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Latin American Scholarship Foundation

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Registration Form

The application process may take up to an hour. This is your chance to showcase your academic achievements!

Full Name *

Email Address *

Date of Birth *

Phone Number *

Street Address *

Select Gender *

Proof of Canadian Citizenship or Residency *

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2 Forms of Identification *

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School Name *

School Address *

Post Secondary Institution *

Planned Program *

Program Length *

Grade 12 Transcript *

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Proof of Enrollment *

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Parent #1 Name *

Parent #1 Street Address *

Parent #1 Email Address *

Parent #1 Phone Number *

Parent #2 Name

Parent #2 Street Address

Parent #2 Email Address

Parent #2 Phone Number

Summary of Leadership Activities *

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2 References or Recommendation Letters *

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200-Word Written Essay *

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ConsentI understand that photographs and videos may be taken during program events. I consent to the use of my image in program-related publications, social media, and promotional materials.

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lasfcanada@gmail.com

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