Global Education Program Application Form B
Personal Details
Name
*
First Name
Middle Name
Last Name
Birthdate
*
-
Month
-
Day
Year
Date
Gender
*
Female
Male
Email
*
example@example.com
Phone Number
*
-
Area Code
Phone Number
Location / Country
*
School / College
*
Current Year / Grade in school
*
10 (Sophomore)
11 (Junior)
12 (Senior)
Parent / Guardian 1
*
First Name
Last Name
Parent / Guardian 2
*
First Name
Last Name
Hobbies / Interests
*
0/100
Experience and Leadership
Briefly outline any service experience or community involvement? (e.g. working amongst those less fortunate or in different circumstances)
*
0/100
What have you learnt as a result of these experiences?
*
0/100
Please list any academic or non-academic awards, recognition or accomplishments.
*
0/100
Views and Understanding
Initiate Australia has a Christian foundation, which fosters links with various communities and groups who share both similar and differing views. Whilst applicants do not need to have a personal faith we expect all recipients of the program to uphold our core values and respect our partners. How would you see yourself participating in such work?
*
0/100
If chosen, how do you hope to benefit from the experience?
*
0/100
How do you plan to impact your community into the future?
*
0/100
Response
300-400 words on the following.
Please explain your view and understanding on poverty, charity and development work? Also include why you decided to apply for the GEP and why you believe you should be selected?
*
0/400
Any other information or comments you want to include?
*
0/100
References
Referee 1
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
-
Area Code
Phone Number
Referee 2
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
-
Area Code
Phone Number
Applicant's E-Signature
By signing (typing your full legal name) in the space below, you are certifying that all information is correct and that you are the person completing this application. Once you have submitted you will receive an email confirming that your application has been received. Please print for you records and retain as verification of your application.
E-Signature
*
Submit
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