Yes Preliminary Application 2023 2

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PRELIMINARY APPLICATION

YOUTH EXCHANGE AND STUDY PROGRAM Attach a photo of


you smiling here.

Be a Youth Ambassador and say YES to studying in the United States!! The Kennedy Lugar YES Program is
available to Moroccan high school students, who have existing good academic credentials and English language skills.
Please complete the following application in block letters and submit it before Tuesday, October 10th 2023 .

All information must be included, and please provide us with transcripts from the last two (2) years
(containing both semesters) and a birth certificate for your application to be considered.

Student Name malak _____________________ El allati_____________________________


Family name First Name

City of birth: Fes_________________________________________

Nationality: Moroccan _________________________________________

High School:__maple bear (sophomore _______________________________________

Student Address: 6__________________________________________

City of residence: fes_______________________________________________________________________

Contacts: ______________
_____0661816499_________________________/___0657767413_____________________
Student phone number Parent phone number Student E-mail (mandatory typed email)

Student Birth Date Day / Month / Year

(the applicants must be born between August 15, 2007 and August 15, 2009) 03____ /______02 /__________2007

Current year in high school: Tronc commun ☐ 1ère du Bac ☐


Last year’s grade averages: Moyenne Générale _17,51_____ English 18,5______________

English Teacher: Adnane merabti _______________________ /____maple bear___________________________


Full name School/Institution
English Teacher’ recommendation: _______________________________________________________________

Signature: ________________________________________

Parental consent to participate: __________________________________

Father’s name: Soufiane______________ Father’s signature: ______________

Mother’s name: Ghizlane ______________ Mother’s signature: ______________

This is the first in a series of steps for application to the Kennedy-Lugar Youth Exchange and Study program.
Successful applicants will be contacted for language testing and interview.

AMIDEAST Rabat
Address: 35, Rue Oukaimden, Agdal Rabat/ Phone: 05 37 67 50 75

AMIDEAST Casablanca
Address: Zenith 1, Etage 3, Sidi Maarouf Casablanca/ Phone: 05 22
25 93 93
Email Address: MoroccoYES@AMIDEAST.ORG

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