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Personal Information

First name

Last name

ID/Passport Number

Gender

Other Gender

Telephone

Institution Type

Institution Name

Field of Study

Year of Study

Institution Website

Institution email

Telephone

Grade of obtained in previous academic year(%)

Country

Personal Statements

What do you consider to be your most significant achievement or most innovative idea? Indicate one major innovation/project/initiative/ you completed on your own or working with others ( E.g: I developed a website for a community organization. I established an organization/association/club in my community)* (150 words max)

What was its impact ? (50 words max)

What is your career aspiration? How and what do you think will that benefit you as an individual for professional development and your community or country

English language proficiency

Why do you want to join the AAC mentorship program ?(100 words max)

Declaration

All answers in your application, including written responses to questions, must be your own original work. Using language copied from elsewhere including websites or from other sources is considered plagiarism and will result in your application being disqualified. I confirm that I have read the above statement on plagiarism and understand that my application will be disqualified if I submit answers that are not my own original work.

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