LeadUS Mentoring Program 2015-16

Welcome to LeadUS Program - Mentoring Program 2015-16 Application! We are very glad to know you are interested in participating in our program and achieving all of your dreams. Please carefully read this application. Make sure the information you provide is complete and accurate. Also, please do not leave any blank space. You will need to submit this form completely until March 1st, 2015 at 11:59pm. If you have any question/issue, do not hesitate to reach us at info@leadusprogram.org.
We look forward to seeing you next year!

Personal Information
Full Name*
First NameMiddle NameLast Name
Gender*
MaleFemale
Birth Date*
DayMonthYear
Mobile Number*
Area CodePhone Number
Mobile Number 2
Area CodePhone Number
E-mail*
Current Address*
Street Address
Street Address Line 2
CityState / Province
Postal / Zip CodeCountry
Permanent / Native Address*
Street Address
Street Address Line 2
CityState / Province
Postal / Zip CodeCountry
Facebook Profile
Twitter Profile
LinkedIN Profile
Skype ID
Blog Link

Education
School name*
School Phone Number*
Area CodePhone Number
School contact person*
School type*
Current Grade
Graduation date (estimate)*
DayMonthYear
Have you ever applied to American universities?*
YesNo
Are you participating in any other mentoring program? If yes, which one?
Opportunity Funds - EducationUSAPersonal Prep Scholars - Fundação EstudarBSCUE
Interested Major*
Other Course
Current grade point average (GPA)
GPA Scale
Class Rank (if applicable)
English Proficiency
Have you ever taken any English Proficiency test? (Ex: TOEFL, TELP, etc)
If yes, which one?
Test Score
Have you ever taken the SAT test before?
If yes, what is your total test Score

Short questions
In the short questions, we ask you to briefly talk about your main idea and points, being concise and direct as well as explanatory. Thus, we give the opportunity for students that are not in their last year high school (graduating in school in 2016 and 2017) to answer the short questions either in Portuguese or in English. However, we highly recommend you to answer all questions in English.

Again, students that are graduating from high school in 2014 and 2015 MUST answer all short questions completely in English.
In no more than 150 words explain why you want to participate in the LeadUS Program*
0/250
Why do you believe that attending college in the United States would help you achieve your future goals?*
0/100
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 140-character limit of a tweet.*
0/140

Essays
Essays are the opportunity for you to differ yourself from others and shine. Be direct, descriptive, and creative. This is your time!
You are about to write two essays: one Personal Statement, which the prompt is the same for all applicants. In addition, you will also need to work on a Writing Supplement, which you will be able to choose from the five options listed below.
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Your Personal Statement is very important for us to better understand who you are. Please write your Personal Statement in no less than 250 words and more than 650 words and based on the prompt below:
Personal Statement Prompt: Describe the world you came from and how that shaped who you are.
Personal Statement*
0/650
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 250 words and no more than 650 words.
Be awesome. Be creative. Be yourself.
Writing Supplement Prompts: choose the one you are writing about.*
What are you passionate about?Describe an experience where you were unsuccessful in achieving your goal. What lessons did you learn from this experience?What movie, poem, musical composition, or novel has most influenced your life and the way that you view the world?How are apples and oranges supposed to be compared?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*
0/650

Financial Information
Please fill out this section ONLY if you are requesting financial support for the APPLICATION PROCESS to American universties. Those that are requesting it will be evaluated in their economical aspects in order to be qualified for LeadUS Program scholarships.
If you do not fill out this form, this means you are not requesting any kind of financial aid for the application process (test fees, translation fees, etc), but you will still be considered for the program.
Your parents are:
MarriedDivorcedNever married
Mother's Name
Age
Profession
Monthly Salary
Father's Name
Age
Profession
Monthly Salary
How many people live in your house including you?
If any other person from your house works, please include the total amount of his/her or their monthly salary(ies)

Attachments
In order to better evaluate you, we ask you to attach some documents. Please, notice that we ask you to send all the documents in good quality and in one of the following formats .PDF or .JPEG.
The limit size per file is 500kb.
Required documents:
- High School Transcript: Please attach your current and official high school transcript, signed by your school's responsible;
- Recommendation Letter from a High School teacher or counselor;
Required ONLY for those requesting financial support
- Two most recent electricity bills; (in only one file)
- Your mother's paychecks from the last three months;
- Your father's paychecks from the last three months;
- Another person's paychecks from the last three months; (if anyother one that lives with you works)
High School Transcript*
Recommendation Letter*
Electricity Bills
Monther's paychecks
Father's paychecks
Another person's paychecks
If you have any additional file, please attach it here

Submission
Is there any other information that you would like to share with us?
Did you have any problem while filling out this form? If so, please report it below
Do you agree to submit to us your personal, familiar, and educational information and are aware that we will not use those informations instead of and only for LeadUS Program's purposes? Also, be sure that once you submit this Application Form you will not be able to do any changes or remove any information. You confirm to be submitting only truth information, otherwise your Application might be canceled and you will not be able to be admitted for the LeadUS Program Mentoring 2015-16*
Yes, I agree / Understand
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