Counselor Connect

Full Name*

Designation*

School Name & Branch*

City*

Email Address*

Mobile Number*

Describe your counseling background and experience.*

As a counselor, what are your key personal/professional development goals for the next five years?*

How many countries have you visited in the last 5 years?*

As a counselor, do you actively work with students applying to U.S. colleges and universities?*

yes
no
sometimes

What challenges do you face promoting U.S. Higher Education to your Student Body?*

How would your participation in Counselor Connect support your work with students?*

Have you previously attended any counselor tours or summer programs or any international education conference?*

yes
no

If yes, please indicate all tours/conferences you have attended. Include location and date*

How many students were in your last year’s graduating class?*

How many students of last year’s graduating class are attending a university in the United States?*

Please provide supervisor details.*

Please enter Name, Designation & Email Id of the supervisor nominating you for this opportunity. Use the following format:*

Please upload your resume:**

Please upload PDF file under 20MB.

Passport Number*

passport expiry date*

Your passport should be valid through November 2024*

yes
no

Do you have a valid U.S. visa?*

yes
no

Please note that U.S. B1/B2 visa assistance will be provided if you do not have a valid U.S. visa. *Not having a valid U.S. visa will not impact your application.*

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