LeadUS Mentoring Program 2015-16

Welcome to Becoming A Queen Inc. Mentor Group- Mentoring Program 2021-22 Application! We are very glad that you are interested in participating in our program and achieving all of your dreams. Please carefully read this application. Make sure the information you provide is complete and accurate. Also, please do not leave any blank space. If you have any question/issue, do not hesitate to reach us at becomingaqueeninc@gmail.com

We look forward to seeing you next year!
- Full Name
  
  First NameMiddle NameLast Name
- Gender
- Birth Date
  
  MonthDayYear
- Mobile Number
  
  Area CodePhone Number
- Mobile Number 2
  
  Area CodePhone Number
- E-mail
- Current Address
  
  Street Address
  
  Street Address Line 2
  
  CityState / Province
  
  Postal / Zip CodeCountry
- Facebook Profile
- Twitter Profile
- Instagram
- School name
- School Phone Number
  
  Area CodePhone Number
- School type
- Current Grade
- Graduation date (estimate)
  
  DayMonthYear
- Have you ever applied to American universities?
- Are you participating in any other mentoring program? If yes, which one?
  
  Other
- Interested Major
- Other Course
- What Does Success mean to you? And, What does it Look Like?
- What is your desired Career?
- Achievements
- Hobbies / Interests
- Other Hobbies/ Interests
- In no more than 100 words explain why you want to participate in the Becoming A Queen Inc. Mentor Group Program
  
  0/250
- Some say social media is superficial, with no room for expressing deep or complex ideas. We challenge you to defy these skeptics by describing yourself as fully and accurately as possible in the 100-character limit of a tweet.
  
  0/140
- Your second essay is your Writing Supplement. Now, you have the opportunity to detail more about yourself. You will be able to pick one out of the five (5) essay prompts below. Please bear in mind that you need to write your essay in no less than 50 words.
  
  Be awesome. Be creative. Be yourself.
- Writing Supplement Prompts: choose the one you are writing about.
- Writing Supplement
  
  0/650
- Mother's Name
- Age
- Profession
- Father's Name
- Age
- Profession
- How many people live in your house including you?
- Recommendation Letter
  
  Upload a File
  
  Cancelof
- If you have any additional file, please attach it here
  
  Upload a File
  
  Cancelof
- Is there any other information that you would like to share with us?
- Did you have any problem while filling out this form? If so, please report it below
- Do you agree to submit to us your personal, familiar, and educational information and are aware that we will not use those informations instead of and only for My Community's Keeper Mentor Group's purposes? Also, be sure that once you submit this Application Form you will not be able to do any changes or remove any information. You confirm to be submitting only truth information.
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