Scholars in Leadership and Communication - Application Form
29th January 2022 - 12th March 2022 (7-Week Program, Saturday Only)
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Name *
Student Email Address *
Student Mobile Number *
City *
State / Province *
Country *
School Name *
Currently studying in Class *
School Counselor/ Principal Name (Optional)
School Counselor/ Principal Email Address (Optional)
Your key academic achievements *
Parent’s/ Guardian Name *
 Parent's/ Guardian Mobile Number *
Parent's/ Guardian Email Address *
Tell us about an inspiration in your life? Can be an experience or a story or a person or a role model. (Max 200 words) * *
Anything that you want the admissions committee to know about you? ( Max 200 words ) *
Undertaking and consent by form users:-
I hereby confirm that the information provided in this form is true and correct. The application will be processed based on the details provided.

Learn with Leaders reserves the right to use this information to correspond regarding current and future programs.

Right to admissions reserved.
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