Youth Exchange and Study (YES) Scholarships



TOMORROW’S LEADERS SCHOLARSHIP PROGRAM

منحة قادة الغد للدراسة الجامعية

The deadline to apply is December 31, 2013

You may apply using the paper application below or online at 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 2012 or 2013;

• 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 2014.

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)

• Year 10 and 11 school grades

• Year 12 if graduated in 2012 or 2013

• Three essays

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

Photo

• Extracurricular activities and other required documents.

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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: _______

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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: _____________________________

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Indicate your choice of university, major and concentration or emphasis (if applicable) in order of preference. Select up to three from the options below:

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

Lebanese American University 

Select a major

• Political Science/Political Studies*

• International Affairs*

• Journalism*

• Psychology

• Radio/Film/TV

• Economics

Majors followed by the (*) sign and a number require more than120 credits for graduation (the number indicates the number of credits needed for graduation). Students will only be accepted to these majors if they meet the additional requirements of that major (such as prerequisite science classes) and if they do not need pre-academic English courses (students with a TOEFL iBT score of under 62 or equivalent may require pre-academic English).

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.

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Add Employment of Internship information:

Company: __________________________________________________________

City: _______________________________________________________________

Position: ____________________________________________________________

From (month/Year): ___________________________________________________

To (month/year): ______________________________________________________

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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: _________________

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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 2012 household income and household expenses below. Enter amounts per year and converted to U.S. dollars:

Income in 2012

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 2012:

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

___________________________________________________________________________

___________________________________________________________________________

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Where DID YOU hear ABOUT Tomorrow’s Leaders program? (Check ALL boxes that apply)

AMIDEAST Website Friends/Relative

High school teacher Flyer/Poster

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:

___________________________________________________________________________

___________________________________________________________________________

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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: _____________________________________________________

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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

___________________________________________________________________________

___________________________________________________________________________

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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.

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|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@ |

|Please direct questions to: lebanon@ 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.

PART I: To the Applicant: Please complete Part I of this form before delivering it to your recommender.

Name of Applicant: ________________________________

Home Country: ________________________________

Desired Field of Study: ________________________________

PART II: To the Recommender: Please read the scholarship summary and complete the form and written evaluation.

The Tomorrow’s Leaders Scholarship Program is funded by the U.S. Department of State’s Middle East Partnership Initiative (MEPI) and is directed towards capable and highly motivated high school seniors in the Middle East and North Africa (MENA) region who are from underserved backgrounds. The program will provide four-year university scholarships and internship opportunities at American University of Beirut, the American University in Cairo, and the Lebanese American University to students who have the potential to become leaders. The primary objective of MEPI's Tomorrow's Leaders Scholarship Program is to build a cadre of university-age leaders who are civic-minded, intellectually able, and professionally skilled, and who will become the community, business, and national leaders of the future. The program intends to nurture leadership skills and the spirit of civic engagement and volunteerism among outstanding university-age students.

Eligible students include men and women who represent the region’s cultural, religious, and geographic diversity and show leadership potential. These students are from socio-economically disadvantaged backgrounds who could otherwise gain admission to, but would be unable to afford, four years of college.

Name and Title of Recommender: ________________________________

Contact information (please include e-mail): ________________________________

How do you know the applicant? ________________________________

How long have you known the applicant? ______ Months ______Years

How do you rank the applicant among others students you have taught?

• Top 5% [pic] Top 10% [pic] Top 25% [pic] Other %

Using the chart below, please rate the applicant in comparison with other students you have known.

Written Evaluation: Please provide a typed, candid evaluation (English or Arabic) of the applicant's past academic performance and ability to pursue and successfully complete a program of study in the proposed field. Please state any special qualities, characteristics, or achievements that distinguish the applicant. The universities that will review this student's application will pay considerable attention to your statement and specifically to the applicant’s leadership ability. Therefore, please be as complete and detailed as possible in your evaluation. You may add or substitute a letter on a separate sheet of paper if necessary.

Signature: __________________________________

Date: ____________________________

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ATTACH

RECENT PHOTO OF STUDENT

APPLICANT HERE

Tomorrow’s Leaders Application 2014

Personal Data

Family Information

Academic Program Information

Employment & Internships

Health Information

Financial Information

Additional Information

Personal Interests, Extracurricular, and Volunteer Activities

Testing ___________________________________________________________________________

Information

Essay Questions

Signature

Information

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| |Outstanding |Excellent |Good |Fair |Poor |

|Work Habits | | | | | |

|Intellectual Ability | | | | | |

|Motivation | | | | | |

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