Location: LG Electronisc USA (Englewood Cliffs, New Jersey)111 Sylvan Ave, Englewood Cliffs, NJ 07632
2024 Award Ceremony :TBA
Student's First Name *Middle NameStudent's Last Name *Grade *School Name *Parent Name (or/ guardian). Required for the KMSO Award LG Electronisc Building Pass, English Only *Add more-Parent Name (or/ guardian). English OnlyCell Phone(Parent or guardian) *Email Address *Attendance *AttendanceNo/Only mailed certificateif you check “No"if you check “No/only mailed certificate”Type your correct address for mailing certificateWe will send the certificate only to this address.Street Address *Apartment, suite, etcCity *State/Province *ZIP / Postal Code *Country *AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaAustraliaArubaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCabo VerdeCayman IslandsCentral African RepublicChadChileChina, People’s Republic ofChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d’IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrance, MetropolitanFrench GuianaFrench PolynesiaFrench South TerritoriesGabonGambiaGeorgiaGermanyGuernseyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHeard Island And Mcdonald IslandHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJerseyJohnston IslandJordanKazakhstanKenyaKiribatiKorea, Democratic People’s Republic ofKorea, Republic ofKosovoKuwaitKyrgyzstanLao People’s Democratic RepublicLatviaLebanonLesothoLiberiaLiaLiechtensteinLithuaniaLuxembourgMacauNorth MacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontserratMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarReunion IslandRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSaint HelenaSaint Pierre & MiquelonSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and South SandwichSpainSri LankaStateless PersonsSudanSudan, SouthSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwan, Republic of ChinaTajikistanTanzaniaThailandTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks And Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUS Minor Outlying IslandsUnited States of America (USA)UruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis And Futuna IslandsWestern SaharaYemenZambiaZimbabweIMPORTANT NOTICE*IMPORTANT NOTICE* (중요사항)1. Checks will NOT be issued again if they are lost or expired. (분실이나 유효기간이 지난 scholarship check은 재발행 되지 않습니다.)2. If you are not able to attend the Award Ceremony, we can mail ONLY your certificate to you. Your scholarship or gift card will be donated to our chapter for next KMSO 2022.(시상식에 불참하시면 상장만 위에 적어주신 주소로 보내드립니다. 장학금 또는 상품권은 내년 KMSO로 도네이션됩니다.)3. NO substitutes for awardees are allowed in the Award Ceremony.(대리 수상은 불가합니다.)If you have any question, please email us at kmso@kseany.org(궁금하신 점이 있으시면 kmso@kseany.org 로 문의주세요.) [Photo images AGREEMENT]I agree to allow KSENY.org, KMSO and Parents Program to publish, copyright, and use pictures of me and/or my story in print and electronic formats such as publications, videos, and websites that help advance public understanding and development initiatives. I understand that my picture or story may be published in any of these media without restriction. I understand that I will not receive payment or other compensation for use of my story or photos.I agree [Photo images AGREEMENT] *Yes Send Message
if you check “No/only mailed certificate”Type your correct address for mailing certificateWe will send the certificate only to this address.
If you have any question, please email us at kmso@kseany.org(궁금하신 점이 있으시면 kmso@kseany.org 로 문의주세요.)
Thank you.
KMSO 2024