Global Institute
Home8/27/2008 8:08:09 PM

Regular Application

Regular Admission Applications are reviewed on a rolling admission basis. Scholars are selected based on the quality of their application and essay, demonstrated passion, dedication to international collaboration, proven leadership, and an extensive follow-up interview process. Finalists will be contacted for a phone interview and/or to submit official transcripts and letters of recommendation. Applicants who are not applying for scholarships can use the Fast Track application for a quicker decision. Good Luck!

Please fill-out this form and click 'submit' below

*denotes required field
*Name as it appears on your passport:
  First Name Middle Name Last Name
 
*E-mail Address:
*Retype E-mail Address:
*Alternate E-mail Address:
*Which program are you applying for?
Prague, Czech Republic, July 3 - August 4
Boulder Colorado, USA, June 3 - July 4  (All applicants must be 21 years of age by the commencement of the program.)
Either, If either, then first preference 
*Phone
*Street Address 1
Street Address 2
*City
*State/Provice     Zipcode
*Country
Permanent address if different from above
Street Address 1
Street Address 2
City
State/Provice     Zipcode
Country
*Citizenship
*Date of Birth
Passport Number
Passport expiration
Country Passport issued
*Gender   Male
  Female
*School
*Major
*Grade Point Average
*Year in school
*Names/position/e-mail address of three references (at least 1 must be a professor). Please notify references that they may be contacted.
Name Position E-mail
1
2
3
*How did you hear about this program?
*Do you know any former participants? If yes, whom?
*Special Needs/Dietary Restrictions
*Any medical conditions that the organizers need to know
about to prepare for your participation
*Awards/Honors/Relevant Work/School Experience
What languages do you speak?
What languages are you fluent in?

*All of the courses are taught in English. Participants need excellent proficiency speaking and writing English.
Is English your first language:

  Yes
  No

*If English is not your first language, please specify your Engligh proficiency level:
Speaking:
Writing:
TOEFL:
* Financial Aid

If you would like to apply for financial assistance, explain why you need aid and the specific amount you can contribute and/or raise towards tuition (not including travel). Failure to state specific amounts will delay the application or may cause it to be rejected.

Please note that financial assistance is limited and reserved primarily for students from Eastern Europe, Latin America, and developing countries. We receive more requests for funding than we are able to accommodate. Also note that we are unable to give any student a full scholarship and under no circumstances can we provide funding for travel. We can provide a letter of support for those who would like to apply for additional funding from an outside organization.


*Essay

Write an essay explaining why you would like to attend the Global Leadership Program, how the program would help your personal development, and how you will utilize your new knowledge to improve your home community. (300 words minimum).


*If you do not receive financial aid, do you plan to attend the program?

  Yes
  No


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Global Institute for Leadership and Civic Development
213 S. Rogers St. - Bloomington, IN 47404
Phone: 001 (812) 330-0193
Fax: 001 (812) 330-1660
E-mail: director@globalleaders.info