Apply for Project AHEAD 2017

Please fill out the form below and click Submit to submit your application for consideration. Fields with an asterisk (*) are required.

Summary
Title:Project AHEAD 2017
ID:1008
Department:Development
Contact Information
* First Name:
Middle Initial:
* Last Name:
* Address:
Optional Line:
* City:
* State (e.g. NY):
* Zip Code:
* Phone (xxx) xxx-xxxx:
* Email:
Attachments
* Personal Statement:
  - or Upload from:
 
Please attach a statement in which you describe why you want to be considered for Project AHEAD and what you can contribute to the program. You may draw on information about yourself, your career goals and aspirations, and any experience with and knowledge of the Asian American community. The statement should not exceed two pages. Must be submitted as a Word document.
Recommendation Contact 2018
One letter of recommendation is required from all applicants. A letter may be from a former or current employer, undergraduate professor or teaching assistant. Please complete recommender information below:
* Full Name:
* Email:
Project AHEAD information 2018
Personal Information
* High School:
* City, State:
* Date of Graduation:
* GPA/4.0 scale:
* College Attending:
* City, State:
* Date of Graduation:
* GPA/4.0 scale:
* Major, Area of Study:
* Career Plan:
*

*Language Skills. List up to three.

Language
Speak
Basic Proficiency   Working Proficiency   Full Professional Proficiency   Native Bilingual Proficiency
Read
Basic Proficiency   Working Proficiency   Full Professional Proficiency   Native Bilingual Proficiency
Write
Basic Proficiency   Working Proficiency   Full Professional Proficiency   Native Bilingual Proficiency
Language
Speak
Basic Proficiency   Working Proficiency   Full Professional Proficiency   Native Bilingual Proficiency
Read
Basic Proficiency   Working Proficiency   Full Professional Proficiency   Native Bilingual Proficiency
Write
Basic Proficiency   Working Proficiency   Full Professional Proficiency   Native Bilingual Proficiency
Language
Speak
Basic Proficiency   Working Proficiency   Full Professional Proficiency   Native Bilingual Proficiency
Read
Basic Proficiency   Working Proficiency   Full Professional Proficiency   Native Bilingual Proficiency
Write
Basic Proficiency   Working Proficiency   Full Professional Proficiency   Native Bilingual Proficiency

Family Information Parent/Guardian 1
* First Name:
* Last Name:
* Occupation:
* Highest level of education completed:
* Place of Birth:
* Years in U.S.:
*
 

Parent/Guardian 2
* First Name:
* Last Name:
* Occupation:
* Highest level of education completed:
* Place of Birth:
* Years in U.S.:
*
 


Other Information
*Health Career Interest (Rank as many as applicable)
Other:

*Extracurricular Activities and Community Involvement (List up to five, in order of importance to you.)
Dates Hours Per Week
Program/Organizations City, State
Roles and Activities
Dates Hours Per Week
Program/Organizations City, State
Roles and Activities
Dates Hours Per Week
Program/Organizations City, State
Roles and Activities
Dates Hours Per Week
Program/Organizations City, State
Roles and Activities
Dates Hours Per Week
Program/Organizations City, State
Roles and Activities

* How did you hear about Project AHEAD?

* Have you previously applied to Project AHEAD?
Yes   No
If yes, what year?:



Confirmation of Consent
By signing below, I acknowledge that participation in the entirety of the program is expected and required of all Project AHEAD interns. In the event my application is selected, I will accept an internship offer only if I am able to participate in the full nine weeks of the program.

* Signature:
* Date:

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