The College Connection Program An International Exchange between the College of the Fenway and Showa Boston Institute Thank you for applying for the College Connection Program. Before you complete the application, please make sure you have read the Basic Information and understand the program. The following is a brief summary of CCP activities - Attend one of three Orientations at College of the Fenway. - Host 1 triad of Showa Students - Attend the Kick-off day on Saturday, October 9 - Host 4 visits with your Showa students >> Visit 1 (Classroom visit) must happen on a fixed day: * Visit 1: Tuesday, October 26 or Wednesday, October 27 or Thursday, October 28 - All visits must be completed by Sunday, January 30. * Mass Art students: If you are participating in the Haystack trip October 3-7, make sure you attend the orientation session before the trip. Make sure to write neatly. We need to be able to read your handwriting. Attention: Showa will only notify the applicants who are selectedB If you donft receive a telephone or e-mail notification from Showa, by Thursday, September 30, we have selected someone else for the College Connection Program. Fall 2010: College Connector APPLICATION Application Deadline: 4pm, Wednesday, September 22 >> Your application cannot be processed until ALL questions are answered. >> MassArt students, submit applications to Elizabeth DiCicco, Director, Student Activities and Programs >> Emmanuel students, submit applications to Mary Ann Murphy, at Office of the Vice President of Student Affairs, at Administration #208. >> WIT students, submit applications to Jesse Correia, at the Student Affairs office >> For other schools, please complete and return this application to the Office of the Dean of Students at your campus. ====================================================== Name: ________________________________ College: Intended degree & year of graduation: ________________________________________ Academic Major: ___________________________________________________________ Cell phone ________________________ E-mail: How often do you check e-mail? ______________ Current Mailing Address:____________________________________________________ _______________________________________________________________________ Permanent Mailing Address: _________________________________________________ _______________________________________________________________________ Are you registered at the College of the Fenway as An American student: Yes_____ No____ OR as an international/foreign student? Yes_____ No____ [If you study in the USA on an F-1 VISA, and an I-20, you are an ginternational studenth.] What is your country of birth? ______________________________________________ Country (-ies) of citizenship/Permanent Residency ____________________________ Have you been a College Connector for Showa before? Yes_____ No_____ If gyesh, how many times were you a Showa College Connector? ____________________________ How did you learn about CCP? _____________________________________________ _______________________________________________________________________ Provide the names, titles, and phone numbers for 2 local references. _______________________________________________________________________ _______________________________________________________________________ Describe your current or anticipated involvement in extracurricular college activituies (SGA, Clubs, Sports, activities, service learning, RA, etc.) Describe any international/intercultural travel or living experiences you have had. _______________________________________________________________________ _______________________________________________________________________ How would your friends describe your personality? _________________________ _______________________________________________________________________ Briefly outline your work history (paid and volunteer). _____________________ ________________________________________________________________________ ________________________________________________________________________ My future aspirations: __________________________________________________ ________________________________________________________________________ Please read the CCP schedule and time commitments carefully as listed below. * Attend one of four Orientations at the College of the Fenway. * Host 1 triad of Showa Students * Attend the Kick-off day on Saturday, October 9. Kick-off day will be from around 10 AM to 7 PM * Host 4 visits with your Showa students *You will need to choose one the following days to have your visit 1. Tuesday, October 26, Wednesday October 27, or Thursday October 28. * All visits must be completed by Sunday, January 30 If you are accepted to be a College Connector, you must be available for all required activities and visits. Can you commit ALL dates/ activities/visits? _____ YES or _____ YES, except _________________________ _____ NO I attest that I am an U.S. citizen/permanent resident, and that all of the above information is true. __________________________________ ______________________________ Applicantfs Signature Date of application ====================================================== Attention: Showa will only notify the applicants who are selected. If you donft receive a telephone or e-mail notification from Showa, by Thursday, September 30, we have selected someone else for the College Connection Program. ======================================================