YBB 2019 College Scholarship Application

Youth Building Bridges,
2019 US-China Leadership Education Initiative
US College Scholarship Application

I. College Student Information

* Indicates required field

Name *

First

Last

Birthday: (mm/dd/yyyy) *

Gender *

Male Female

School *

Grade *

GPA *

Student Cell Phone Number *

Email *

Address *

Line 1

Line 2

City

State

Zip Code

Country

II. Parent Information

Mother's Name *

First

Last

Email *

Cell Phone Number *

Home Phone Number *

Office Phone Number *

Father's Name *

First

Last

Email *

Cell Phone Number *

Home Phone Number *

Office Cell Phone Number *

III. Medical Insurance:

Insurance Company Name: *

Group Name: *

Policy No: *

Phone Number *

Fax Number *

Address *

Line 1

Line 2

City

State

Zip Code

Country

IV. Primary Doctor:

Name: *

Phone Number *

V. Dentist:

Name: *

Phone Number *

VI. Emergency Care Information and Consent to Enroll

I certify that I fully understand the general rules of C&T Youth Technology Academy (CTYTA) and I agree to obey such rules. In case of an emergency, CTYTA has my permission to take my child to the emergency room of the nearest hospital if I cannot be contacted, and the hospital staff has my authorization to provide treatment that a physician deems necessary for the wellbeing of my child. I, for myself, my heirs, personal representatives, or assigns, do hereby release, waive, and discharge CTYTA, its officers, directors, employees, and agents from liability from any and all claims, including but not limited to, physical or mental injury, illness, death, and property loss arising, from participation in activities of CTYTA. I also understand my image may be used in all photos, video and other media under the YBB program. I consent to have my picture taken and used for YBB related content and materials.

VII. Program Participation Option:

Program option *

Program Parts 1 – 3 Program Parts 1 – 4

Choose Location *

Gan'su Province Fu'jian Province

VIII. Short Answers

1. What practical leadership or teaching experiences do you have? *

2. Have you had any tutoring or mentoring experiences? If so, describe such experiences. *

Essay 1:

In an essay not to exceed 650 words, please address the following questions:

Why do you want to join the YBB Rural Teacher Education Program?
What do you hope to achieve by participating in YBB?
Why should the board select you to become a YBB scholarship volunteer?

Essay 1: *

Essay 2:

In an essay not to exceed 250 words, please answer one of the following prompts:

Describe an obstacle you have encountered and how you overcame such an obstacle.
Why is primary education so important to one’s fundamental growth?
What makes a teacher effective?
What makes you unique? How can you utilize your skills to contribute to the globe community?

Essay 2: *

Interviews and Demonstration

All applicants will be asked to participate in an interview. Local students will be asked to appear in person, and non-local applicants will have online video interviews. The goal of this interview is to get to know each applicant, and to assure the selection board that the applicant is prepared for the challenges of traveling abroad, living in difficult conditions, and serving as a teacher/mentor.

As a part of the interview process, applicants will also be asked to prepare a five-minute demonstration of their teaching skills. Applicants can select any subject from the following to demonstrate: music, art, sports, math, English, etc. There is no right or wrong way to perform this demonstration. Local students will perform a live demonstration at the interview, while non-local students will be asked to send in their demonstrations via video. This does not need to be a difficult lesson, and the selection board urges you to be creative!

Student signature: *

Date: (mm/dd/yyyy) *

SUBMIT

Youth Building Bridges,
2019 US-China Leadership Education Initiative
US College Scholarship Application

I. College Student Information

II. Parent Information

III. Medical Insurance:

IV. Primary Doctor:

V. Dentist:

VI. Emergency Care Information and Consent to Enroll

VII. Program Participation Option:

VIII. Short Answers

Essay 1:

Essay 2:

Interviews and Demonstration

About us

Admissions

Outreach

Newsletters

For Staff

Contact Us

Youth Building Bridges,2019 US-China Leadership Education InitiativeUS College Scholarship Application

I. College Student Information

​II. Parent Information

III. Medical Insurance:

IV. Primary Doctor:

V. Dentist:

VI. Emergency Care Information and Consent to Enroll

VII. Program Participation Option:

VIII. Short Answers

​Essay 1:

​​Essay 2:

Interviews and Demonstration

About us

Admissions

Outreach

Newsletters

For Staff

Contact Us

Youth Building Bridges,
2019 US-China Leadership Education Initiative
US College Scholarship Application

II. Parent Information

Essay 1:

Essay 2: