BERKELEY BUSINESS ACADEMY FOR YOUTH
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- Colin Wiggins
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1 SEEKING... A motivated 9 th to 11 th grade student with a strong interest in business and American culture Stellar high school academic performance and decent English language proficiency College-bound, talented youth with future ambitions to enter elite business schools CREATIVITY INNOVATION TO APPLY... BBAY application form English academic transcript (2 years) Essay: What do you hope to accomplish during the program? Resume (including extracurricular activities, honors, and awards) Teacher recommendation forms (2) Skype interview TOEFL / IELTS score, if available Valid Passport copy Application fee, US $100 Deadline: April 15, 2013 Program Fee: US $ 7,350 including-- program courses, room & board, group transportation, tutors & counselors, insurance, and cultural events not including-- int l flights, personal expenses LEADERSHIP COLLABORATION BERKELEY BUSINESS ACADEMY FOR YOUTH JUNE 27 - JULY 18, 2013
2 I HAVE AN IDEA... own an NBA team? start a 2 TAOBAO ebusiness? nd open a coffee shop? build a kindergarten franchise? But HOW? IF you have dreamt of turning your idea into something more than just thoughts in your head, then you cannot miss out on this exciting program tailored for young entrepreneurs by the prestigious UC Berkeley Haas School of Business. HAAS SCHOOL OF BUSINESS One of the top ten business schools in the U.S., this is the place where ideas turn into reality. For more than a century, Haas has produced top-level executives, people who have impacted the community around them and shaped the landscape of Silicon Valley, rendering it the ideal place to nurture young entrepreneurial interest. THE UC BERKELEY BUSINESS ACADEMY FOR YOUTH TOP NOTCH AMERICAN EDUCATION interactive and project-based; the Haas introductory business curriculum is taught by distinguished Haas faculty, graduate and undergraduate students, and renowned guest speakers HANDS-ON PROJECTS guided development of an original idea through learning and experiencing the process of developing, marketing, and running a real-world business case PRACTICAL EXPERIENCE hones communication skill through creating and developing business presentations WE CAN GIVE YOU THE TOOLS TO MAKE IT HAPPEN! financial accounting business principles marketing entrepreneurship corporate social responsibility In this intensive and stimulating 2.5 week program- students are introduced to fundamental principles of business and are challenged to think outside the box through creating and developing an original business idea. Students have the unique opportunity to collaborate with American peers in the program, exchanging ideas and creating meaningful friendships that allow for a rewarding summer experience. Upon completion of the program, students will receive a certificate from Haas School of Business. computer skills a l l i n o n e... a t BBAY teamwork INTERNATIONAL EXCHANGE interact and exchange ideas with American students, cultivating a global perspective and building network connections PERSONAL GUIDANCE a 5:1 student to peer leader ratio and experienced residential counselors SILICON VALLEY ADVANTAGE gain business insights from guest speakers and from industry field trips to the hot-bed of hi-tech startup companies FULL PACKAGE SERVICE dorm living + campus dining + residential counselors + cultural / travel activites + more = safe, exciting, and fun! JUNE 27 - JULY 18
3 SUMMER 2013 PROGRAM AT A GLANCE ABOUT HAAS ABOUT BERKELEY
4 THE PROGRAM WHERE IS UC BERKELEY?
5 PROGRAM COURSES PROGRAM GOALS
6 SCHEDULE OVERVIEW OTHER ACTIVITES
7 CONTACT APPLY MISCELLANEOUS
8 SUMMER 2013 IMPORTANT DATES & TUITION PAYMENT *
9 SUMMER 2013 APPLICATION CHECKLIST ( )
10 Berkeley Business Academy for Youth Registration Form Please Print Legibly Participant OFFICE USE ONLY Receptionist Initials (M) Initial Birthdate: MM/DD/YYYY Date Received Child s Name: Last Address: School: Street First Is this your child s first time attending Cal Youth Programs? Will your child know other friends/classmates on the first day? Child s T-shirt size (check one): Youth Sizes YS Adult Sizes AS Critical Contacts City State Zip male Entering Grade: Age: Sex: Yes No WILL know others Probably WON T know others YM YL AM AL AXL female Not sure Data Entered Confirmation Sent Treat & Transport Copies Made Waiver s Parent/Guardian #1: Last First ( ) ( ) ( ) Rostered Day Phone Evening Phone Cell Phone Address: Yes, you may use my address to send me current and future program information. Yes, you may include my contact information on the carpool list. Please send confirmation by mail instead of Parent/Guardian #2: Last First ( ) ( ) ( ) Day Phone Evening Phone Cell Phone Address: Yes, you may use my address to send me current and future program information. Yes, you may include my contact information on the carpool list. Local Emergency Contact: different from #1 & #2 above Last First ( ) ( ) ( ) Day Phone Evening Phone Cell Phone Health History The information you provide here will be held in the strictest confidence. It will be kept on file in our health binder, carried by the directors. This information will be shared with other key staff only on a "need-to-know" basis. Because this is our first resource in the event of an emergency, it is important that you be as specific as possible. Child s Doctor s Name Doctor s Phone Medical Insurance Information: Company Policy # Exp Date: MM/DD/YYYY Policy Holder s Name: Last First How did you hear about B-BAY? 2 B-Bay is presented by the Center for Young Entrepreneurs at Haas (YEAH)
11 Berkeley Business Academy for Youth Registration Form Allergies (including food allergies) Yes No If yes, please describe the severity of the reaction, requested accommodations and what is done to manage them. You may serve my child food and beverages: Yes No Medical, Physical, or Emotional Conditions (including Disabilities) Yes No If yes, please provide information to assist us in providing the best experience for your child. Medications (including Inhalers) Yes No If your child must take medication while at the Business Academy, please note that here. All medications must be in their original containers and be appropriately labeled. We must have a MEDICATION FORM detailing the medications, doses, and administration instructions for all prescription medications. Please do not give your child s medication to them to bring to the Academy; medications must be received and held by the Academy office or with the Academy director. Immunizations Is your child up-to-date on all state-required immunizations? Yes No If No, please explain What have we forgotten to ask? Please provide any other information about your child s health, which has not been asked, on this form. 3 B-Bay is presented by the Center for Young Entrepreneurs at Haas (YEAH)
12 Berkeley Business Academy for Youth Registration Form Childcare Berkeley Business Academy for Youth offers extended day care from 8:00 9:00 am and 4:00-5:00 pm during the two week Academy. The cost of extended day care is $20.00 per day. This fee is in addition to the $1000 registration fee and must be paid in advance. Yes No Before /After Session Activities Indicate the student s top 3 preferences from the following choices, with 1 being first choice. Card Games Chess/Checkers Dodgeball Frisbee Four Square Basketball Table Tennis Hop Scotch Friends & Preferred Groupings: (Groupings may not be possible for all students; you may only request 2 additional children to be in your child s group/cohort). IF POSSIBLE, group my child with: 1. Last First 2. Last First 4 B-Bay is presented by the Center for Young Entrepreneurs at Haas (YEAH)
13 Berkeley Business Academy for Youth Registration Form Child s Name: Last First Initial Checkout Sign-Out Plan: My child should be kept in session in the designated checkout area until an authorized person signs him/her out. "Critical Contacts" previously listed are automatically authorized to sign out. List additional authorized sign out people below. Subsequent additions and deletions to this list must be made in writing by parent/guardian. PRINT CLEARLY. Last First Driver s Lic/State Last First Driver s Lic/State Check Photo Identification Yes I want photo ID checked DAILY for the person signing out my child (must be on sign-out plan). No Photo ID does NOT need to be checked for the person signing out my child. Do Not Release To: My child should NEVER be released to: Last Payment and Fees Cash: Must sign up in person. Do NOT send cash through the mail. Checks: All checks must be made payable to UC Regents. Credit Card: We accept Visa, MasterCard and Discover (not accepted online). First Credit Card #: VISA, MC OR DISCOVER Expiration Date: MM/DD/YYYY Print Name as shown on card Authorized Signature: 5 B-Bay is presented by the Center for Young Entrepreneurs at Haas (YEAH)
14 Berkeley Business Academy for Youth Registration Form Authorization to Consent to Treatment of Minor (I) (We), the undersigned parent(s)/guardian(s) of, a minor, do hereby authorize the University of California, Berkeley Health Services or attending medical personnel as agent(s) for the undersigned to consent to any X-ray examinations, anesthetic, medical or surgical diagnosis or treatment, or hospital care which is deemed advisable by, and is to be rendered under the general or special supervision of, any physician and/or surgeon licensed under the provisions of the Medical Practices Act, California Business and Professions Code 2000 et. seq.; or any X-ray examination, anesthetic, dental or surgical diagnosis or treatment, or hospital care which is deemed advisable by, and is to be rendered under the general or special supervision of, any dentist licensed under the provisions of the Dental Practices Act, California Business and Professions Code 1600 et. seq. It is understood that this authorization is given in advance of any specific diagnosis, treatment or hospital care to provide authority and power on the part of our aforesaid agent(s) to give specific consent to any and all such diagnosis, treatment or hospital care which aforementioned physician or dentist, in the exercise of his/her best judgment, may deem advisable. This authorization is given pursuant to the provisions of California Family Code (I) (We) hereby authorize any hospital, which has provided treatment to the above-named minor pursuant to the provisions of California Family Code 6910, to surrender physical custody of such minor to (my) (our) above-named agent(s) upon the completion of treatment. This authorization is given pursuant to California Health and Safety Code 1283 These authorizations shall remain effective until December 31, 2013, unless sooner revoked in writing delivered to said agent(s). X Signature of Parent/Guardian of Minor Date Participant Agreement This health history is correct so far as I know, and my son/daughter has permission to engage in all prescribed activities, except as noted by me. My son/daughter is in good health. I understand that I am required to have accidental medical coverage for the child listed on this application, and I verify that the information provided on this form is accurate and true. I understand and agree that if I do not have accidental medical coverage for the child listed on this application, I will be financially responsible for all charges and fees incurred in the rendering of said treatment I understand that at the discretion of program supervisor and/or staff my child may be dismissed from the program, without refund, for inappropriate behavior. I understand that at the conclusion of the scheduled program time, UC Berkeley Business Academy staff are no longer responsible for my child if he/she is signed up for the "leave-on-your-own" plan. I also understand that I will be charged $1/minute for late pick-ups if my child is signed up for the "sign-out" plan. I give permission to use, reprint, and produce any photographs or videos taken of me or my child and written materials supplied by me or my child in the form of evaluations during the Business Academy program. I understand that such material will be used for university marketing purposes only. X Signature of Parent/Guardian of Minor Date Refund Policy No refunds, exchanges, transfers, or credits given unless the Haas facility is closed due to unforeseen circumstances. A written request for a refund must be received in the Enrollment Office no less than thirty days prior to the first day of the Academy to qualify. Refunds are assessed a fee of $50 per child per transaction*. Request for a refund in cases of illness or injury are considered with a doctor s note and letter requesting the exception**. No medical request will be considered after the first day of the Academy. The Academy is not prorated nor session dates individualized, and participant substitutions are not allowed. *If less than 30 days **$50 Fee still applies X Signature of Parent/Guardian of Minor Date 6 B-Bay is presented by the Center for Young Entrepreneurs at Haas (YEAH)
15 University of California, Berkeley Multi-Media Consent Form The undersigned does hereby authorize THE REGENTS OF THE UNIVERSITY OF CALIFORNIA Center for the Young Entrepreneurs at Haas and/or their associates, assistants, or subcontractors to photograph/film. Participant s Name (please print) The undersigned authorizes the Center for Young Entrepreneurs at Haas and The Regents of the University of California to permit the use and display of said photographs in any publication, multimedia production, display, advertisement or World-Wide Web Publication for the Berkeley Business Academy for Youth or its constituent departments. The undersigned agrees that the Center for Young Entrepreneurs at Haas and the Regents of The University of California may use name, likeness, or biographical information supplied by the undersigned. The undersigned releases and forever discharges the Center for Young Entrepreneurs at Haas and The Regents of the University of California, their agents, officers and employees from any and all claims and demands arising out of or in connection with the use of said photographs / images, including but not limited to, any claims for invasion of privacy or defamation. Accepted and Agreed: Signature of Subject Date Signature of Witness Date Do Not Accept: Signature of Subject Date Signature of Witness Date 7 B-Bay is presented by the Center for Young Entrepreneurs at Haas (YEAH)
16 Waiver of Liability University of California Berkeley Participant's name: UNIVERSITY OF CALIFORNIA, Waiver of Liability, Assumption of Risk, and Indemnity Agreement Waiver: In consideration of being permitted to participate in any way in hereinafter called "The Activity", I, for myself, my heirs, personal representatives or assigns, do hereby release, waive, discharge, and covenant not to sue The Regents of the University of California, its officers, employees, and agents from liability from any and all claims including the negligence of The Regents of the University of California, its officers, employees and agents, resulting in personal injury, accidents or illnesses (including death), and property loss arising from, but not limited to, participation in The Activity. Signature of Parent/Guardian of Minor Date Signature of Participant Date Assumption of Risks: Participation in The Activity carries with it certain inherent risks that cannot be eliminated regardless of the care taken to avoid injuries. The specific risks vary from one activity to another, but the risks range from 1) minor injuries such as scratches, bruises, and sprains 2) major injuries such as eye injury or loss of sight, joint or back injuries, heart attacks, and concussions to 3) catastrophic injuries including paralysis and death. I have read the previous paragraphs and I know, understand, and appreciate these and other risks that are inherent in The Activity. I hereby assert that my participation is voluntary and that I knowingly assume all such risks. Indemnification and Hold Harmless: I also agree to INDEMNIFY AND HOLD The Regents of the University of California HARMLESS from any and all claims, actions, suits, procedures, costs, expenses, damages and liabilities, including attorney s fees brought as a result of my involvement in The Activity and to reimburse them for any such expenses incurred. Severability: The undersigned further expressly agrees that the foregoing waiver and assumption of risks agreement is intended to be as broad and inclusive as is permitted by the law of the State of California and that if any portion thereof is held invalid, it is agreed that the balance shall, notwithstanding, continue in full legal force and effect. Acknowledgment of Understanding: I have read this waiver of liability, assumption of risk, and indemnity agreement, fully understand its terms, and understand that I am giving up substantial rights, including my right to sue. I acknowledge that I am signing the agreement freely and voluntarily, and intend by my signature to be a complete and unconditional release of all liability to the greatest extent allowed by law. Signature of Parent/Guardian of Minor Date Signature of Participant Date Waiver 3/09 8 B-Bay is presented by the Center for Young Entrepreneurs at Haas (YEAH)
17 SUMMER 2013 TEACHER RECOMMENDATION FORM Excellent Good Fair Poor No Basis Leadership Skill Academic integrity Participation English Ability Problem-Solving skill Adaptability to new environment Self-motivation/self-starter Teamwork
18 Extracurricular Involvement Independence
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