Kennedy Lugar Youth Exchange and
Study (K-L YES) Program
Preliminary Application
2014 - 2015
A
– PARTICULARS OF SCHOOL:
Name
of School:
______________________________________________________________________________________
Address:
_____________________________________________________________________________________________
_____________________________________________
Telephone: _____________________________________________
B
– PARTICULARS OF STUDENT:
Name:
_______________________________________________________________________________
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Gender:
Male
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Female
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Nationality:
_______________ Religion: ___________________
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Photograph
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Residential
Address: ___________________________________________________________________
____________________________________________________________________________________
Phone
Number: ___________________________ Mobile Number: _____________________________
Student’s
e-mail Address: ___________________ Class in which studying at present:
_______________________________
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Classes
studied in: 2012-2013
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Class:
_______________________________
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Percentage: _____________________
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2011-2012
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Class:
_______________________________
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Percentage: _____________________
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2010-2011
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Class:
_______________________________
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Percentage: _____________________
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Have
you participated / Are you participating in English Access Microscholarship
Program
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YES
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NO
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If
‘Yes” write the name of Access Centre and city:
__________________________________
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Year ___________________
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Access
Centre Address: _________________________________________________________________________________
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Have
you ever visited USA:YES
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No
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If ‘Yes’, When & Where____________________________________
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Has
your sibling (brother or sister) been on K-L YES Program:
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YES
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NO
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If ‘Yes’ what is his/her name:
_____________________________Year Participated:
________________________________
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Parent’s
Information:
Father’s
Name:
________________________________________________________________________________________
Father’s
Occupation: ___________________________________ Designation/Position:
______________________________
Organization
/ Nature of Business:
________________________________________________________________________
Complete
Work / Business Address: _______________________________________________________________________
Office
Telephone No: ____________________________________________ Cell No:
_______________________________
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_________________________
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___________________
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_______________________________
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Student’s
Signature
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Parent’s Signature
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Signature and Seal of School
Principal
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DOCUMENTS
REQUIRED
·
Attach Photocopy of NADRA ‘BAY’ form or NADRA Birth
Certificate.
·
Attach photocopies of the school
attested marks sheets of the last 3 years.
Note:
Application received without complete required documents will not be
considered. Providing any false/forged documents or information at any stage of
selection process will result in disqualification of the applicant.



Completed
applications can be submitted to school and they will forward them all to iEARN
Centre, Karachi. Independent students can send their applications directly to
iEARN Centre.
iEARN CENTRE
22, Ali Bhai Centre,
233-A, Shahra-e-Qaideen, P.E.C.H.S, Block-2 Karachi, 75400
Phone: 021-34547547,
34547549. Fax: 021-34530310
·
Write
K-L YES 2014 – 2015 on the top of the envelope
·
Make sure you provide all correct and
accurate information. If anything is found incorrect after verification the
application will not be accepted.
·
This is not the application form; the
complete application form will be issued after the clearance of the English
language proficiency test and final interview.
·
The acceptance of this form does not
ensure the acceptance in the K-L YES program.
·
Visit the web http://www.iearnpk.org/yespk.htm for detailed information and
updates.
Students
who meet the following criteria can apply using the Preliminary Applications:
·
Secondary school students in their home
country who are currently enrolled in 8th,
9th
or 10th grade. Preferably
students who have taken or will appear in grade 9th,
10th,
11th
or 'O' Levels examinations by August 1, 2014 and waiting for results.
·
Minimum
15 years of age but not more than 17 years on August 1, 2014.
·
Minimum grade "B" (60%) in all
subjects in the last class attended; overall minimum ‘B’ average (60%) for the
past three years.
·
Minimum 60% in all subjects in the last
examination before departure to the U.S.A. (The annual exams that will be held
in 2014). Students will be required to send the mark sheets of the last
examination when they receive the mark sheets.
·
Should
not have traveled previously to the United States.
·
Can
communicate in English. Minimum "B" grade, (60%) in English during
the past three years.
Students
who meet the following in addition to the above criteria are likely to be short
listed for the final competitions.

·
Should
pass English Language Proficiency test.
·
Know and practice Pakistani culture and
values, and able to represent the same in U.S schools and communities.
·
Demonstrate
maturity, flexibility, adaptability, good character and scholastic aptitude.
·
Willingness
to participate in host family’s daily life.
·
Record
of all necessary immunizations, as outlined in the Student Application, before
arriving in the U.S.
·
Should
demonstrate flexibility and a commitment to promoting cross-cultural
understanding.
·
Agreement to attend classes as a
full-time student and maintain at least a ‘B’ Grade average in an American high
school.
·
Willingness and agreement to abide by
the 'K-L YES Student Rules' as outlined in the K-L YES Student Application and
all other rules and policies during the program.
Application and
Selection Process
Students
who fulfill the Selection Criteria and agree to the Parent Student Agreement
and General Program Rules (Please visit the website www.iearnpk.org/yespk.htm),
can apply for the scholarship. Female students, students with physical
disabilities and students from non-elite and government schools who meet the
criteria are strongly encouraged to apply.
Students
who are eligible according to the Selection Criteria but their schools are not
interested in participating in the K-L YES program can apply independently.
They can download the Preliminary Application Form from the K-L YES website and
submit via courier or mail along with all the required documents. Please do not
send any original documents. We do not return any documents submitted. Only
send the photocopies of the documents mentioned in the Preliminary Application.
The
participating schools/organizations must collect fully completed applications
with all required documents from students and submit the applications and
required documents to the iEARN office.
After
the initial application evaluation, the short listed candidates will be invited
to take the English language proficiency test. English language proficiency
test will be organized in some of the major cities of Pakistan. Keep checking
the announcement section of the iEARN Pakistan website for updates and
information for test dates.
Students who pass
the English language proficiency test would be short listed and interviewed by
an ‘Interview Committee’.
Students
who qualify the interviews will be asked to complete and submit the final K-L
YES application along with the signed program agreement and passport. After the
final review and evaluation of the applications, the students who are selected
as YES finalists will be notified by a letter from the YES Program Director.
The
students selected finally would be enrolled in a compulsory ‘Pre Departure
Orientation’ program prior to traveling to the USA.
iEARN Centre
22, Ali Bhai Centre,
233-A, Shahra-e-Qaideen, P.E.C.H.S. Block-2,
Karachi-75400, Pakistan.
Tel: 021-34547547, 34547549 Fax: 021-34530310
E-mail: YES@iearnpk.org Web: www.iearnpk.org/yespk.htm

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