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Daegu Health College
www.dhc.ac.kr/eng
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REGISTRATION FORM
“AUAP-DHC Global Leadership Program 2015”
August 11-22, 2015
Daegu Health College, Daegu, South Korea
■ BASIC INFORMATION
Last/Family Name
Gender
First Name
Male
Female
Nationality
Birthdate (MM/DD/YYYY)
School, Major, Year
Home Address (City, Province/State, Country)
Email
■ PERSONAL INFORMATION
What are your interests & hobbies, talents & skills?
Food:
Are there any foods you do not eat? Please describe:
Do you have any special dietary needs?
Medical:
Do you have any allergies?
If yes, what types of allergies?
Yes
No
Are you under doctor’s care?
Yes
No
Circle the words that describe you: Outgoing
Athletic
If yes, please explain:
Comical
Talkative
Artistic
Friendly
Easygoing
Positive
Shy
Musical
Other words:
Have you been to South Korea? and Please describe what you expect from this program.
■ OFFICIAL CONTACT PERSON IN YOUR UNIVERSITY/COLLEGE FOR THE EMERGENCY
Name
Position
Email
Telephone (area code-phone number)
Open-minded
Independent
Serious
Quiet
Daegu Health College
www.dhc.ac.kr/eng
Please Print Name :
Signature :
Date :
Noted: Please submit your application form to Ms. Supaporn Chaunghcid, Executive Secretary AUAP
Secretariat on or before April 30, 2015 at email: auapheadquarter1995@gmail.com
Daegu Health College
www.dhc.ac.kr/eng
DAEGU HEALTH COLLEGE 15 Youngsong-ro, Buk-Gu, Daegu, 702-722, South Korea
http://www.dhc.ac.kr/eng
TEL:+82-53-320-1226 FAX:+82-53-320-1218 Email:kyk@dhc.ac.kr
Global Student Leadership 2015
“Meeting the Global Challenge: Creativity, Profession, and Humanity”
Daegu Health College, South Korea
August 11 ~ 22, 2014
PROGRAM DESCRIPTION
Daegu Health College’s Global Student Leadership Program 2015 offers students the opportunity
to undertake a
challenging extra-curricula program for a period of 12 days, from August 11 to 22, 2015. Centered
on the theme
“Meeting the Global Challenge: Creativity, Profession, and Humanity,” the program targets
students who are interested to see their personal growth in inclusive environments and how
student leadership can impact global issues and global change. Lectures and discussions will be
conducted in English and cover topics such as cultural diversity, intercultural communication, and
key problems in global communities. This program will also feature a variety of activities conducted
outside the classroom to engage student leaders in student leadership projects and provide the
opportunity to explore Korean culture. Activities will include an introduction to the Korean pop
dance, cooking contest, volunteering, a group presentation, and field trips. At the closing ceremony
of the program, students are required to do a performance and will receive a certificate for the
completion of the program.
STUDENT RECOMMENDATION
Your university recommends two students who are active, sincere, and responsible for this
program.
PROGRAM FEE
Once participating students take care of their airfare, the rest expenses for the program will be
covered by DHC. It is highly recommended that participants buy insurance before their departure.
ACCOMMODATION
Students will have the experience of living in a dorm setting with a roommate. Each single room
has a toilet, shower
and washbasin. The room is air-conditioned and furnished with two or three beds. Free internet
and laundromat will be
available.
APPLICATION DEADLINE
1. Your university is requested to inform how many students you plan to send by May 1.
(We may need to limit the number of participating students)
2. Send a brief profile of the students such as name, major, and gender (registration form) by May 22.
FOR ADDITIONAL INFORMATION, PLEASE CONTACT:
Kyung-yong Kim, Ph.D.
Director of International Relations
Center
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