EIL Explore Thailand 2016
APPLICATION FORM
In this pack you will find all the documents you need
to complete your application (A - E)
Print off
Read carefully
Complete
Return to EIL Explore
Deadline: 12 noon, Tues 9th Feb 2016
(A)
THAILAND APPLICATION FORM
Applicant Details
School / College
Name on Passport:
Name:
Address:
Address:
Date of Birth:
Class:
Age on 1st June 2016:
Gender:
Male
Female
*You must be 18 or over on 1st June 2016 to qualify for this award
Have you applied for a “Travel Award’ in previous years? No
Yes
(EIL Explore was previously known as the ‘EIL Travel Awards’) If Yes, which year?:
Nationality:
Email:
Landline:
Mobile:
Do you live with your parents/guardians? No
If yes, please state their current occupations:
Yes
Are you a member of any club or organisation? If yes, please describe at what level
Please give a summary of your previous foreign travel experiences.
*Please note a lack of foreign travel experience will not be seen as a disadvantage.
Please describe your interests or hobbies
Please describe any volunteer or community activity you are/have been involved in.
What motivated you to apply for this award?
How would being awarded this opportunity assist you in achieving your potential in the future?
Terms and Conditions
Entries must include this completed form, a
completed reference form by a responsible nonfamily member and the above essay/project/video.
Deadline:12 noon Tuesday 9th Feb 2016*
A receipt of postage is recommended
Short Listing will take place and interviews will be
conducted prior to final selection.
Each successful applicant must complete all necessary
supplementary application forms as required by EIL
(including parental/guardian permissions if under 18).
Applicants need to demonstrate an appropriate level of
maturity and responsibility in order to participate.
Selected participants shall forfeit their award should they not
be able to fully participate in the programme (eilexplore.ie)
and/or should they be found unfit to travel by a medical
practitioner.
All applicants agree to accept the decision of the EIL
adjudication panel as final.
Shortlisted candidates must be available for interview in
Dublin on Sat 12th March 2016.
Winners will be announced in April 2016.
I confirm that all of the information given above is true to the best of my knowledge and I have read
and fully accept the terms and conditions as outlined above.
Signature: ______________________________ Date: __________________
(B)
‘Why choose me’
Answer these questions, in your chosen format
1. What can you bring to this experience?
2. What you would hope to learn from it?
3. How can this experience benefit your community upon
your return?
Format Options: (CHOOSE ONE)
●
Essay - write not more than 600 words (typed).
●
Video - Create a video/audio not longer than 2 minutes and submit it on a DVD,
or flash drive.
●
Photo/Art - Create a piece of not more than 4 x A4 pages front-to-back, with
a combination of photos, art, drawings, and writing.
Please carefully review past winners' blogs and the 'Tell me more' on our
website for ideas. This is not a competition to judge the academic quality of
your writing/piece. The content of what you say will carry more weight
during selection.
(C)
Reference Form
To be completed by a non-family member
In selecting recipients of an EIL Explore opportunity, we place great importance on maturity and the
potential to survive a challenging experience in another country. We also give greater priority to
volunteer or other community involvement or leadership potential over academic capacity.Please
complete, and return to applicant in a sealed envelope with your signature across the seal.
Applicant Name:
Award:
Please indicate (with an X) on the line which trait corresponds to the applicant. A mark in the middle indicates an
applicant is in between. Remember their is no right or wrong answer.
Immature
______________________________________
Mature
Introvert
______________________________________
Extrovert
Dependant
______________________________________
Independent
Reserved
______________________________________
Open
Passive
______________________________________
Dynamic
Inflexible
______________________________________
Flexible
Weak leadership
______________________________________
Strong leadership
Narrow-minded
______________________________________
Open-minded
Serious
______________________________________
Fun - loving
Unable to cope with difficult
situation
______________________________________
Able to cope with difficult situation
Name 3 areas of strength for applicant:
Name 3 areas needing development for applicant:
a.
a.
b.
b.
c.
c.
Any physical / emotional difficulties the applicant might have that may affect his/her participation on a programme?
This is not intended to exclude anyone, rather to determine how to put appropriate support in place.
Do you have any additional information/remarks that may help this application? Use additional paper if required
Do you recommend this applicant? Do not recommend
Reference Name:
Recommend
Highly recommend
What is your relationship with applicant?
Phone:
Email:
Signature:
Date:
Your Action Project
Part (D) is a very important part of your application. Your Action Project Outline shows how much
you have considered the award and how it could impact you and your community.
For examples of past winners’ Action Projects:
www.ActionProjects.eilexplore.ie
Types of Projects include:
‘Explore’ – a project that looks at similarities and differences, and what we can learn
from other cultures. Take part in daily life and talk with your community on topics like
traditions, celebrations, a typical day or food.
‘Connect’
– a project that links people and communities. If you’re interest in
education, interview a teacher abroad and a teacher in your own community. Maybe
musicians, engineers, sports teams, grandparents, local politicians!
‘Voice’ – a project that allows you take a social issue and be a voice for the people you
have met, and if you think it necessary advocate for change on their behalf.
The Action Project is divided into three distinct stages. Each stage is important.
Stage 1: Before you leave….
- Identify the type of project - (Explore, Connect, or Voice)
- Research a topic - (e.g. food & culture, young people & community, education etc)
- Choose how you will share (e.g. write, photograph, video, artwork, music etc)
Stage 2: During your experience abroad….
- Talk to members of your host community (family, teachers, leaders etc)
- Gather photos, notes, video and artifacts on your chosen topic
- Explore and develop your topic. Review your original plan, even change direction!
Stage 3: On your return home….
-
Share your learning with your local community (family, friends, everyone!)
TIP: If you are shortlisted and invited to interview for the award, we may ask about your
Action Project Outline
For more information, samples and tips check out
www.Tips.eilexplore.ie
(D)
Action Project Outline
(My ideas and the methods I will use)
Applicant’s name: _________________________________
*I have reviewed the website for past Action Project examples and have an
understanding of the different types of projects that are available:
TYPE OF PROJECT (the ‘which’)
The type of project I am interested is….
‘Explore’
‘Connect’
Yes ▢
(Please circle one)
‘Voice’
TOPIC OF INTEREST (the ‘what’ and the ‘why’) – (min 25-50 words)
The topic I am interested in concentrating on is….
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
OUTLINE (the ‘how’, ‘when’ and ‘where’) – (min 100 – 250 words)
I plan on carrying out my Action Project by…. Please use additional page if required
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(E)
Thailand Application – CHECKLIST
Please post together all of the following completed documents to:
EIL EXPLORE, EIL Ireland, 1 Empress Place, Summerhill North, Cork City
☐
☐
A ) Personal Details
B) “Why choose me” – Essay (600 words - typed)
or
- Project (max 4 double-sided A4 pages)
(photos/artwork/written/combination)
or
- Video (Max 2mins - on DVD/flash drive)
☐
C) Reference Form – completed by non-family member
☐
D) Action Project Outline – how you plan to share your experience
with your community if successful
☐
E) This Application Checklist
Your Name: __________________________________
Date of Birth: _________________________________
We recommend:
-
Posting all documents (A – E) together in one envelope
-
Keeping a copy of your application
-
Getting a receipt of postage for your application
-
If shortlisted, reviewing your Action Project Outline prior to interview