U.S. Embassy Dakar/ PAYLP application form 2023
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Email *
Name *
First and last name
Phone number *
Are you residing in one of the following regions:
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Name of your school *
Level (classe)
Date and place of birth
Address
Parent's phone number
Have you ever been to the United States of America?
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Purpose of your trip to the United States
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Please list your extra-curricular activities
Please describe your role in those activities  (100 word minimum—250 word maximum)
What would you like to do to improve your community? What have you already done? (100 word minimum—250 word maximum)
Why do you want to apply for the Pan-African Youth Leadership Program? (100 word minimum—250 word maximum)
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