Center for Cultural Perspectives
Student Application for Global Scholars Pathway
Your Name
First Name
Last Name
Email
example@example.com
Phone
Gender
Expected Year of La Salle Graduation
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Parent/Guardian #1 Name
Contact Phone
Email
example@example.com
Parent/Guardian #2 Name
Contact Phone
Email
example@example.com
Briefly describe yourself:
Why do you want to become a Global Scholar and what do you hope to achieve through this program:
What is/are your current educational goal(s):
What is/are your career goal(s):
What subjects or areas of study are you most passionate about and why:
Identify a global issue that you are passionate about; Why is this issue important to you and how do you think it can be addressed:
Describe an experience where you interacted with a culture different from your own; What did you learn from this experience:
Where do you see yourself in five years and how will being a Global Scholar help you achieve your goals:
List any clubs, sports or other organizations with which you have been involved in or out of school:
List three things that you like to do in your spare time:
Which Pathway option are you interested in? (You can select one or both; Please note that the certificate program serves as the prerequisite to earn the Graduation Stole):
Global Scholars Certificate
Global Scholars Graduation Stole
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