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Global Youths Leadership Program
Enrolling Program - Omaha
Global Youths Leadership Program
Apply to attend
City & Me
Boston
2019
*
Indicates required field
Name
*
First
Last
Email
*
Phone Number
*
Allergy
*
Please be specific allergy type or N/A
Date of Birth
*
Month/Date/Year
Mother Language
*
Your first language
Proficiency of English
*
Native
Fluent
Beginner
Nationality
*
Country of Citizenship
Choose Program Dates
*
July 29th - August 2nd, 2019
August 19th - August 23rd, 2019
I have more than 10 students and need customized dates
Please specify the dates if you choose customized dates
*
Please use 5 consecutive dates
Address
*
Line 1
Line 2
City
State
Zip Code
Country
School Name
*
Grade
*
Parent 1/Guardian Name
*
First
Last
For Participants under age of 21
Parent 1 Phone Number
*
parent 1 Email
*
Parent 2 Name
*
First
Last
Parent 2 Email
*
Personal Statement
*
Payments
*
Program fee : $680
Home-stay : $300(5 nights)
Please make the check payable to Flat World Foundation, and mail it to
NCA Chinese School
Sarah Luo
2530 Hancock Street
Bellevue, NE 68005
Please make sure to print the student's name in the memo.
Submit
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