You can find additional copies of the application on the CSEAS website at: We look forward to hearing from you!

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1 December 9, 2016 Dear Student, In an increasingly globalized world, more universities and workplaces are pushing for young Americans to expand their own horizons beyond our borders. Northern Illinois University s Center for Southeast Asian Studies (CSEAS) and the U.S. Department of State's Bureau of Educational and Cultural Affairs are vitally interested in preparing young leaders worldwide to confront emerging and continuing global issues like the environment, minority and disability rights, and education. Therefore, we invite you to apply for the Global Youth Leaders Camp, April 21-23, 2016, a part of the Southeast Asia Youth Leadership Program (SEAYLP). This is a free opportunity for selected Illinois students to work alongside their peers from ten Southeast Asian countries, to learn about diverse cultures, and to build long-lasting friendships. For this camp, CSEAS is seeking a diverse set of teens, ages 15-17, with experience in serving and leading in their schools and communities and are interested in sharing and learning with their international peers. A qualified applicant should show creativity, civic engagement, ambition and an ability to collaborate. Fifteen students from northern Illinois will be chosen based on their civic experience, academic and social engagement, leadership potential, and commitment to making a positive change in the world. We are looking for students in good academic standing from diverse cultural and economic backgrounds. This program is free for all participants with transportation to and from the site provided. To apply, fill out an application, provide a transcript, two letters of recommendation, and a onepage essay on causes you are passionate about and why. All materials must be submitted before February 29. Materials may be submitted by mail to the address printed on the application or ed as a PDF to seaylp@niu.edu. You can find additional copies of the application on the CSEAS website at: We look forward to hearing from you! Sincerely, Rai Nihei Administrative Director Southeast Asia Youth Leadership Program

2 Southeast Asia Youth Leadership Program: United States of America Student Application About you: Name Last First Middle Nickname Birthdate Sex: Female Male Mm/dd/yyyy City & Country of Birth Country of citizenship Address Telephone Street Unit City State Zipcode Home Mobile About your family: Parent/guardian Name Telephone Name Telephone Address (if different from yours) Street Unit City State ZIP code About your education: School name School address City, ZIP code Current Grade Year you will graduate Do you speak any other languages besides English? Which ones?

3 About your academic and community interests: Academic subjects you are most interested in: Please describe the activities (extracurricular, community, hobbies) in which you have participated, how long you have been involved with each, leadership roles you held, any awards or honors. Use additional space as needed. Future studies and/or possible occupations you ve considered Why is participation in this program important to you? Short Essay Questions Answer the following questions in a 3-5 sentences. Can you identify a specific issue or problem affecting your school, neighborhood, or community? What might you do to help resolve this problem? What do you see as the qualities of a good leader? Describe someone you know personally who you admire as a good leader and explain why.

4 Describe a challenge you have faced and how you overcame it. Is there anything else you would like us to know about you? Essay: On a separate paper, in 1-2 pages, please describe what civic cause you are most passionate about and why. Signatures: All information in this application is accurate and true Applicant Signature I permit my son/daughter to apply for and, if selected, to participate in this program Parent or guardian signatures: Completed Application Official School Transcript Application Checklist: 2 Letters of Recommendation 1-page Essay This form must be submitted by February 29, Submit by mail to: Rai Nihei, Center for SE Asian Studies Northern Illinois University 520 College View Court DeKalb, IL OR by to: seaylp@niu.edu OR by Fax: (815)

5 SOUTHEAST ASIA YOUTH LEADERSHIP PROGRAM Global Youth Leadership Camp, April 21-23, 2016 Reference For the Applicant: Below, fill in your name and give this form to a teacher or other adult outside your family who knows you well. Ask the reference to fill out the form and return it. Applicant Name For the Reference: The student named above is applying to take part in the Global Youth Leadership Camp, a three-day program organized by Northern Illinois University and funded by the US Department of State. Selected students will take part in a challenging academic environment and intensive civic leadership training. To succeed, the participants must be highly motivated, and be able to collaborate with people of different social and cultural backgrounds. We value your honest assessment of the applicant in helping us select the most appropriate participants. If you would like to add additional comments, we encourage you to do so. Your answers will remain confidential. Please indicate your opinion of this applicant s ability to meet the challenges of this program. I strongly recommend this student I recommend this student I have minor reservations about recommending this applicant I have major reservations about recommending this applicant I do not recommend this student How long, and in what context, have you known this applicant? What are the applicant s strengths? What are the academic or personal areas in which this applicant needs more development? Does this student demonstrate strong intercultural skills? Describe what roles of leadership and service you have seen the applicant take on. Name (printed) Signature This form must be submitted by February 29, Submit by mail to: Rai Nihei, Center for SE Asian Studies OR by to: seaylp@niu.edu Northern Illinois University 520 College View Court OR by Fax: (815) DeKalb, IL 60115

6 SOUTHEAST ASIA YOUTH LEADERSHIP PROGRAM Global Youth Leadership Camp, April 21-23, 2016 Reference For the Applicant: Below, fill in your name and give this form to a teacher or other adult outside your family who knows you well. Ask the reference to fill out the form and return it. Applicant Name For the Reference: The student named above is applying to take part in the Global Youth Leadership Camp, a three-day program organized by Northern Illinois University and funded by the US Department of State. Selected students will take part in a challenging academic environment and intensive civic leadership training. To succeed, the participants must be highly motivated, and be able to collaborate with people of different social and cultural backgrounds. We value your honest assessment of the applicant in helping us select the most appropriate participants. If you would like to add additional comments, we encourage you to do so. Your answers will remain confidential. Please indicate your opinion of this applicant s ability to meet the challenges of this program. I strongly recommend this student I recommend this student I have minor reservations about recommending this applicant I have major reservations about recommending this applicant I do not recommend this student How long, and in what context, have you known this applicant? What are the applicant s strengths? What are the academic or personal areas in which this applicant needs more development? Does this student demonstrate strong intercultural skills? Describe what roles of leadership and service you have seen the applicant take on. Name (printed) Signature This form must be submitted by February 29, Submit by mail to: Rai Nihei, Center for SE Asian Studies OR by to: seaylp@niu.edu Northern Illinois University 520 College View Court OR by Fax: (815) DeKalb, IL 60115

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