iLead+Design Application

Name

First Name

Last Name

Student Email

Student Phone Number

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Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Parent/Guardian Name

First Name

Last Name

Parent/Guardian Email

Parent/Guardian Phone

(###)

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What school do you currently attend?

What grade are you in now?

Student's T-shirt Size

Do you have any dietary restrictions? If yes, please explain.

Do you have any health issues we should be aware of? If yes, please explain.

How did you hear about the iLead+Design Program?

If you could work on solving one real-world problem, what would it be? If you had a year to work on that problem full-time, what would your first steps be?

What do you hope to gain from your participation in this summer studio?

Please name a teacher who is familiar with you and your work as a student and/or as a young leader. Please have them send a short recommendation to the Lyceum to joyce@lyceum.org.

First Name

Last Name

Teacher email (if available)

Teacher phone (if available)

(###)

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Tuition for iLead+Design is intentionally affordable in comparison to similar programs. Tuition costs are $800 and payable upon admission in order to secure enrollment. A limited amount of financial aid is available for students who wish to apply. To request financial assistance, please fill out a Scholarship Application located at www.lyceum.org/scholarships. We aim to meet the needs of as many students as possible. Students will be informed of their financial aid award when they are accepted into the program. Please let us know whether you would like to request financial aid by indicating below the amount of aid you need in order to be able to participate.

If I accept an offer of admission, I agree to attend all ten days of this program.

iLead+Design will be operating two groups this year, one in Salinas out of the Steinbeck center, and one in Monterey out of MIIS. Please indicate your preferred location. Note that there is no guarantee your location will be available, and you may be offered a spot in either location, depending on demand.

Monterey

Salinas

Questions/Comments