Engaged Learning + Research Global Citizenship and Sustainability Environmental Community Based Research and Learning Initiative in Thailand PARTICIPANT APPLICATION The Global Citizenship and Sustainability: Environmental Community Based Research Initiative in Thailand seeks to foster engaged research, global learning, student leadership and social responsibility. The trip is intended to foster reciprocal learning, benefiting students, community partners and participants in Thailand, focusing on the Tachin River Basin. Teams of students will experience community based research with the intention of gaining a broader understanding of the complexities of the social issues such as water resource management, flooding, and broader issues of sustainability facing our world. The project that students will work on is focused on understanding community-resilience to flooding. Students will work with Mahidol University students in Thailand and community partners to conduct research to better understand expereinces with flooding and how to build long-term resilience and adapation. Accepted participants are required to enroll in a Fall 2014 pre-departure course (NTRES 4990, Wednesdays 2:30-4:25). The trip will take place in January 2015, for a duration of three weeks during winter break. Housing, meals and in-country travel costs are covered by the program but students are responsible for purchase of airfare (there are funding sources that students can apply for to cover costs). Important Dates: APPLICATIONS DUE: 3/10 (application form, short essays, resume, Transcript and 2 References) INTERVIEWS: Tuesday, 3/18 and Friday 3/21(Sign up when you drop off application) FIRST TEAM MEETING: Friday, May 9 12:00 noon Team meeting (Lunch is provided) INSTRUCTIONS: Type your answers to Part II of the application on a separate sheet of paper and attach with a resume, trasncript and 2 References to this form. Return your application as one PDF file or hard copy to the Associate Director Service-Learning, Amy Kuo Somchanhmavong in the Public Service Center - 100 Barnes Hall (ayk3@cornell.edu). After you return your application, be sure to sign up for interviews. Thank you for your interest in the Thailand program! If you have any questions regarding the program or the application, please e-mail Dr. Shorna Allred, Associate Professor, Natural Resources at srb237@cornell.edu or Amy Kuo Somchanhmavong, Associate Director, Service-Learning at ayk3@cornell.edu or 607-254-8072 200 Barnes Hall Ithaca, NY 14853-1601 t. 607.255.1148 f. 607.255.9550 www.psc.cornell.edu PART I - APPLICANT INFORMATION Name: _____________________________________________________________________________ Local Address: ____________________________________ E-mail _________________________ Permanent Address: ________________________________________________________________ Phone number: _______________________ College: ___________________ Class year ________ Major: ____________________________________________________________________________ Are you a first generation college student? What is your current overall GPA? ________ What is your passport expiration date? ____________________________________ Ethnicity (optional): American Indian/ Alaskan Native Asian/ Pacific Islander Black/ African American Caucasian/ not of Hispanic origin Mexican-American/ Chicano Other Hispanic, please specify ____________________ Other, Not Hispanic origin ____________________ Puerto Rican List your significant extracurricular activities and volunteer experiences on your resume and attach it to this application. PART II - SHORT ANSWERS 1) (300-400 words) Please tell us about your motivations for applying for this program. What do you hope to bring to the program? What do you hope to gain from this and how will it enhance your education? What is your interest in Thailand/Southeast Asia? 2) Select one of your past group experiences and write about what made that group work well, and what challenges you faced as a group and how you overcame them. (200-300 words) 3) Please describe any reaserch experiences, including courses (e.g. statistics, research methods) (200-300). Thailand –Community-Based Research Trip Application -2-