Form
African Retreat Scholarship Application
Name
First Name
Last Name
Email
example@example.com
Linkedin Profile url (optional):
example@example.com
Phone Number
Please enter a valid phone number.
Birthday
-
Month
-
Day
Year
Date
Are you a student majoring in Business with a concentration in Entrepreneurship, Innovation or Social Impact, Stem or do you currently work in the DEIB (diversity, equity, inclusion, and belonging), STEM, or social impact space?
Yes
No
Please submit a 500-word essay stating: 1) Why you should be selected (please include any notable accomplishments in your field of study) 2) What you hope to gain from this experience 3) What you hope to contribute to the group.
File Upload
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Please upload a minimum of one letter of recommendation:
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Please upload a picture of your passport or a picture of an expedited application and Visa by June 1st. (optional)
Submit
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