Global Institute
Fast Track Application
Home8/27/2008 8:06:27 PM

Fast Track Application

Fast Track Admission Applications are for persons who are not requesting any scholarships. Applications are reviewed immediately. We encourage all persons to apply early! Participants are selected based on the quality of their application and essay. Finalists may be contacted for a phone interview and/or to submit official transcripts and letters of recommendation.

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 (Applicants must be at least 21 years old 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:

*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)



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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