Leadership Empowerment & Academic Development (LEAD) Mentor

 
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1. Contact Information:
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2. Sex:
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3. Age:
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4. Birth Date:
MonthDayYear
Birth Date
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5. Select a Location:
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6. Currently, I am a:
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7. Please provide your graduation/expected graduation date:
MonthDayYear
Date
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8. School Name:
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9. Your Major:
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10. Have you been awarded a scholarship from HSF?
11. If yes, in what year were you awarded an HSF scholarship?
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12. Are you a Gates Millennium (GMS) Scholar?
13. If yes, in what year were you awarded the GMS Scholarship?

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14. Have you previously participated in the Youth Leadership Institute (formerly HYI/HYS)?
15. If yes, in what role did you participate?
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16. What three skills and/or abilities would you bring to this position?
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17. Why would you be a good LEAD Mentor for the Youth Leadership Institute? (250 min-300 max words)
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18. List your extra-curricular activities: