Women Empowerment Diplomacy Summit Conference Application

DBH: Women Empowerment Conference - Student Scholarship Application

To ensure we have all the information needed for evaluation, please complete this application in full.

Due Date: May 20th, 2017

Contact *This question is required.

First Name

Last Name

Street Address

Apt/Suite/Office

City

State/Province

Postal/Zip Code

Country

Email Address

Phone Number

Date to graduate (or graduated) from high school: *This question is required.

Name of high school: *This question is required.

Student GPA: *This question is required.

List any extracurricular activities or experiences related to international education/exchange that you have participated in:

Directions: Provide answers to the following three questions in a 500-1500 word essay.

What are your life and career aspirations?
What does Citizen Diplomacy mean to you, and why is international exchange important?
Describe a time when you met someone from a different culture, and how it impacted your life.

*This question is required.

I certify that all of the above information is correct and the written response submitted with this application is exclusively the work of the student whose name is on this application.

Parent/Guardian Signature *This question is required.

Clear

Signature of

Student Signature *This question is required.

Clear

Signature of