student application form for orange river
DESCRIPTION
If you are a student interested in applying to participate in this opportunity, please fill this out.TRANSCRIPT
Global Experience Program Application (South Africa)
Orange River and Cape TownMarch 4 to 21, 2010
Student Name: __________________________________________________________________________________________________
First Name Family Name Preferred Name
Date of Birth: _______________________________________________ Age:____________ _______Grade: ____________
Day/Month/Year
Address: _________________________________________________________________________________________________________
Boarder Day Girl
Parents’ Names:
Mother: _________________________________Father:
Guardian’s Name (if boarder): __________________________________________________
List five adjectives that describe you: _________________________________________________________
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What are your favourite subjects? ____________________________________________________________
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Do you belong to any clubs or sports teams? _________________________________________________
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Leadership experience (inside or outside of Havergal): ________________________________________
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Community outreach experience (inside or outside of Havergal):__________________________________________
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Activities you enjoy: __________________________________________________________________________________________
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1) Please use the space below to explain what motivated you to apply for the Global Experience Program. What do you hope to gain or learn from this opportunity?
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a) What experience do you have in working with children?
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b) What did you gain from these experiences?
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2) How will you be a good ambassador for Havergal College while in South Africa? What is the role of an ambassador?
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3) Please describe any previous international travel experience you may have had. What have you found meaningful about travelling?
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4) How flexible and adaptable are you in a foreign environment? Please provide a specific example.
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5) What challenges do you think you may have to face on this experience?
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7) How will you prepare yourself for this experience?
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8) In your opinion, why should you be chosen for this opportunity?
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Student signature: ________________________________________________________ Date: ___________________________
I support my daughter's application and understand that her participation in the Global Experience Program involves my daughter being billeted with the family of St. Cyprian’s School. I also understand that this application represents a commitment to the program. We will not withdraw from the program if my daughter is selected, unless exceptional circumstances arise and we have permission from the Principal.
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