Registration Form

registration form

Program

Program of choice

Please select the program you wish to apply for.

Information about Applicant

Applicant's Name

First Name

Last Name

Street Address

City

State

Zip Code

Country

Home Telephone, with country code if applicable

Current Grade

Date of Birth

YYYY

Gender

Information About Applicant's Current School

Name of Applicant's Current School

Information about Applicant's Guardian

Guardian's Name

First Name

Last Name

Guardian's Preferred Email Address

Guardian's Telephone Number

Emergency Contact Information

Name and Address of a Relative who may be reached in an emergency, provided that parents cannot be reached

Telephone Number

Relationship to Applicant

Final Information

I wish to enter my child in the following year of the Global Leadership Program, in accordance the policies listed

2025

In consideration of the undertaking by the Sponsors of the Global Leadership Program (ConnectEd U Co., Ltd.) to process the undersigned candidate's application for admission and related forms, you agree that the information furnished on the Registration form, together with all the information and materials of any kind received by the company from any source, or prepared by anyone at its request, shall be completely confidential and shall not be disclosed to anyone, including the candidate and his or her family, except that the company may, for official purposes at their discretion, disclose any part or all thereof to such person or persons as they deem advisable.

I agree

I disagree

Name of Person Submitting Application (if not Applicant's Parent or Applicant)

First Name

Last Name

Relationship to Applicant

Email Address

Registration Form

registration form

— GLobal leadership program —

Terms and Conditions | Privacy Policy