Mentoring Program Application Form
Mentoring Program Application Form
Welcome! We’re excited about your interest in our program. Please read this application carefully and ensure all information is complete and accurate, with no blank spaces.
Personal Information
Full Name
Gender
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Male
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Female
Mobile Number
Current Address
Permanent Address
Facebook Profile
Twitter Profile
LinkedIn Profile
Skype ID
Blog Link
Education
School Name
School Phone Number
School Contact Person
School Type
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Public
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Private
Current Grade
Graduate Date
Have you ever applied to American universities?
Are you participating in any other mentoring program? If yes, which one?
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Opportunity Funds - EducationUSA
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Personal Prep Scholars - Fundação Estudar
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BSCUE
Interested Major
Other Course
Extracurricular Activities
Hobbies/Interests
In no more than 100 words explain why you want to participate in the My Community's Keeper Mentor Group Program
Some say social media is superficial, with no room for expressing deep or complex ideas. We challenge you to defy these skeptics by describing yourself as fully and accurately as possible in the 100-character limit of a tweet.
Your second essay is your Writing Supplement. Now, you have the opportunity to detail more about yourself. You will be able to pick one out of the five (5) essay prompts below. Please bear in mind that you need to write your essay in no less than 50 words.
Writing Supplement Prompts: Choose the one you are writing about.
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What are you passionate about?
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Describe an experience where you were unsuccessful in achieving your goal. What lessons did you learn from this experience?
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What movie, poem, musical composition, or novel has most influenced your life and the way that you view the world?
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How are apples and oranges supposed to be compared?
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Imagine looking through a window at any environment that is particularly significant to you. Reflect on the scene, paying close attention to the relation between what you are seeing and why it is meaningful to you.
Writing Supplement
Mother's Name
Age
Profession
Father's Name
Age
Profession
How many people live in your house including you?
Recommendation Letter
If you have any additional file, please attach it here
Acknowledgment
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By submitting my personal, family, and educational information, I acknowledge that it will be used solely for mentoring purposes. Once this application is submitted, no changes or deletions can be made. I confirm that all information provided is truthful and accurate.
