* 1. Contact Information:

* 2. Sex:

* 3. Age:

* 5. Select a Location:

* 6. Currently, I am a:

* 8. School Name:

* 9. Your Major:

* 10. Have you been awarded a scholarship from HSF?

* 11. If yes, in what year were you awarded an HSF scholarship?

* 12. Are you a Gates Millennium (GMS) Scholar?

* 13. If yes, in what year were you awarded the GMS Scholarship?

* 14. Have you previously participated in the Youth Leadership Institute (formerly HYI/HYS)?

* 15. If yes, in what role did you participate?

* 16. What three skills and/or abilities would you bring to this position?

* 17. Why would you be a good LEAD Mentor for the Youth Leadership Institute? (250 min-300 max words)

* 18. List your extra-curricular activities:

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