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2022 SUSI Application Form - Final

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Imran KhAn
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0% found this document useful (0 votes)
19 views9 pages

2022 SUSI Application Form - Final

Uploaded by

Imran KhAn
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd

Study of the U.S.

Institutes for Student Leaders (Comparative Public Policymaking) Program


2022 Application Form

Important Notes:

For candidates who participated in the program in previous years:

If you participated in the SUSI program in the past, whether in-person or virtually, please know that
you are ineligible to apply for the 2022 summer program.

For applicants who have not participated in the program previously:

The 2022 summer program is expected to run in-person at the host institution, the University of
Massachusetts, in the United States; however, if COVID-19 related issues persist, it may run as a virtual
program with all lectures and activities designed for online synchronous and asynchronous learning.

Questions before you start filling the form:

1. Have you ever applied for SUSI Student Leaders “Comparative Public Policymaking” program?
If “Yes,” please specify the year for which you applied? If no, please state “No.”

No

2. Have you ever applied for SUSI Student Leaders “Women Leadership” program?
If “Yes,” please specify the year for which you applied? If no, please state “No.”

No

SECTION A: CANDIDATE INFORMATION

A. Current Academic Institution and City Name


Institution and City Name: Buitems. Quetta

B. Candidate’s Full Name, exactly as it appears on passport


Surname (Last Name): imran
Given Names: Muhammad
C. Gender
Male: male
Female:
Non-binary:
Other:
D. Date of Birth (please spell out Month, Day, Year): 5/1/2000
E. City of Birth: Quetta
F. Country of Birth: Pakistan
G. Citizenship:
Primary: primary
Residency:
Secondary, if applicable:

H. Contact information
Street Address: first stop nawa killi Quetta
City: Quetta
State or Province: Balochistan
Postal Code:
Home Country : Pakistan
Phone Number: 03168122975
Alternate Phone Number:
Email: imrankhilji557@gmail.com

I. Emergency Contact
Name and Relationship: yousuf brother
Phone number: 03158041309
Email: NA

J. Medical, Physical, Dietary or other Personal Considerations


This will not affect your selection, but will enable us to make any necessary accommodations.
Please indicate/highlight clearly if you have a disability.
 None✓
 Blind or Visual Impairments
 Learning Disability
 Physical Disability
 Psychiatric Disability
 Systemic Disability
 Other – please specify in detail

K. COVID Vaccination Status


Have you been fully vaccinated against COVID-19? Please specify as Yes or No.
yes
If yes, please answer the questions below.
Which vaccine was used?
sinopham
What was the date of the 2nd dose?
28/7/2021

L. Have you ever traveled to the United States before?

No

M. If you answered “Yes” to the question above, please list trips you have made to the United
States. Include approximate dates and the reason for travel.
Purpose Travel Dates State/City Reason for travel

NA
N. Previous experience in any other country abroad. Please list any and all trips the candidate has
made to countries outside of Pakistan and include approximate dates and the reason for travel.

Purpose Travel Dates State/City Description

NA

O. Family Residing in the United States: Please list any immediate family members (parents and
siblings if unmarried / spouse and children if married) who are currently residing in the United
States, including city and state.
Name Relationship State/City Occupation

NA

SECTION B: CANDIDATE BACKGROUND

P. Education
Current
Please list your Education, Academic and Professional Trainings, including degrees earned and
fields of specialization
Degree Year in Specialization/ City Expected Grade/GPA
School Institution Graduation
Date
Bs Economic, 2022 3.68
Economics 2021 buitems Quetta
Previous

Q. Degree Earned
Scholarship Year Earned Specialization/ City Grade/GPA
Institution

2016 Jinnah grammer high quetta B


matriculation school

FA 2018 FG college Quetta c

Are you currently on or have you ever earned any kind of scholarship (if yes, please provide
details) :
No
R. Work and Volunteer Experience:
social worker
S. Memberships and Associations:
Local
SECTION C: INFORMATION ABOUT FAMILY:
T. Parents

Parent or Name Occupation


Guardian
Father muhammad NA
azam

Mother Bibi hajira NA


Address (if different from yours): Same
Telephone:
Email:
U. Brothers/Sisters

Name Gender Age Occupation

Muhammad anwer male 45 govt employee

muhammad yousuf male 35 police

V. List of siblings/relatives who have attended SUSI or any other US Government funded
exchange program in previous years:

Name Gender Name of the Your relation to Their current


program and them (e.g., Address and
year in which Brother, Sister, Occupation
they attended Cousin etc.)
e.g., SUSI 2016
or UGRAD 2017
etc.)
W. Have you or any of your family relatives (parents and/or siblings) ever applied for immigration
to the U.S.? If yes, which year was the petition filed? Was it approved or it is still in the
process of being approved?

No

Personal Statement: Please structure your essay in paragraphs and limit your response to 250 words,
single-spaced. (Essays that exceed the word limit are penalized in the scoring).

Tell us about yourself and your goals:


 Why do you think your background and/or interests make you competitive for this particular
institute (please be as specific as possible)?
 What will you contribute to the group?
 How do you expect this experience will affect you personally or professionally?

I was passionate since childhood to learn new things that has a valve in my life and also productive
for community. The place where I live people are deprived from basic education and their rights.
Where children strive for education but given limited resources can’t afford to study. Where hardly
student’s find a Library, Books which are essential for learning. I always seek an opportunity to
emphasize on social well being that’s significant requirement for sustainable development in which
Pakistan in general and our area in particular is far behind. Being a student of economics my first
priority is to have a command on my subject and do my degree over the top. I also have keen interest
to do my MS from abroad.

I was passionate since childhood to learn new things that has a valve in my life and also productive for
community. The place where I live people are deprived from basic education and their rights. Where
children strive for education but given limited resources can’t afford to study. Where hardly student’s
find a Library, Books which are essential for learning. I always seek an opportunity to emphasize on
social well being that’s significant requirement for sustainable development in which Pakistan in
general and our area in particular is far behind. Being a student of economics my first priority is to
have a command on my subject and do my degree over the top. I also have keen interest to do my MS
from abroad.
Short answer questions: The short answer questions are an essential part of the selection
process. Please structure your response using paragraphs and limit your response to 150-250 words.

1) Who or what in the society has the power to define a problem, and how?

In my little experience of life I learned whenever you feel or solve a tiny problem of people
you get the satisfaction that no other activity will provide. In such a platform I would be able to
exchange positive norm of my culture and adopts their. In our town we established a committee to
built Library by self help we were helped out by many philanthropist who wanted to Contribute for
well being of humanity. So if you have clear intention the ways will open.

As I know people from different countries and culture will participate. Having opportunity to meet
learn from diverse students and teachers would enable me to understand the world in a different
perspective. I am sure everyone would have different goals which will help to formulized my ones.

2) If you were in a leadership position, how would you address some of the major consequences of
having any outdated policy that might currently be in place in Pakistan?
In our country different race of people live together. Like Sindhi, pashtoons, Balochs and
Punjabi. Everyone perceived their own definition of of a social problem and have distinguish demand
for resources. The best way to avoid such problem is by providing education to whole nation further to
uniform their demands.
The local entities that work under government has outdated structure of operational activities
that’s leads to many social problems. In this case our prime responsibility is updating their functions in
order to work efficiently.
I guess the root cause of social problem is due to deficiencies of individuals in the society often
those who are effected by the problem. Changing and efforts are required by creating awareness
among individuals and modifying their knowledge about basic rights would help to eliminate
deficiencies.

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