Thank you for your interest in our program!
However, due to the limited number of mentors, we can only accept a few students as of now. By filling out this form, you are automatically going through a screening process to determine your eligibility for the program. We will follow up with an interview (between 20 to 30 minutes via Skype or Google Hangout) conducted by Delta Program Manager.
Your Name *

Your contact information (email/ phone number)

Your age and education level (what grade are you in school?) *

Please tell us a little about yourself. (For example, where are you from? Do you think learning English is important? Why so?)

Please rate your English skill(s) from 1 to 10 (1 is lowest and 10 is highest)




Why are you interested in Delta Success program?

How did you hear about us?

Could you tell us about a person you really admire and look up to? Tell us why. (Please provide the answers between 100 - 200 words) *

Do you have a hobby or something that you are really passionate about? What is it and what makes it interesting? (Please provide the answers between 100 - 200 words) *

What do you want to be when you grow up (It can be your personal goal or professional goal)? (Please provide the answers between 100 - 200 words) *

Please provide us with your school’s academic records (especially English, Maths, Literature, and your overall grade point averages) *

Do you have internet access at home? *

Please share your comfortable level with live-chat software or applications such as Skype, WeChat, or Google hangout *

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