Sage Leadership Experience Application

Semester for Impact Application

Use your application to tell us about yourself as a leader for impact
Applicant Name*
Name you wish to be called*
Name of High School*
Birthdate*

MonthDayYear
Gender*
Student Email Address*
Preferred Interview Method (interview offers will be extended within 2 weeks of your application submission)*

PhoneWeChatWhatsAppSkypeZoom
Preferred WeChat ID, WhatsApp Number, Skype ID, or Phone Number*
Student Mailing Address*

Country
Parent/Guardian Name*

First NameLast Name
Parent/Guardian Email*

Desired Project Theme*

	Top Choice	Somewhat Interested	Not Interested
Entrepreneurship & Governance (Example: help local entrepreneur conduct market research and launch new product)
Engineering & Environment (Example: develop solution that enables increased access to clean water)
Health & Sports (Example: organize vision tests and provide glasses)
Education & Arts (Example: develop after-school art program to promote self-confidence)

Which semester(s) are you applying for? (Select one or more)*

Spring (February to May)Fall (October to December)
Would you also like to be considered for this coming summer's Sage Ghana Summer Leadership program?*

YesNo
Reflection on Leadership: What are your top strengths as a leader currently and what three skills you would like to develop to improve your leadership? What challenges might you face developing these skills through a real-world project and how will these skills help you in college and beyond? (150-350 words)*

0/350
Recommendation

We want to hear from a teacher or a peer to see if you're a good fit for this experience.

Your recommender does NOT need to write any letter. S/he will fill and submit a brief online form.

Please inform your chosen teacher, counselor, or peer ahead of time that they will receive an email requesting information for your application to the Sage Leadership Experience.
Name of Recommender*
Recommender Email Address*
Recommender Type*

TeacherCounselorPeerOther
OPTIONAL: Anything else you would like us to know about your interest in the program? (This may be issues with the session dates, clarification about your desired project type, parental concerns we can address, or anything else)

Application Fee*

Application Fee$50

Enter coupon

Total $0.00

Semester for Impact Application