Harvard Student Agencies - Young Leaders in Innovation & Entrepreneurship Program .                                     Application Form                  
30th, 31st July & 6th, 7th August 2022
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Name *
Student Email Address *
Student Mobile Number *
City *
State / Province *
Country *
School Name *
Currently studying in Class *
Your key achievements *
Parent’s/ Guardian Name *
 Parent's/ Guardian Mobile Number *
Parent's/ Guardian Email Address *
School Counsellor/ Principal Name (Optional)
School Counsellor/ Principal Email Address (Optional)
When did you get a chance to show your entrepreneurial skills and abilities? Please illustrate your point with an example. (maximum 200 words) *
What are the first 3 things you do when you get an idea? *
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.

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