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TechGirls Program Application

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Linh Phan
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54 views3 pages

TechGirls Program Application

Uploaded by

Linh Phan
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
You are on page 1/ 3

TechGirls Program Application:

Eligibility Information
What is your country of
citizenship?
What is your country of
residence?
What is your date of birth as
listed on your passport or
other government-issued
identification?
What best describes your
gender identity?
Gender identity self-described
Are you able to answer all
parts of the application in
English without assistance?
What is the date you will be
graduating from school
(month and year)?
Have you been an exchange
participant in a U.S.
Department of State program
in the last three years?
Have you previously spent
one week or more in the
United States?
Is any member of your
immediate family (parents, or
siblings) or household
employed by the U.S.
Embassy or are Consulate
staff, U.S. Department of State
employees, and/or family
members of the administering
organization or partner
organizations?

General Information
First (Given Name)
Middle Name
Last (Family Name/ Surname)
City of Birth
Country of Birth
Do you have a valid passport?

Generated by the Legacy International Online Application System on 12/06/2022 11:22. Page 1.
Parent / Guardian First (Given
Name)
Parent / Guardian Middle
Name
Parent / Guardian Last (Family
Name/ Surname)

Contact Information
Your Mobile Phone
Email Address lyn.fan.97@gmail.com
Alternate Email Address
Parent / Guardian Mobile
Phone
Parent / Guardian Email
Address
Home Mailing Address
Street, Building and/or
Apartment Number
City
State/Governorate/Province
Zip/Postal Code
Country
Parent / Guardian Address
Street, Building and/or
Apartment Number
City
State/Governorate/Province
Zip/Postal Code
Country

Education Information
Type of School
Current Grade
How many years have you
studied English?
School Address
School Name
Street or Building Name and
Number
City
State/Governorate/Province

Generated by the Legacy International Online Application System on 12/06/2022 11:22. Page 2.
Zip/Postal Code
Country

Academic and Community Interest Information


What are the academic subjects you are most interested in?

Please list in the space below any specific classes in which you have participated in the field of technology/ STEM.

Please describe any extracurricular activities in which you have participated that relate to technology/ STEM, how long you
have been involved with each, as well as any awards or honors received.

Please describe any additional extracurricular/community activities (non-technology related) in which you have participated,
and how long you have been involved with each.

Please list in the space below your plans for future studies and/or possible occupations you have considered.

Essay Information
What, or who, initially sparked your interest in the field of technology/ STEM?

Why is participation in this program important to you and how will it benefit you both personally and academically? What
type of skills do you hope to develop and improve during the TechGirls program?

Describe a challenge you have faced and how you overcame it.

One of the requirements of the program is that you apply the skills you learn in creating a unique follow-on project upon
your return home. Describe how you would use the tech skills you gain from this program to design a follow-on project. How
would it help your community?

What are one or two words that describe you best and why?

Generated by the Legacy International Online Application System on 12/06/2022 11:22. Page 3.

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