Preliminary Application Form

YES PRELIMINARY APPLICATION FORM 2020-2021
Application Deadline - November 15, 2019
Instructions for completing this application: All sections of this five-page application for the Youth Exchange and Study (YES) Program must be fully completed in order to be considered for the next step – which is English language testing. Missing information will delay the processing of your application. For Inquries, contact amideast.libya@gmail.com.
I. STUDENT INFORMATION:
Please write your name as it appears in your passport.
Full Name
First NameMiddle NameLast Name
E-mail :
This email will be used to contact you.
Mobile No. :
Country CodePhone Number
Birthdate:
MonthDayYear
Address
Street Address
Street Address Line 2
CityState / Province
Postal / Zip CodeCountry
Permanent Residence
Citizenship
Have you ever applied for a green card or a U.S. permanent residency
Are you a U.S.Citizen or do you have a U.S. Passport?
Did you ever live abroad?
If you answered yes for the previous question, state where and when did you travel.
How did you hear about the program?
Other
II. FAMILY INFORMATION:
Father's Data.
Father's Full Name:
First NameLast Name
Father's Occupation
Father's Mobile
Mother's Data.
Mother's Full Name :
First NameLast Name
Mother's Occupation
Mother's Mobile
III. EDUCATION:
Name of School:
School Address:
What grade level are you currently in?
Other
IV. INTERESTS AND HOBBIES:
List all school activities and all hobbies you have or in which you have participated. Start with the most recent:
Rows Name of the actvity Number of Hours/Week Month/Year Started Month/Year Ended
Activity 1
Activity 2
Activity 3
Activity 4
Are there any activities you would like to pursue or to learn while an exchange student in the U.S.? What are they?
VI. WRITING A SHORT ESSAY:
Please answer the following TWO essay questions with a small paragraph for each of at least 50 words. You should present the information in a way that would help the YES screening committee understand you better as an individual.
1. What would be the advantages and disadvantages for you to live with an American host family while participating on this program? Explain.
2. When was the last time you tried a completely new activity and why did you do it?
VII. Documents
An attachment of the birth certificate OR the passport are required. You are also required to submit a copy of your transcript for the past academic year.
Passport or Birth Certificate
Upload
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School Transcripts
Upload
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IX. Applicant's E-Signature
Parent signature for consent to Participate in the program:
E-Signature:
Should be Empty:

Rows	Name of the actvity	Number of Hours/Week	Month/Year Started	Month/Year Ended
Activity 1
Activity 2
Activity 3
Activity 4

YES PRELIMINARY APPLICATION FORM 2020-2021

I. STUDENT INFORMATION:

II. FAMILY INFORMATION:

III. EDUCATION:

IV. INTERESTS AND HOBBIES:

VI. WRITING A SHORT ESSAY:

VII. Documents

IX. Applicant's E-Signature