Application Deadline: October 16, 2017
Please note: Fields marked * are required.
*I am willing and able to commit to the two year Global Leadership Institute Program, including regular meetings, extra field trips, a joint inquiry project, and associated research.
Please check all that apply.
African American, Black
African (country of family's origin: )
Asian American (country of family's origin: )
Asian, including Indian Subcontinent (country of family's origin: )
Hispanic, Latino/a (country of family's origin: )
Mexican American, Chicano/a
Middle Eastern (country of family's origin: )
Native American, Alaska Native (date enrolled: ; tribal affiliation: )
Native Hawaiian, Pacific Islander
White/Caucasian (country of family's origin: )
Other (please specify: )
Prefer not to respond
Please share with us any academic or personal achievements of which you are especially proud. Please also describe any academic honors received. Be as detailed as possible in your response.
Please note your interests and activities in order of importance to you in areas such as music, drama, art, community service, debate, writing, athletics, employment, or hobbies. We understand that some candidates have more opportunites for organized activities than others, but are are interested in how you spend your time outside of the classroom. Please indicate in the right hand column those activities that you hope to continue.
Please address the following questions in less than 500 words each.
*Describe one issue facing your local community that particularly concerns you and propose a solution for the problem. Be sure to name your local community (e.g., Waterbury, Rio de Janeiro, San Francisco, Tokyo, Chicago, Greenwich, etc) in your essay.
*Discuss an accomplishment, event, or experience in which you personally were called to take on a leadership role. This can be at school or at another organization (religious body, team, camp, etc.) or even in your own home or with friends.
I certify that all of the statements made in this application are true and complete. I understand that misinformation or omission of information could result in my disqualification and/or termination as a Global Leadership Institute scholar.
Note: If you are having trouble submitting this form please contact Baba Frew at firstname.lastname@example.org.
The Global Leadership Institute, a program of the Center for Global Leadership and Service, does not discriminate on the basis of sex, race, color, religious creed, national or ethnic origin, ancestry, disability, sexual orientation, gender identity or expression or any other legally protected status in administration of its educational policies, admission polices and other school administered programs.