Personal Information
Let's start with the easy stuff. Let us know a little bit about you!
If no, where are you a citizen?
Instagram handle
Name of friend who referred you (if applicable)
Address Information
Where are you from? For permanent address, please list your hometown address. For current address, please list your address on campus this year.
Permanent address line 2
Emergency Contact Information
You must list at least one emergency contact. We will send these contacts information pertaining to financial and program details. By providing this contact information, you are granting permission to share this information with these contacts. If you would like two people to receive this information, please list their contact info individually as Emergency Contact 1 and Emergency Contact 2.
Emergency Contact 2 First Name
Emergency Contact 2 Last Name
Emergency Contact 2 Relationship
Emergency Contact 2 Email
Emergency Contact 2 Phone
Emergency Contact 2 Address
Emergency Contact 2 City
Emergency Contact 2 State
Emergency Contact 2 Zip Code
Academic information
We take students from universities all over the US! Fill out your home university info here.
If other, which one?
If other Major, which one?
Minor
2nd Major
2nd Minor
If yes, which type?
Extracurricular Information
Let us know about your involvement in campus organizations.
Campus organizations I am involved in
Other organizations that you work with
If yes, what do you do?
If other Greek organization, which one?
Leadership position on campus
Student organization associated with this position
Pro Information
Let's talk about the fun stuff. Please answer the two short essay questions below. Also, don't forget that the last step of the application is to email a PDF copy of your resume to info@LeadAbroad.com.
Disciplinary Records
We have to ask…
If yes, please explain.
If yes, please explain.
Get To Know You
We will use these questions to help pair you with roommates and program groups. They are not used to determine your acceptance to the program.
Do you have any questions or concerns that you'd like more information about?
(*) Mandatory field.