EmailMe Form - 2015 International Student Advisor Application

Please Note: This form uses ReCaptcha (TM) technology to keep your information safe and strictly confidential.

Information on our International Business Week Programs can be found at: http://www.wbw.org/reader.aspx?pg=Programs_GDYNIA.htm

CONTACT INFORMATION

Student Name *

First Last

Mailing Address *

Street Address City State / Province / Region Postal / Zip Code Country / Region

Student Home Phone *

### - ### - ####

Student Cell Phone *

### - ### - ####

Student Email *

School name *

Academic grade you will complete in June 2014 *

T-Shirt Size *

Activities

DECA

FBLA

Other

Place of Employment (if unemployed, leave blank)

Supervisor

Supervisor Phone Number

### - ### - ####

PARENT/GUARDIAN INFORMATION

Parent/Guardian Name *

First Last

Parent/Guardian Phone *

### - ### - ####

Parent/Guardian Cell

### - ### - ####

Parent/Guardian Email *

Parent/Guardian Employer

2014 POLAND BUSINESS WEEK CHOICES

City of Boleslawowo, Poland – July 5th – July 13th
(departing July 2nd and returning July 14th)

City of Gdansk, Poland – July 19th – July 27th
(departing July 16th and returning July 28th)

City of Gdynia, Poland – August 16th - August 23rd
(departing August 13th and returning August 24th)

(Mark top two choices in order of preference.)

First Choice *

Boleslawowo

Gdansk

Gdynia

Second Choice *

Boleslawowo

Gdansk

Gdynia

PLEASE COMPLETE THE APPLICATION BELOW

1. CA Recommendation

We require a letter of recommendation from a Company Advisor. Please have the CA mail or email that letter directly to registrar@wbw.org with your name included in the letter. If you need your CA’s contact information, email: registrar@wbw.org or contact Megan Marchand at 253-815-6900.

Date I requested my CA send a letter of recommendation to WBW

MM / DD / YYYY

2. School Advisor/Counselor Recommendation

We require a letter of recommendation from a school advisor or counselor. Please have the counselor email that letter directly to Registrar@wbw.org with your name included in the letter.

Date I requested my school send a letter of recommendation to WBW *

MM / DD / YYYY

2. Three words that describe your "philosphy of life":

One *

Two *

Three *

3. Essay

In 300 words or less, tell us why you want to be a student advisor at International Business Week as well as the skills/talents that you would bring to the team. You may want to tell us:
a. what you expect to learn from participating in this program;
b. why you want to participate in this program;
c. why we should select you to participate in this program;
d. what qualities or characteristics you feel you contribute to a team or group; and/or
e. any leadership experience you have.

Essay
(NOTE - you can also email this essay to shughes@wbw.org.) *

4. Please tell us a little about yourself, such as: What activities and hobbies do you enjoy outside of school? What is your favorite sport? What are your favorite classes? *

5. I am interested in taking these courses in college:
(hold down ctrl key)

6. Who is one person you admire? Why? What does she/he do for living? *

7. List the three careers or jobs that interest you most

One *

Two *

Three *

8. Describe your international travel experience.

Do you have a current passport?

Yes

No

10. Is there anything else you should to tell us?

PAYMENT INFORMATION

A $25 non-refundable deposit is due with your program registration. No additional payment is due until you have been accepted into the program.

Each Student Advisor will need to pay (or raise*) approximately $2,500 - a $1,000 program fee and approximately $1,500 to cover airfare and ground transportation expenses. Corporate and Polish sponsors pay the program & material costs, lodging, and food for Advisors during the week. You may send your $1,000 registration fee with this registration form. Your registration fee is due within two weeks of the date you receive notification that you are accepted into a program unless special arrangements have been made for a payment plan. Failure to pay the fee and turn in required forms may result in cancellation of the registration.

Please check all that apply:

I will pay the $1,000 registration fee within two weeks of receiving notice of acceptance into the program (unless I make special payment arrangements with WBW).

I wish to make arrangements for a payment plan.

REFUND POLICY

• If you must cancel for any reason, please notify us as soon as possible. Cancelation notice must be in writing.
• You should consider getting travel insurance for your airfare and program expenses.
• A refund of the program fee is given if you cancel at least 3 weeks prior to the program.
• $500 will be refunded if you cancel less than 3 weeks prior to the start of the program.

PARENT AND STUDENT ACKNOWLEDGEMENT:

Typing my name below constitutes my acknowledgement.

If accepted, I agree to make a sincere effort to push myself and grow during the Poland Business Week Program.

Student Acknowledgement

First Last

I give my support and express permission for my student to attend Poland Business Week for the program dates indicated above.

Parent Acknowledgement

First Last

Date of Birth *

In order to process your travel plans with our travel agency, we need your date of birth. Please list as dd/mo/yyyy. Thanks.