Welcome to Leadership exCHANGE's 2015-2016 Global Leadership Program Application in partnership with the Algernon Sydney Sullivan Foundation.

Please read the program materials and familiarize yourself with the program(s) and the time and energy expected of participants.

Applications are currently being reviewed for Early Admission status. We strongly encourage you to apply early as spots in the programs fill up. If selected for the next stage of the application, you may be contacted for additional materials and a follow-up interview.
If you run into any problems submitting this form, you may submit the form in a Word document to programs@globalleaders.info.

Select a Program

Name

First Name

Last Name

Confirm your email

Alternate Email (NON-university email)

Citizenship

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Skype Name

Gender

Birthdate

YYYY

University

Major(s)

Awards/Honors

Clubs/Organizations /Volunteer Experience

Year in School

How did you hear about the program?

If you were referred by a particular person, organization, or web site, please list the name(s)

Is your university a Sullivan Foundation affiliated university?

Special Needs

Are there any special needs (medical or other) that impact your ability to attend a residential study abroad program or would need to be taken into consideration by the program organizers?

Write 1-2 paragraphs explaining why you would like to attend the program, how the program would help your personal development, and how you will utilize the experience to make a contribution to your community/school. (The committee reviews this portion of the application carefully).

Financial Aid

Please note we receive an overwhelming amount of financial aid requests and are unfortunately unable to accommodate all of them. Please also note that we do NOT have any full tuition scholarships available and we do not have funding for travel or meals. THE COMMITTEE WILL NOT REVIEW INCOMPLETE ANSWERS. (If you are not applying for financial aid, simply list N/A). Financial Aid: Please put the specific amount you feel that you can raise/contribute towards the cost of tuition.

Financial Aid Explanation

Please explain why you need financial aid and how you plan to raise the remaining amount of your tuition. BE SPECIFIC.

If you do not receive financial aid for the program do you still plan to attend?

Name two leaders who inspire you. Please elaborate.

What is your Twitter Account?

What is your Instagram Account?

What is your Facebook Page Address?