Tomorrow’s leaders scholarship program



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TOMORROW’S LEADERS SCHOLARSHIP PROGRAM


منحة قادة الغد للدراسة الجامعية

The deadline to apply is December 1, 2014
You may apply using the paper application below or online at amideast.org/tl

Instructions for submitting the application by mail or email are on the last page.
The Tomorrow’s Leaders Scholarship Program is a U.S. Department of State Middle East Partnership Initiative (MEPI) initiative for capable and highly motivated high school seniors in the Middle East and North Africa from underserved backgrounds.
The scholarship includes: travel, academic fees for four years of university at the American University of Beirut, the American University in Cairo, and the Lebanese American University, accident and sickness insurance, housing, and a monthly allowance.

ELIGIBILITY REQUIREMENTS:


  • Current high school senior or applicant who graduated from high school in 2013 or 2014;

  • A citizen or national of Syria, including refugees living outside of Syria;

  • Strong academic credentials;

  • Proficiency in written and spoken English with a minimum Institutional TOEFL (ITP) score of 425 (or equivalent on a similar test) that is less than two years old; NOTE: The TOEFL test will be arranged by AMIDEAST for qualifying applicants.

  • Maturity, flexibility and leadership potential;

  • Demonstrated desire to work towards the development of a democratic society in Syria

  • Ability to start the program in August/September of 2015.

Note: American citizens are not eligible

REQUIRED DOCUMENTS:
Please review the checklist below before submitting your application to ensure that you have included all the required documents


  • Complete and signed Application

  • Two or three recommendation forms (use form at end of this application)

  • Y

    ATTACH


    RECENT PHOTO OF STUDENT

    APPLICANT HERE


    ear 10 and 11 school grades

  • Year 12 if graduated in 2013 or 2014

  • Three essays

  • Supporting financial document(s) (bank statement, etc).
    Photo

  • Extracurricular activities and other required documents.

Tomorrow’s Leaders Application 2015



Frame3

First Name: Middle Name: Last Name: ____________


Gender: Male Female


Birth Date: Month: ___ Day: ___ Year: ___________ City of Birth: _______
Country of Birth: Country of your residency: __________________________

Do you have another nationality? Yes No If yes, which one? _____________


Are you a U.S. citizen? Yes No



Do you or any of your immediate family members (father, mother, brother or sister) have legal permanent residence status (green card) for the U.S., hold a U.S. residency visa or have a green card application currently pending? Yes No
Current Address:
Street Address: __________________
Address line 2: __________________
City: ______ Country: ______
Home Phone: _______ Mobile: _____ Fax: _____________
Email: _______
Permanent Address (if different than current address)
Street Address: __________________
Address line 2: __________________
City: ______ Country: ______
Home Phone: _______ Mobile: _____ Fax: _____________
Email: _______

Frame4

Father’s Data:
First Name __________ Middle Name _________ Last Name _______

Occupation: _______ Company Name: ___________________________


Street Address: __________________
Address line 2: __________________
City: ______ Country: ______
Home Phone: _______ Mobile: _____ Fax: _____________
Email: _______

Mother’s Data:
First Name __________ Middle Name _________ Last Name _______
Occupation: _______ Company Name: ___________________________
Street Address: __________________
Address line 2: __________________
City: ______ Country: ______
Home Phone: _______ Mobile: _____ Fax: _____________
Email: _______

Do you have any relatives currently enrolled or who have graduated from AUB, LAU, or AUC? Yes No


If yes, please provide the information for each relative who is enrolled or who has graduated from any of these three universities: _____________

Do you have or have had any relatives employed by AUB, LAU, or AUC?

Yes No
If yes, please provide the information for each relative who is or was employed by any of these three universities: _____________ ______________


Information of a person who can be contacted in case of emergency:
Full Name: ___________________________________________________________
Relationship: __________________________________________________________
Home Address:
Street:
City: Country:
Home Phone: Mobile: Fax:
Email: _____________________________

Frame5

Indicate your choice of university, major and concentration or emphasis (if applicable) in order of preference. Select up to three from the options below. Majors followed by an * will be given preference. Requests to study other majors on the list will be reviewed on a case-by-case basis.


First Choice:

Select a University:


American University of Beirut

Select a Major:




  • Political Science/Political Studies*

  • Public Administration*

  • History

  • Anthropology

  • Sociology

  • Psychology

  • Communication and Media Arts

  • Economics

  • Philosophy


American University in Cairo 

Select a major




  • Political Science/Political Studies*

  • International Affairs*

  • Middle East Studies*

  • Multimedia Journalism*

  • History

  • Anthropology

  • Sociology

  • Psychology

  • Communication & Media Arts

  • Film

  • Visual Arts

  • Theater

  • Economics

  • Philosophy

  • Management of Information & Communication Technology – B.B.A. (Bachelor of Business Administration degree)


Lebanese American University 

Select a major




  • Political Science/Political Studies*

  • International Affairs*

  • Psychology

  • Radio/Film/TV

  • Economics – BS – Bachelor of Science

Have you previously applied for admission at any of the three universities, AUB, AUC, or LAU?

If yes, please complete the information below:


Name of the university: _______________________________________________________
Month/Year applied: _________________________________________________________

Are you applying to any other universities or programs?

If yes, please complete the information below:


Name of the university: _______________________________________________________
Program : __________________________________________________________________

Secondary School Information 
Complete add school and complete the information for each high school or secondary school where you attended your first, second, and third secondary years (sophomore, junior, and senior years in U.S. style high school)
School Year: _________________________________________________________________

School Name: _______________________________________________________________

School City: _________________________________________________________________

From (month/year): __________________________________________________________

To (month/year): _____________________________________________________________

Graduation Date: ____________________________________________________________

Division: Arts Sciences Math Others: _________­­­­­­_________
Type of School: Public Private

Name of government secondary school certificate or high school diploma held or expected to be received.
(For example: Baccalaureate, Al-Thanawiyyah Al-Amma, Tawjihi, International Baccalaureate (IB))

Name of Certificate/Diploma in English: __________________________________________

Date Received or Expected: ____________________________________________________

If Lebanese Baccalaureate Part II, please indicate type of certificate

Literature & Humanities General Sciences Life Sciences

Sociology and Economics Others: _____________________________________

If Advanced Level GCE, IB, or Advanced Placement, please click add subject to specify subjects passed (or expected to be passed) and level:

Subject: _____________________________ Level: ___________________________

Have you ever been on suspended or placed on probation at any school?

Yes No


If yes, please write an explanation on a separate paper. If yes and the reason for suspension/probation was not for academic reasons, you must also provide an explanation letter from the institution‘s chief student affairs officer. Your application is considered incomplete without this information.

Frame6

Add Employment of Internship information:

Company: __________________________________________________________

City: _______________________________________________________________

Position: ____________________________________________________________

From (month/Year): ___________________________________________________

To (month/year): ______________________________________________________







Frame7

Have you ever had a serious illness? Yes No

If yes, please specify illness and year

Illness 1: ____________________________________ Year: _________________

Illness 1: ____________________________________ Year: _________________

Illness 1: ____________________________________ Year: _________________



Frame8

Please answer all the questions in the following section and attach any supporting financial documents (such as a bank statement).

Have you ever worked? Yes No

If yes, please provide employment and describe the work, your pay, and the reason for working.

Job: _____________________________________________________________________

Salary (amount in U.S. Dollars): ________________________________________________

Reason for working: _________________________________________________________

How many people, including yourself, depend on the income of your parents for daily living expenses: _________________________________________________________________?

Add family member and list all of your family members living at home and their current employment status:

Name: ____________________________________________________________________

Relationship: _______________________________________________________________

Employment status: _________________________________________________________

Job title: ___________________________________________________________________

Please indicate your family’s 2013 household income and household expenses below. Enter amounts per year and converted to U.S. dollars:

Income in 2013

Father/Guardian: ____________________________________________________________

(net) (annual wages, salaries, & pensions)
Mother/Guardian: ___________________________________________________________

(net) (annual wages, salaries, & pensions)

Your work income: ___________________________________________________________

Business: __________________________________________________________________

Farm: ______________________________________________________________________

Real Estate Holdings: _________________________________________________________

Securities (Stocks and Bonds): __________________________________________________

Other Members of the Household: ______________________________________________

Other: _____________________________________________________________________

Other (please specify): ________________________________________________________



Total Income: _______________________________________________________________

Expenses in 2013:

Yearly household expense (rent, food, clothes, transport etc): _________________________

Medical Expenses (non-refundable): _____________________________________________

Taxes: _____________________________________________________________________

Loans or Installments: _________________________________________________________

Education tuition for dependents: _______________________________________________

Other expenses: _____________________________________________________________

If other expenses please specify: ________________________________________________

Does your family rent or own your home or apartment?

Rent Own Both

If you answered "rent", please indicate annual rate for rent converted to U.S. dollars:

__________________________________________________________________________

If you answered "own", please indicate current home value:

___________________________________________________________________________

How many cars do your family own?

Make (Nissan, Chevrolet…etc): __________________________________________________

Year: ______________________________________________________________________

Owner: _____________________________________________________________________

Values in US dollars: ___________________________________________________________

Do you have any financial resources that have not been mentioned above?

Yes No

If yes, please describe in detail:



Will there be a significant increase or decrease in your family’s income next year?

Increase Decrease None

If you answered "Increase" or "Decrease", please explain

___________________________________________________________________________



___________________________________________________________________________

Frame9

Where DID YOU hear ABOUT Tomorrow’s Leaders program? (Check ALL boxes that apply)
AMIDEAST Website Friends/Relative

High school teacher Flyer/Poster

Twitter AMIDEAST alumnit group newsletter or text

Radio Other (please describe): ___________________________

Facebook

Newsletter

Have you participated in any MEPI or U.S. Department of State programs, such as the English Access Microscholarship or YES Programs…etc.?

Yes No


If yes, please add the program and specify these programs:

Program name: ______________________________________________________________

City/Country: ________________________________________________________________

From (month/year): __________________________________________________________

To (month/year): _____________________________________________________________

If you were not studying last year, please describe what you were doing:

___________________________________________________________________________

___________________________________________________________________________



Frame10

Please list all extracurricular activities, hobbies and volunteer services in which you have participated. Please state if you have received any awards, or if you have any outstanding achievements in these activities. Start with the most recent activities. You can use a separate sheet if needed. Please be sure to highlight any leadership roles.

Activity: ____________________________________________________________________

Number of hours: ____________________________________________________________

From (month/Year): __________________________________________________________

To (month/year): _____________________________________________________________

Award/Certification Received: __________________________________________________

Reason for receiving award: ___________________________________________________

Award Received Date: _________________________________________________________

Leadership Role in Activity: _____________________________________________________



Frame11

If you have taken any of the tests below, please list your highest scores in each of the tests.



Testing Information

Date taken or to be taken

Score(s)

Bottom of Form




Top of Form

TOEFL
(specify: iBT,CBT, PBT, or ITP)

Bottom of Form


 

 

SAT I
(Critical Reading, Writing, and Mathematics scores)
________________________________

 

 

SAT II

 

 

If selected for a Tomorrow’s Leaders scholarship, how would you hope to use your education to contribute to the development of a democratic Syria?

(write your answer below or type on a separate sheet of paper and attach)

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

How would this educational opportunity contribute to your ability to become a future leader in Syria?

(write your answer below or type on a separate sheet of paper and attach)

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

______________________________________________________________________________________________________________________________________________________

___________________________________________________________________________

______________________________________________________________________________________________________________________________________________________

___________________________________________________________________________

Are you currently living in Syria?

Yes No

If you are not currently residing in Syria, please describe below when you left Syria, where you went, and what you have been doing since leaving Syria



___________________________________________________________________________

___________________________________________________________________________



Frame12

Please answer the following essay questions on a separate sheet of paper and attach to the application.

Essay 1 * (required): This scholarship program is called “Tomorrow’s Leaders.” Describe in 250-300 words how you envision playing a leadership role at the university and after you graduate.

2. Essay 2 * (required): In 250-300 words, explain why you have chosen your planned field of study, why this field of study is important to you or your country, and how you plan to use the education you will gain after you graduate

3. Essay 3 * (required): Thinking about your future goals, please describe in 250-300 words what you see yourself doing 5 years, 10 years, and 20 years after graduation.




Frame13
I/ We certify that the information provided in this application about the academic and personal

information of the applicant is accurate and complete. I/ We grant AMIDEAST, AUB, AUC, LAU,

and MEPI permission to review, as needed, all academic and disciplinary records and to contact

all individuals who provide references in support of this application.



Withholding information, misrepresentation, or forgery of the presented documents renders me,

the applicant, subject to immediate ineligibility in the Tomorrow’s Leaders program and dismissal

from the university; and subjects me to all applicable legal penalties.


I am aware that it is my responsibility to confirm and update any changes in my application file,

and that all materials and documents submitted become the property of AMIDEAST and/or the

universities, and that applicants accepted or rejected have no right to claim any of these documents.


The applicant and parent or legal guardian hereby declare that the applicant will comply with all

university policies, requirements and regulations, including the university’s principles of academic

integrity.


Note: If applicant is under 18 years of age, the parent or legal guardian must also sign the application

Name of applicant: ___________________________________________________________

Signature: __________________________________________________________________

Date: ______________________________________________________________________

If Applicant is under 18:

Name of legal guardian: _______________________________________________________

Signature: __________________________________________________________________

Date: ______________________________________________________________________

Please return application and supporting documents to AMIDEAST/Lebanon :

In Person:

Beirut Central District, Bazerkan Building, First floor, Nijmeh Square


Next to the Parliament Beirut

By Mail:

 P.O. Box 11-2190 Riad El Solh, Beirut 1107 2100

 By E-Mail:

 lebanon@amideast.org



Please direct questions to: lebanon@amideast.org or Tel: +961-1-989901 ext 162






Tomorrow’s Leaders Scholarship Program

RECOMMENDATION FORM

This recommendation for must be completed by a teacher under whom the applicant has studied or the principal of a school the student has attended.

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