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GYLP 2019 Application Form-                       Dates: December 21, 2019 to January 5, 2020
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Email *
First Name *
Last Name *
Gender *
Age *
Date Of Birth *
MM
/
DD
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YYYY
Grade during GYLP Trip ( as of December 2019) *
School Name *
Home Address (Street, etc.) *
City, State *
ZIP Code *
Mobile *
E-mail *
Mother's Name *
Mother's Mobile *
Mother's E-mail *
Father's Name *
Father's Mobile *
Father's Email *
Languages spoken at home *
Have you attended family or children’s camps at Arsha Vidya Gurukulam? *
Have you attended Purna Vidya class? Are you currently enrolled in one? *
Have you attended the GYLP trips in previous years? If so when? *
Is your family active in the Aim For Seva chapter in your city or state? What specific roles do they play? *
If not, would your parents like to participate in city fundraiser team? *
How do your learnings at Arsha Vidya Ggurukulam or Purna Vidya class empower you to give a voice to the Aim for Seva students? How would your trip help in increasing the awareness of this cause in your community and the global stage? (Please answer in 250 words). *
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