2019-2020 Global Leadership Program Application
INSTRUCTIONS
Read through the instructions below before starting your application.  You will not be able to save your work and return to finish the application later.  

ELIGIBILITY
Applicants must meet the following criteria:
-Currently in grades 10, 11, or 12
-Available on all program dates
-Demonstrated leadership, maturity, and responsibility.
-Demonstrated interest in global issues and international affairs
-Current GLP of 3.0 or higher (unless nominated by school counselor)
-Have not previously participated in PAAC’s Global Leadership Program
-Currently residing in Hawaii

REQUIRED APPLICATION MATERIALS
-Completed Online Application (parts of this application require a parent/guardian’s signature)
-Essay
-Most recent school transcript (unofficial copy ok)
-Online Teacher Recommendation Form (available at: https://forms.gle/qRcK9akHUiUYU47HA)

The application deadline is September 8, 2019 at 12:00am (midnight).

PROGRAM SCHEDULE
-September 14, 2019 - Group Interviews (1:00-4:30pm)
-October 9-12, 2019 - Leadership Camp (overnight accommodations provided)
-November 16, 2019 - Global Vision Summit & Academic WorldQuest Competition
-December 7, 2019 - Full Day Workshop
-January 18, 2020 - Full Day Workshop
-February 15, 2020 - Full Day Workshop
-March 7, 2020 - Global Vision Summit
-April 25, 2020 - Final Meeting & Student Showcase
(Workshops and Global Vision Summits typically last from 9:30am-4:30pm, but times are subject to change)
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Student Information
First Name *
First Name
Last Name *
Preferred name (if different from first name)
Current School *
Current Grade *
Current Age
Date of Birth *
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Email *
Cell Phone Number
Home Phone Number
Current Mailing Address
Include Street address, city, state, and zip code.  Example: 1601 East-West Rd., 4th fl, Honolulu, HI 96822
Parent/Guardian Information
Name of Parent/Guardian #1 *
Relationship of above Parent/Guardian to student *
Example: mother
Parent/Guardian #1 Email
Parent/Guardian #1 Work Phone Number
Parent/Guardian #1 Cell Phone Number
Parent/Guardian #1 Home Phone Number
Parent/Guardian #1 Occupation *
Name of Parent/Guardian #2
Relationship of above Parent/Guardian to student
Example: Father
Parent/Guardian #2 Email
Parent/Guardian #2 Work Phone Number
Parent/Guardian #2 Cell Phone Number
Parent/Guardian #2 Home Phone Number
Parent/Guardian #2 Occupation
With whom does the student applicant live? *
Indicate whether with both parents/guardians, mother, father, relative, etc.
Health Information
List any allergies or dietary restrictions *
Any dietary preferences?
Example: Vegetarian, Vegan, Kosher, etc.
List any health or medical conditions or restrictions PAAC should know about.
Financial Information
This section is only required if the $50 Program fee would be a hardship for your family.
Are you enrolled in a free or reduced lunch program at school?
Clear selection
If "no," please indicate your household adjusted gross income for 2018
If "no," how many dependents are there in your household?
If "no," describe any special circumstances that indicate need for financial assistance for this program.
Activities and Interests
List all your PAAC involvement and the year you participated *
This could include Clubs, GVS, WorldQuest, Afterschool Class, Study Tour, PAAC-organized Global Action Projects, Human Rights Academy, and more.
List your experiences travelling, living, or studying outside Hawaii. *
Include location, purpose, and duration.
List the extracurricular acitivities you participate in at least once a week. *
List the leadership positions you currently hold, in or out of school *
What is the most significant leadership position you have held?   *
Give a brief explanation of your duties
List your strongest leadership qualities *
List the leadership qualities you most want to strengthen *
List the local issues you care about *
List the national and global issues you care about *
List careers or fields of study that you are interested in exploring *
Have you ever been involved in disciplinary action at school or elsewhere?   *
If so, please describe briefly.
Essay & Transcript
ESSAY:  In 500 words or less, what do you think is the most important issue facing your school, local community, Hawaii, the United States, or the world?  Why?

TRANSCRIPT:  An unofficial copy is acceptable, but it must be current.

Email your typed essay and transcript to Jason Shon, High School Program Director, at hs@paachawaii.org.  In the subject line, write "GLP Application: Your Name".


Online Teacher Recommendation Form
Have a teacher complete this online Teacher Recommendation Form by midnight, September 8, 2019:
https://forms.gle/qRcK9akHUiUYU47HA
For Parents/Guardians
Thank you for allowing your child to apply for PAAC’s Global Leadership Program. This represents an exciting opportunity for students to develop their leadership skills and potential as they plan for their future in an interconnected world.

This program requires participants’ commitment to attend all sessions. If your child is selected for this program, we request your support in enforcing this agreement by not scheduling anything that conflicts with program dates and reminding your child that this program will take priority over other activities, including proms, extra-curricular activities at school, and/or community events.

Please read and sign the following statement:

I/we grant the Pacific and Asian Affairs Council (PAAC) permission to check with my child’s school counselor and principal to determine if my child has demonstrated good citizenship, responsibility, and emotional stability. In order to assist PAAC in attending to the health and safety of my/our child, I/we acknowledge that I/we have provided PAAC a complete and full description of any health condition(s) or medical restriction(s) that my/our child may have. By completing this application, I/we consent that this information, along with information from school records, teachers, counselors or deans can be used in determining my/our child’s suitability for this program, providing for the safety of my/our child, and providing information when health, illness, injury or behavior may have an effect on my/our child’s intended study abroad program. I/we further acknowledge that PAAC reserves the right to select participants for this program based on PAAC’s determination of each child’s suitability.
Name of Student *
Name of Parent or Guardian *
Signature of Parent or Guardian *
By typing below, I affirm that I am the parent/guardian of the student listed above and I agree to the above statements.
Date *
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For the Student Applicant
By typing my name below and submitting, I certify that all information provided in this application is true.  Should any discrepancies come to light, I understand that my application will be discarded.  
Student Name *
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