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2023 ISLC STUDENT APPLICATION - STUDENT PROGRAMS

Thank you for your interest in ISLC 2023! Please submit this form prior to Feb. 6, 2023.

Question - Required - Student Graduation Year (YYYY)

Question - Required - Student School

Question - Required - Student School Country

Question - Required - Student School State

Question - Required - Have you previously attended an ISLC? Please select the years you have attended:

	2022
	2021
	2020
	2019
	2018

Question - Required - How many hours of service have you completed with your Operation Smile Club or Foundation in the past 12 months?

Question - Required - Are you a member of your club's executive team?

Question - Required - Are you a member of your Regional Leadership Council?

Question - Required - Who is your Student Programs Associate? Please provide the name of the person who supports your club.

Question - Required - Do you have a passport that will be valid until December 2023? If not, please begin applying for your passport ASAP, as it typically requires several weeks/months to receive and is a requirement for international travel.

Question - Required - Are you applying to be a Team Leader? Please note, additional information will be required through the Team Leader application

Question - Required - Are you applying to be an Assistant Team Leader? Please note, additional information will be required through the Team Leader application

Essay Questions: Please answer the following questions. Please note that the maximum word count for your essays is 1,000 words, or no more than 5-10 paragraphs.

Question - Required - Essay #1: Student Programs' Four Pillars are Leadership, Service, Advocacy, and Education. Choose a pillar, and describe a time in the past year when you've put that pillar into practice for Operation Smile. (For example, if you choose the Service Pillar, please tell us about a service project or effort you've joined to support Operation Smile and the impact it made.)

Question - Required - Essay #2: Please tell us why you want to attend ISLC, and tell us what skills you're looking to bring back to your club and community.

1,000 character limit (excluding spaces)

Student Information

Name:

First Required	Last Required

Email: Required

Street 1: Required

Street 2: Required

City/State/ZIP:

City Required	State Required	ZIP Required

Country: Required

Phone Number: Required

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