Daegu Health College www.dhc.ac.kr/eng Photo 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