer Experience:

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Memberships in Associations, Clubs, etc Previous Experience in the United States: Please list any and all trips the candidate has made to the United States and include approximate dates and the reason for travel. Purpose From To Description

9.

Family Residing in the United States: Please list any immediate family members who are currently residing in the United States, including city and state.

10.

Evidence of English Fluency (e.g. personal interview, test score, etc.)

11.

Personal Statement (Please structure your essays in paragraphs and limit your response to 250 words, or approximately half a page, single spaced)

Application Form: Study of the United States Institutes for Student Leaders

Tell us about yourself and your goals including the following: What about your background and/or interest makes you competitive for this program (please be as specific as possible)? What will you contribute to the group? How do you expect this experience will affect your future academic and professional career? How will it affect you personally?

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Short answer questions Can you identify at least three specific issues or problems affecting your school, neighborhood, or community? What might you do to help resolve these problems? (please rank-order your identified problems/issues) Whenever you go abroad, you are representing Pakistan. Participants act as ambassadors for their countries. How will you fulfill this role? What qualities does a good ambassador exhibit? Discuss the most difficult criticism you have received. What did you learn from it? What are some of the negative ways technology and media affect your community? How would you combat these negative consequences?

13.

Statement by Commission/post justifying participation of nominee in the institute: (Limit 250 words) This is one of the most important components of the application. After having interviewed the candidate, please tell us about this individual and why post feels that s/he is well suited for this institute. What makes this candidate unique? What in particular, will this candidate contribute? Why is this priority nomination for post?