Application For 2014 Global Youth Leadership
Summer Camp
Biographical
Please list names as they appear on your official
documentation.
First Name
Middle Name
If you do not have a Middle Name,
please leave blank.
Last Name
Gender
Date of Birth
City of Birth
Nationality
Language
Native Language
Other Languages
Please indicate the level of proficiency.
Language 1
Language 2
Language 3
TOFEL or IELTS Score
Contact
Permanent Address
Mailing Address
Email
Mobile Number
Telephone Number
Education
Institution
Dates Attended
Field(s) of Study
Major
Minor
Current GPA
Experience
Please list your occupational or social experiences including jobs, relevant internships and/or
volunteer services that you have participated. Please indicate the name of employer, location of
employment, tape of work and dates.
Extra Curricular Activities And Achievements
Please list your collegiate activities and achievements, the year(s), leadership positions held, and
a brief explanation, if necessary.
Personal Statement
The statement should be a narrative giving a picture of yourself and your professional plan for
the next five years. Please also indicate how do you understand leadership? (Please do not
exceed 700 English words)
Please include into your application package:
1. a complete Application Form
2. a scanned copy of your most recent transcript
3. a scanned copy of your IELTS or TOFEL score report
4. a digital identification photo
Recommendation I
Recommender's Name
Organization
Position
Mobile Number
Email
Relationship With the Applicant
Academic Ability
□ Excellent
□ Average
□
□ Poor
Good
□
Unable to Observe
Learning Ability
□ Excellent
□
□ Average
□ Poor
Unable to Observe
Good
□
Motivation for Innovating
□ Excellent
□
□ Average
□ Poor
Unable to Observe
Good
□
Practical Ability
□ Excellent
□
□ Average
□ Poor
Unable to Observe
Good
□
Leadership
□ Excellent
□
□ Average
□ Poor
Unable to Observe
Good
□
How would you rate the applicant comparing with the undergraduate students at a similar
stage of study?
□ Excellent
to Observe
□ Good
□ Average
□ Poor
□ Unable
Please give a brief statement of the applicant's special quality, ability, and the potential to be a
global leader, etc. (Please do not exceed 400 English words)
Signature
Date
Recommendation II
Recommender's Name
Organization
Position
Mobile Number
Email
Relationship With the Applicant
Academic Ability
□ Excellent
□
□ Average
□ Poor
Unable to Observe
Good
□
Learning Ability
□ Excellent
□
□ Average
□ Poor
Unable to Observe
Good
□
Motivation for Innovating
□ Excellent
□
□ Average
□ Poor
Unable to Observe
Good
□
Practical Ability
□ Excellent
□
□ Average
□ Poor
Unable to Observe
Good
□
Leadership
□ Excellent
□
□ Average
□ Poor
Unable to Observe
Good
□
How would you rate the applicant comparing with the undergraduate students at a similar
stage of study?
□ Excellent
to Observe
□ Good
□ Average
□ Poor
□ Unable
Please give a brief statement of the applicant's special quality, ability, and the potential to be a
global leader, etc. (Please do not exceed 400 English words)
Signature
Date