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PSIL 2019 Application Form
The Program for Scientifically Inspired Leadership (PSIL) is a 5-day program in Imphal, India for motivated, passionate, and inquisitive high school students. The program dates this year are Tuesday, January 15th-Saturday, January 19th, 2019 at the Don Bosco High School, Chingmeirong. You are eligible to apply if you are a class 9 or 11 student living in Imphal, India. Apply now by filling out the form below by 11:59pm, December 28th, 2018.

The PSIL was founded by Dr. Dominic Mao, a molecular and cellular biology lecturer and an undergraduate life sciences adviser at Harvard University who grew up in Imphal. He's bringing a team of Harvard undergraduates to teach a scientifically-inspired, civic-minded, and evidence-based leadership development program. During the 5 days, you can expect an interdisciplinary, engaging, and thought-provoking academic and extracurricular curriculum taught by Harvard undergraduates. You'll have the chance to form meaningful and lasting relationships with like-minded high school students as well as with Harvard students.

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Full Name *
Gender *
Name of School *
Email Address *
Phone Number *
What year in school are you? *
Birthday *
MM
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DD
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YYYY
Why do you want to participate in this program? What aspects of this program excite you, and why? (150 words max) *
Tell us about someone who inspires you. Who is it, and why? (100 words max) *
What's your greatest strength, and what's your greatest weakness? (100 words max) *
Tell us about yourself! Do you participate in any extracurricular activities? What do you like to do in your free time?  (20 words max) *
No need for complete sentences here! Feel free to just list words/phrases.
Anything else you want us to know?
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