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 five Orientations at College of the Fenway - Host 1 pair of Showa Students - Attend one of the Kick-off days Saturday, October 4 or October 11 (all day) You can choose which day you want to participate in. - Host 3 visits with your Showa students Visit 1 must happen on a fixed day depending on your Kick-off day. Make sure when you choose your Kick-off day, you are also available on the following days. * Kick-off day: Saturday, October 4 Visit 1: Tuesday, October 7 or Wednesday, October 8 * Kick-off day: Saturday, October 11, Visit 1: Tuesday, October 14 or Wednesday, October 15. - All visits must be completed by Sunday, December 14 Mass Art students: If you are participating on the Haystack trip October 5~9, make sure your schedule works with our dates. Make sure to write neatly. We need to be able to read your handwriting. =============================================================================== =============================================================================== Fall 2008: College Connector APPLICATION Application Deadline: 4pm, Friday, September 19 * Your application cannot be processed until ALL questions are answered. * Please print out, complete, and return this application to the Office of the Dean of Students at your campus. * MassArt students, submit applications to Natalie Vinski, Coordinator of International Education Program. * Emmanuel students, submit applications to Mary Ann Murphy, at Office of the Vice President of Student Affairs, at Administration #208. Name: ______________________________ College: _______________________________ Intended degree & year of graduation: ________________________________________ Academic Major: ___________________________________________________________ Telephone Number: (___)_________________ Cell phone ________________________ Social Security #:____________________@Birthplace: __________________________ 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 and anticipated involvement Colleges of the Fenway campus life (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 dreams are to: _______________________________________________ ________________________________________________________________________ Please read the CCP schedule and time commitments carefully as listed below. * Attend one of five Orientations at the College of the Fenway * Host 1 pair or triad of Showa Students * Choose one of the Kick-off days (Saturday, October 4 or October 11) * Attend one of the Kick-off days. Each day will be from around 10 AM to 7 PM * Host 3 visits with your Showa students * Visit 1 must happen on fixed days depending on your Kick-off day. Make sure when you choose your Kick-off day, you are also available on the following days. ** Kick-off day: Saturday, October 4. Visit 1: Tuesday, October 7 or Wednesday, October 8 ** Kick-off day: Saturday, October 11. Visit 1: Tuesday, October 14 or Wednesday, October 15. * All visits must be completed by Sunday, December 14. Please choose which Kick-off day you prefer to attend. (Please Circle one) - Saturday, October 4, - Saturday, October 11, - Both dates work for me If you are accepted to be a College Connector, you must be available for all required activities and Visits. Can you commit your time to ALL these 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