(203) 399-5079


Live Learn Leadership Program Application

Women’s Leadership: South Africa 2020

Students must complete the entire application including essay question and photo submission. Student and parent(s) must also review, sign and submit the program Agreement and Release Form as directed after submission of the application.


Sex *
Are you a U.S. citizen? *
Do you have a U.S. Passport? *


Phone number best to call *

Emergency Contact

This number is a *

Medical Information

Do you have a special diet, e.g., vegetarian or allergies to certain foods? *
Do you have allergies or chronic ailments of which our Group Leader should be aware? *
Are you receiving medication or any other treatment for any physical or mental condition? *


Please submit a recent and clear passport/headshot photo.

If you do not have an image available at this time, do not delay in submitting your application. You can send the image separately to: Livelearnleadership@aifs.org. Please include the first name, last name and location in the subject line.

File Upload
Maximum upload size: 52.43MB


Currently enrolled in grade *

Essay Question (maximum of 500 words)

Many great leaders are determined and committed to their causes. Write about something that you feel passionately about—and then explain how you could lead others to also care about your cause.

By submitting this form I agree to the Terms and Conditions as stated on this site.

We respect your privacy and will not sell your contact or personal information.

Learn More