EGEP
Asian Center for Women’s Studies
Ewha Womans University
2012 Summer
Application
Ewha Global Empowerment Program
Application Form
Deadline: April 15, 2012
PLEASE TYPE OR PRINT IN ENGLISH.(Page 1/2)
PERSONAL INFORMATION
Surname
Please attach a
most recent
photo.
First name
Enter name exactly as it appears on passports or other official documents.
Address
City
Postal code
Country
Telephone number (day, eve, mobile etc)
Date of birth (dd/mm/yyyy)
Country of birth
E-mail
Alternate e-mail
Country of residence
Nationality
Resident registration # (Passport # for Int'l Student)
In case of emergency, please contact
Name
Relationship with you
Address
E-mail
Phone # (
)
Area Code
Fax # (
Number
)
Area Code
Cell phone # (
Number
)
Area Code
Number
Indicate your knowledge of the languages listed below. Fill in the blanks with other languages you may
know.
ENGLISH
 proficient
 fluent
 reading knowledge only
 speaking knowledge only
KOREAN
 proficient
 fluent
 reading knowledge only
 speaking knowledge only
 proficient
 fluent
 reading knowledge only
 speaking knowledge only
 proficient
 fluent
 reading knowledge only
 speaking knowledge only
*Please note that all lectures, discussions etc. will be held in English. Also, the evaluation essay at the end of the
program will have to be written in English by all participants.
Application Form (Page 2/2)
ACTIVITIES
Professional experience
Organization or institution presently attending
Name
(Mother Tongue)
English
Address
Telephone
Nature of
Organization
Homepage
NGO/NPO/INGO, Academia
Etc(
)
Year Established
Purpose
Established
Brief Description
Position of Applicant
/ Work Period
Nature of Applicant's Work
○
○
○
○
Field of your ○
organization
(Multiple choice) ○
○
○
○
○
Environment
Family
Fund Raising
Gender Mainstreaming
Media
Labor
Migration
Reproduction/Health
Sexuality
VAW(DV, Sexual Violence, Sex trafficking)
○
○
○
○
○
○
○
○
○
(
Welfare
Women Empowerment
Education
Religion
Politics
Policy
Youth
Development
etc.
)
Interesting area
Please check for your area(s) interested. (*multiple choice)
○ Environment
○ Family
○ Fund Raising
○ Gender Mainstreaming
○ Information/Media
○ Labor
○ Migration
○ Reproduction/Health
○ Sexuality
○ VAW
○ Welfare
○ Women Empowerment
○ Education
○ Religion
○ Politics
○ Policy
○ Youth
○ Development
○ etc (
)
Asian Center for Women’s Studies, Ewha Womans University
EwhaYeoDae gil 26, Seodaemun-gu, Seoul 120-750, S.Korea
E) egep@ewha.ac.kr H) http://acws.ewha.ac.kr
Application Form (Page 2/2)
EDUCATION
Highest level of education you have completed
Ineducation Elementary School Middle School High School Bachelor’s Degree Master’s Degree
Doctoral Degree Etc( )
Years attended
Institution
Degree/Major
Country
RECOMMENDATION
Name, phone/fax numbers and e-mail address of individual from whom you are requesting a letter of
recommendation.
Name
Organization
Title
Phone/fax numbers
E-mail
APPLICANT’S SIGNATURE
I certify that all information in my application is my own work, factually true and honestly presented.
Signature
Date
Asian Center for Women’s Studies, Ewha Womans University
EwhaYeoDae gil 26, Seodaemun-gu, Seoul 120-750, S.Korea
E) egep@ewha.ac.kr H) http://acws.ewha.ac.kr