AGORA Leadership Development Program SCHOLARSHIP APPLICATION

SEP 2026 - JUN 2027

The AGORA is a 70+ hrs High School Leadership Development Program that enables applicants from any socio-economic background to have the same opportunity.

We are only able to continue providing this service at no cost to participants thanks to the generosity of tax-deductible donations from SPONSORS and individuals who have decided to PAY IT FORWARD.

Before completing this application, please ensure that you have reviewed our website and academic schedule. Please note that if you are awarded a scholarship, you are making a commitment and are expected to make-up any missed classes.

We encourage you to contact us with any questions that you may have.

Participant's First Name

Participant's Last Name

Participant's Date of Birth

Participant's E-mail

Participant's Phone Number

Name of High School & grade going into 2026-27 academic year

The following questions are to be answered by the applying participant:

Please select ONE answer below that most accurately describes your current situation:

This is my first time applying for an AGORA scholarship

I have previously applied for an AGORA scholarship and would like to be considered again

I am an AGORA participant working towards my ambassadorship

I was previously an ambassador and would like the opportunity to regain my ambassadorship

I am currently an active ambassador

What are your academic goals?

What are your personal goals?

Why are you applying for this scholarship?

What is the most impactful book you have read in the past year and why?

Parent/guardian is required to complete & agree to the section below:

Parent/Guardian's Full Name

Parent/Guardian's E-mail

Parent/Guardian's Phone Number

As the legal parent/guardian:

I grant permission to use the photos/video/sound bites of my child for promotional purposes

I will arrange/provide transportation for my child to and from the program on Mondays

I will submit a copy of the child's Health Assessment Record required by the state of CT

I will submit a copy of the child's Student ID

I will submit a copy of my child's Health Insurance

*In the chance of technical issues with submitting your application, please try clearing your browser/cookies. Also feel free to reach us directly at AgoraCorpLDP@gmail.com and we will be happy to provide further assistance.

Parent/Guardian Signature

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