wb_lex application2011

8/7/2019 WB_LEX Application2011

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YOU Could Travel the World This Summer.Gain a world of experience & build a global vision for social change throughWorld

Bridges. Join us this summer for our Leadership Exchange Program in Ecuador!

World Bridges (www.world-bridges.org ) offers international volunteer experiences and training for youngadults of color from low-income backgrounds. Centered on principles of participatory education and socialjustice, the World Bridges Leadership Exchange Program (LEX) is specifically aimed at those who havelimited or no international travel experience . It integrates volunteer work, leadership development and globallearning with training in cross-cultural cooperation and conscious international travel. World Bridgesprovides up to 75% of program costs , including training, international travel, basic travel insurance, andvolunteer opportunities through our international partner organizations. Program fee in 2011 is $2400.

Participants are responsible for: Participants are responsible for a minimum of 25% of program fees ,personal spending money; obtaining and paying for a passport and any required visas; local transportation tomeetings in the Bay Area; and attendance at all scheduled meetings and events. We provide participantfundraising training and opportunities. In addition, the LEX team is required to attend and help facilitate a year-end event for World Bridges highlighting the LEX experience. This event will be held in the fall in the BayArea (date and time TBA).

Program duration is from May 1- September 1 st. LEX commences with an orientation meeting on Monday,May 2 at 6pm. We meet every other week (evenings and weekends, in consideration of participant schedules)from May through July. From July 29-August 16 (dates subject to change), the entire LEX team will travel toEcuador, one of the most fascinating nations in South America. The international program will involve culturalimmersion, volunteer and/or community work, and ongoing training and team-building. There will some daysset aside for rest and leisure activities.

Application Priority Deadline Monday, April 4nd

2011 (received by midnight). Interviews will be conductedevenings between April 6-15. Participants will be notified of acceptance by April 18.

To be eligible for the program, you must: Be a US citizen or US Permanent Resident Be a young person of color, age 18-30 Be a Bay Area resident through 2012 Be able to attend every program training and meeting Be able to demonstrate financial need Have no or limited international travel experience (exceptions made for applicants able to pay full program fee) Have a strong desire to learn about different cultures & communities at home & abroad

Be very self-motivated & reliable Demonstrate prior involvement in serving a community/volunteer work Be willing and able to share your experience with other organizations & individuals

You can learn more about what we do at www.world-bridges.org

TO APPLY: Complete the application and return it to us so that we receive it by Monday, April 4, 2011 (bymidnight). You can send it by email to [email protected] , or mail it to (or drop it by*) the address below.

1230 Preservation Park Way Oakland, CA 94612 USAph: (510) 451-2995 fax: (510) 451-2996 www.world-bridges.org [email protected]
http://www.world-bridges.org/http://www.world-bridges.org/http://www.world-bridges.org/mailto:[email protected]://www.world-bridges.org/http://www.world-bridges.org/mailto:[email protected]


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World Bridges Application to the Leadership Exchange Program

Priority Deadline: April 4, 2011 (for 2011 LEX program)

Name: _____________________________________________________________ Date of birth: __________________________

Address: _________________________________________________ City, State, Zip:____________________________________

Home phone: _______________________ Work phone:____________________________ Cell:__________________________

Email: ____________________________________ Ethnic background (optional): _______________________________________

Permanent address if different from school/temp address Gender: (optional) __________________________________

(where we can reach you during summer or vacations): ____________ ______________________________________

Birthplace: _______________________________________ Name of your current neighborhood: ____________________

Dependents? ___yes ___no If yes, how many? ______________

Do you have a valid US passport? __no __yes, passport #: ________________. Are you a __U.S. citizen or __permanent

resident?

Emergency Contact

Name: ______________________________________________________ Relationship to you: _____________________________

Day phone:__________________ Eve phone:___________________ Cell: __________________ Email:_____________________

Address: ____________________________________________________ City: ______________ State: _____ Zip: _____________

Can this person also serve as your beneficiary (person who gets money from travel insurance plan should anything happen to you)?__yes __no If no, please provide name of beneficiary, relationship to you and phone #:

__________________________________________________________________________________________________________

1. How did you hear about World Bridges? (please be as specific as possible)

__Friend/relative:/alum (who?)_______________________ __School/Community agency:_________________________

__Brochure/Flyer/Web (please specify where): __Speaker (please specify where):______________________

2. What will be your school/work status from March-November 2011?School: Work:__Enrolled in high school full time __Working full-time __have a job __will need ajob__In GED program __part time __full time __Working part-time __have a job __will need a

job__In Tech/Apprentice program __part time __full time __Wont be working at all__In college __part time __full time (Grad date: __________ )__Currently in grad school __PT __FT (Grad date: _________) __ Other (describe):__Wont be in school

Highest educational degree (and major if college degree):__________________________________________________________ Name of school and/or place of work:__________________________________________________________________________

3. A. Please describe your current schedule. When are you not available because of school, work, church or other regularlyscheduled activities? Activity/ies Hours during the day



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MondaysTuesdaysWednesdaysThursdaysFridaysSaturdaysSundays

b. Do you expect your schedule to change in or after May? __yes __no __maybe If so, how?c. Will you be living in the Bay Area through Dec 2011 ? __yes __no __not sure Dec 2012 ? __yes __no __not sure

4. Describe your work experience . Include your employer, your duties and your dates of employment. (You may attach a resumeinstead of filling out this section.)

5. In order to better understand your financial situation, please tell us if you:have current outstanding loans? $ ______________(total you owe)receive any grant money? $ ______________(total)have current tuition fees? $______________ per year pay your own rent? $ per monthare claimed as a dependent on your parents tax form?must pay for childcare? $______________ per monthreceive any government assistance? $______________ per month

If yes, what type of assistance?:________________________________________ have any other savings? $______________(total in savings)have a current salary? $ per monthhave any other regular income? $ per____________

6. What are your average monthly expenses? (please provide approx. breakdown of $ spent on rent, food, tuition, etc. eachmonth)

7. In your own words, tell us why you would qualify for financial assistance based on your familys and your owncircumstances, financial or otherwise:

8. What special interests, skills or hobbies do you have? Please also list any other extra-curricular activities.



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9. List any foreign languages that you speak, followed by your level of proficiency from 1-4 (1= basic, 2 = intermediate, 3 =advanced, 4= fluent).

10. Have you ever lived or traveled in another country? If yes, please describe where, when, with whom, how long, and for what purpose.

11. Describe any situations in which you worked as part of a team. What kind of team/group was it and how would you describeyour role in being a team player?

12. a. List any volunteer or leadership experiences you have had with community agencies, churches, clubs, school groups,camps, youth programs, etc. (you can skip this question if listed on an attached resume)

b. Please describe in what ways you have gotten involved to better your community or school. What motivated you to getinvolved and what did you learn from these experiences?

13. In your own words, describe one or more problems/issues that affect you and your community, and what you see as theroot causes underlying these issues. (Please limit your answer to 1-2 paragraphs)



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14. List 3 references we can call. At least 2 references must be over 24 years old. Only one reference may be a family or peer/friend.

Name Relationship to you Phone E-mail1.

2.

3.

15. If admitted, participation in the program will involve some level of fundraising to meet program costs, including at least onefundraising event and writing letters appealing for support to your family and friends. Briefly describe the following:a) list any previous experiences in fundraising, if any:

b) how much financial support do you think you would be able to receive from family and friends?

16. On a separate piece (or pieces) of paper, please answer the following questions. As this is an important part of your application, spend some time preparing your answer. There is no right or wrong way to do this; just be thoughtful and honest.Please try to limit your answers to a total of 1-2 pages. You may type or hand-write your answers.

a) Tell us why you want to be part of World Bridges. What impact do you hope this experience will have on you and your future goals or work?

b) Describe a meaningful cross-cultural experience which you have had that involved someone from another culture or ethnicity. This could be someone from another country, or simply someone who comes from a different background or life-experience than yours. What did you learn from the experience?

c) Define what social justice means to you.d) Describe a time that you proactively addressed some form of injustice. How does working for social change in whatever

capacity, fit into your life now and in your future? e) What support (emotional, financial, caring for your pet or apartment, etc.) do you expect to receive from family, friends,

work, or community to participate in this program? Please be as specific as possible.

I declare that the above information is true and accurate to the best of my knowledge. (type your name in italics if in emailform)

Signature: ____________________________________________________________ Date: ________________

Application checklist Your completed application must contain:__4-page application form (4 pages)

__1-2 written pages answering question #15

APPLICATION DEADLINE: Monday, April 4, 2011



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(must be received by midnight)

Mail to: World Bridges, 1230 Preservation Park Way Oakland, CA 94612Or email to: [email protected]

Telephone #: 510-451-2995 Fax #: 510-451-2996

mailto:[email protected]:[email protected]

wb_lex application2011

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