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    2018 SUSI Application Form Final

    Uploaded by

    Usama Bin Alam
    This document is an application form for the U.S. Institutes for Student Leaders Program. It requests information such as the applicant's name, contact details, education history, work and volunteer experience, previous travel, and answers to short essay questions about community initiatives and interest in public policy.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd

    2018 SUSI Application Form Final

    Uploaded by

    Usama Bin Alam
    469 views5 pages
    This document is an application form for the U.S. Institutes for Student Leaders Program. It requests information such as the applicant's name, contact details, education history, work and volunteer experience, previous travel, and answers to short essay questions about community initiatives and interest in public policy.

    Original Description:

    susi

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    This document is an application form for the U.S. Institutes for Student Leaders Program. It requests information such as the applicant's name, contact details, education history, work and volunteer experience, previous travel, and answers to short essay questions about community initiatives and interest in public policy.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    469 views5 pages

    2018 SUSI Application Form Final

    Uploaded by

    Usama Bin Alam
    This document is an application form for the U.S. Institutes for Student Leaders Program. It requests information such as the applicant's name, contact details, education history, work and volunteer experience, previous travel, and answers to short essay questions about community initiatives and interest in public policy.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    of 5

    Study of the U.S.

    Institutes for Student Leaders Program


    FY 2018 Application Form

    A. Current Academic Institution and City Name


    Institution and City Name:

    B. Candidates Full Name, exactly as it appears on passport


    Prefix:
    Last Name:
    First Name:

    C. Gender
    Male:
    Female:
    D. Date of Birth (please spell out Month, Day, Year)

    E. City of Birth:
    F. Country of Birth:
    G. Citizenship:
    Primary:
    Secondary, if applicable:
    H. Country of Residence:

    I. Medical, Physical, Dietary or other Personal Considerations


    J. Contact information
    Address:
    City:
    Home State or Province:
    Home Country :
    Residence Phone no:
    Mobile No:
    Email:

    K. Emergency Contact
    Name and Relationship:
    Phone number:
    E.mail address:

    L. About Family

    Parent or Name Occupation


    Guardian
    Father
    Mother

    Address (if different from yours):


    Telephone:
    Email:

    Brothers/Sisters

    Name Gender Age Occupation









    M. Education
    Current
    Education, Academic and Professional Training, including degree earned and fields of
    specialization
    Degree Year in Specialization/ City Expected Grade/GPA
    School Institution Graduation
    Date

    Previous

    N.
    Degree Earned Year Earned Specialization/ Institution City Grade/GPA Sc

    hol

    ars

    hip




    Are you currently on or have you ever earned any kind of scholarship (if yes, please provide
    details) :

    O. Work and Volunteer Experience:

    P. Memberships in Associations, Clubs, etc:

    Q. 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 Travel Dates State/City Description


    R. Previous experience in any other county abroad: Please list any and all trips the candidate has
    made to any contry outside Pakistan and include approximate dates and the reason for travel.
    Purpose Travel Dates State/City Description

    S. Family Residing in the United States: Please list any immediate family members (parents and
    siblings if unmarried/spouse and children if married) who are currently residing in the United
    States, including city and state.
    Name Relationship State/City Occupation



    T. Personal Statement (Please structure your essay in paragraphs and limit your response to 250 words,
    single-spaced. Essays that exceed the word limit are penalized in the scoring.)
    Tell us about yourself and your goals including the following:
    What about you background and/or interests make you competitive for this particular
    institute (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?

    U. Short answer questions
    The short answer questions are an essential part of the selection process. Please structure your response
    using paragraphs and limit your response to 150-250 words.

    1) What would be the one initiative you would like to see started at the local neighborhood or
    regional/provincial level in Pakistan? What different people or groups need to participate to make
    an effective local or regional/provincial program?

    2) Why are you interested in the specific theme of local, state, and federal public policymaking?

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