SpeakUp Youth Leadership Masterclass with Ayah Al-Zubi (Harvard College)

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SpeakUp Youth Leadership Masterclass with Ayah Al-Zubi (Harvard College) - Application Form

23rd January 2021 - Saturday | Time 6:30 PM IST - 7:30 PM IST

Name *

Student Email Address *

Student Mobile Number *

City *

State / Province *

Country *

School Name *

Currently studying in Class *

Your key academic achievements *

Parent’s/ Guardian Name *

Parent's/ Guardian Mobile Number *

Parent's/ Guardian Email Address *

School Counselor/ Principal Name

School Counselor/ Principal Email Address

Anything that you want the admissions committee to know about you? ( Max 200 words )

Undertaking and consent by form users:-

I hereby confirm that the information provided in this form is true and correct. The application will be processed based on the details provided.

Speakup in Collaboration with Learn with Leaders reserves the right to use this information to correspond regarding current and future programs.

Right to admissions reserved.

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