please note - EIL Intercultural Learning

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Travel Awards 2015 - Nomination Form Please print clearly APPLICANT’S DETAILS

NAME AND LOCATION OF CURRENT SCHOOL/COLLEGE/EMPLOYER (if applicable)

Name on passport:

Name: Location:

Address: Have you applied for a Travel Award in a previous year? Date of birth:

Male ☐

Yes ▢

Age on 1 June 2015:

Female

If “Yes” what year?

st

Nationality:

For which Travel Award are you applying? Tick only one.

Describe your current work/study:

If you wish to apply for more than one award you must complete a separate form for each application. *Separate unique application forms for the ACCESS, Global Awareness, Mature Student, Youth Activist, ECTP, Active Retirement & China Travel Awards can also be requested online.

Mobile:

Ecuador (16-18) ▢

E-mail: Do you live with your parent (s)/guardian(s)?

No ▢

Yes

No

Thailand (18+) ▢

Japan (16-18) ▢

Eurocamp (18-25) ▢

Vermont (16-18) ▢

Mexico (18+) ▢

If “Yes”, please state their current occupations: Are you a member of any club or organisation? If yes, please describe your level of involvement.

Please give a summary of your previous foreign travel experiences. *Please note a lack of foreign travel experience will not be seen as a disadvantage.

Please describe any interests or hobbies.

Please describe any volunteer or community service activity you are or have been involved in.

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What motivated you to apply for this award?

To what extent do you think your attitude, your way of thinking and/or your values may change while on the programme?

How do you plan to follow up your experience on your return?

To complete your application you must tell us: 1. What you could bring to this experience? 2. What you would hope to learn from it? 3. How it can benefit your community upon your return? Please answer the above questions equally. You can do this by one of the following formats:

• Write an essay of not more than 700 words. • Create a project of not more than 4 A4 size pages front-to-back or 8 A4 size single pages with a combination of pictures, art, drawings and writing.

• Create a video not longer than 4 minutes and submit it on a CD, DVD or memory stick. Note: Each entry needs to be specific to the country you wish to visit, please read carefully to read the past winners’ blogs for each Award and ‘Top for Applicants’ on our website. This is not a competition to judge the academic quality of your writing. The content of what you say will carry more weight during selection. Terms and Conditions

• Applicants need to demonstrate an appropriate level of reference form by a responsible non-family member and maturity and responsibility in order to participate. the above essay/project/video. Deadline for application • Selected participants shall forfeit their Award should they is 12 noon Tuesday 10 March 2015.* not be able to fully participate in the programme on all the *If you are submitting your hard copy application by post very close to dates as specified including the pre-departure orientation the deadline we require you to: Post original in any An Post in Cork and/or should they be found unfit to travel by a letterbox/office up until Tuesday 10th March 2015 and email a full medical practitioner. scanned copy of the entry to [email protected] before 12 noon Tuesday 10th March 2015. • All applicants agree to accept the decision of the EIL adjudication panel as final. • Shortlisting may take place and interviews will be conducted prior to final selection. • Shortlisted candidates must be available for interview in • Each successful applicant must complete all necessary Dublin on Sat 28 March 2015. supplementary application forms as required by EIL • Winners will be announced in April 2015. (including parental/guardian permissions if under 18). • Entries must include this completed form, a completed th

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Declaration: I confirm that all of the information given above is true to the best of my knowledge and I have read and fully accept the terms and conditions as outlined above. Signature: _____________________________________________

Date: _________________

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Reference'Form'

In selecting recipients of EIL Travel Awards, we place great importance on maturity and the potential to survive a challenging experience in another country. We also give greater priority to volunteer or other community involvement or leadership potential over academic capacity. To help assess the applicant’s suitability, we ask you to complete this reference form. Please complete, sign and return this form to the applicant as soon as possible preferably in a sealed envelope with your signature across the seal. Thank you for your time. Applicant’s name:

Award applied for:

Please indicate (with an X) on the line which trait corresponds most to the applicant. A mark in the middle indicates that the applicant is in between. Remember that there is no right or wrong answer.

Immature Introvert Dependent Reserved Passive Inflexible Unable to cope with difficult situations Narrow-minded Serious Weak leadership qualities

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Mature

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Extrovert

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Independent

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Open

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Dynamic

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Flexible Able to cope with difficult situations Open-minded

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Fun-loving Strong leadership qualities

Name three areas of strength about the applicant:

Name three areas needing development for the applicant:

a.

a.

b.

b.

c.

c.

Do you know of any physical or emotional difficulties the applicant might have that may affect his/her participation on a programme? This question is not intended to exclude anyone, rather it is asked to determine if we can put the appropriate support in place.

Do you have any additional information/remarks that may help this application?

Please mark the appropriate box: ▢ I strongly recommend this applicant

▢ I recommend this applicant

▢ I do not recommend this applicant

Please print clearly Reference Name:

What is your relationship to the applicant?

Reference phone number: Reference e-mail:

How long have you known the applicant?

Signature: _____________________________________________

Date: _________________

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Your Action Project !

As part of your application, we would like you to outline an Action Project you would do if successful. Selected participants must complete an Action Project. This aims to: " Help you to get the most out of your experience – enrich your life " Encourage you to give back – be a Global Citizen Types of Projects include:

‘Explore’ – a project that looks at similarities and differences, and what we can learn from other cultures. Take part and talk with your community on topics like traditions, celebrations, a typical day or food. ‘Connect’ – a project that links people and communities. If you’re interest in education, interview a teacher abroad and a teacher in your own community. Maybe musicians, engineers, sports teams, grandparents, local politicians! ‘Voice’ – a project that allows you take a social issue and be a voice for the people you have met and if you think it necessary advocate for change on their behalf.

The Action Project is divided into three distinct stages. Each stage is important.

Stage 1: Before you leave….

" Design and plan your project " Identify the type of project ! (Explore, Connect, Voice) " Research a topic to focus on when abroad ! (e.g. food & culture, young people & community, role of women in society etc) " Choose how you will share your experience ! (e.g. write, photograph, video, artwork, drama, music etc)

Stage 2: During your experience abroad…. " Talk to members of your host community (family, teachers, leaders etc) " Gather photos, notes, video and artifacts on your chosen topic " Explore and develop your topic. Review your original plan, even change direction!

Stage 3: On your return home…. " Use your experience and your gathered stories/photos etc to share your learning with your local community. " Your audience can be your family, friends, school, place of work, local community, media or anybody you can convince to listen to the story you have to tell.

Note: If you are shortlisted and invited to interview for the Award, we may ask about your outline for your Action Project.

For more information, samples and tips check out

www.eilireland.org/travel-awards/tips-for-applicants Please complete the following page and submit as part of your application 4

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Outline for my Action Project (My ideas and the methods I will use) Applicant’s name: _________________________________ TYPE OF PROJECT (the ‘which’) The type of project I am interested is…. (Please circle one) ‘Explore’

‘Connect’

‘Voice’

TOPIC OF INTEREST (the ‘what’ and the ‘why’) The topic I am interested in concentrating on during my Action Project is….

OUTLINE (the ‘how’, ‘when’ and ‘where’) I plan on carrying out my Action Project by….

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