2010 HCSLP Application Form - Harvard University
2010 HCSLP Application Form - Harvard University 2010 HCSLP Application Form - Harvard University
2010 HARVARD CHINA SERVICE-LEARNING APPLICATION FORM Deadline: October 9 th , 2009 Name: ______________________________________________________________________________ Campus Address, Including House: ____________________________________________________________________________________ Permanent Address: ____________________________________________________________________________________ Which Harvard School are you enrolled in?______________________________________________ Degree Program: ____________________________________________________________________ Graduation Year: ____________ Phone: _________________________________ Fax: ________________________________________ E-mail: _________________________________Harvard ID: _________________________________ Age: _________ Citizenship: _________________________________ Have you ever been to Greater China before? If so, mention purpose/year(s)/duration: _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ Do you have experience volunteering? Please explain below: _____________________________________________________________________________________ _____________________________________________________________________________________ Do you have international travel experience? Please explain below: _____________________________________________________________________________________ _____________________________________________________________________________________ 1. Why are you interested in a service-learning program in China? Please elaborate in your cover letter. ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________ 2. Language fluency. Page 2 of 3
a. Please rate your spoken fluency in Chinese (Mandarin). 0=No spoken language skills, 5=Completely fluent __________________________________________________________________________ __________________________________________________________________________ b. Please rate your written Chinese language skills. 0=No writing ability, 5=Fluent writing ability ________________________________________________________________________ __ __________________________________________________________________________ 3. Please list any additional relevant skills and talents (musical, athletic, technical), including knowledge of other languages: ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ _____________________ 4. Additional application materials required: a. Cover Letter b. Harvard University transcript (unofficial) c. Resume (1 page only) d. *Letter of recommendation (from resident dean, professor or former employer) e. $1,500 program fee (only required upon acceptance into program) *Please have the sealed letter of recommendation sent directly to Jamie Romine at the address below. Please return this form and accompanying materials to Jamie Romine, Harvard China Fund Administrative Assistant by OCTOBER 9, 2009. You may submit your application via email to jamie_romine@harvard.edu or by mail. Harvard China Fund CGIS South Building, Room S124 1730 Cambridge Street Cambridge, MA 02138 USA Tel: 617.496.1587 / Fax: 617.495.9976 jamie_romine@harvard.edu http://www.fas.harvard.edu/hcf Applicant Signature: _______________________________________________________________ Date: ____________________________________________________________________________ __ Page 3 of 3
<strong>2010</strong> HARVARD CHINA SERVICE-LEARNING APPLICATION FORM<br />
Deadline: October 9 th , 2009<br />
Name: ______________________________________________________________________________<br />
Campus Address, Including House:<br />
____________________________________________________________________________________<br />
Permanent Address:<br />
____________________________________________________________________________________<br />
Which <strong>Harvard</strong> School are you enrolled in?______________________________________________<br />
Degree Program: ____________________________________________________________________<br />
Graduation Year: ____________<br />
Phone: _________________________________ Fax: ________________________________________<br />
E-mail: _________________________________<strong>Harvard</strong> ID: _________________________________<br />
Age: _________ Citizenship: _________________________________<br />
Have you ever been to Greater China before? If so, mention purpose/year(s)/duration:<br />
_____________________________________________________________________________________<br />
_____________________________________________________________________________________<br />
_____________________________________________________________________________________<br />
Do you have experience volunteering? Please explain below:<br />
_____________________________________________________________________________________<br />
_____________________________________________________________________________________<br />
Do you have international travel experience? Please explain below:<br />
_____________________________________________________________________________________<br />
_____________________________________________________________________________________<br />
1. Why are you interested in a service-learning program in China? Please elaborate in your<br />
cover letter.<br />
____________________________________________________________________________<br />
____________________________________________________________________________<br />
____________________________________________________________________________<br />
____________________________________________________________________________<br />
____________________________<br />
2. Language fluency.<br />
Page 2 of 3
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