H. Medical/ Health Record
Height:
Weight:
Blood Type:
Drink:
Smoke:
Common Illness:
Allergies:
Medications:
Diet:
For females \u2013 Are you pregnant?
I. Additional Documentation (provide these data as enclosure to your
application)
Please ensure that the following documentations are enclosed with this application (scan PDF format and
send as email attachments):
A scanned copy of your valid and not expired passport.
Curriculum Vitae/Resume detailing on your work and job responsibilities.
An application letter signifying your interest in the folk school countersigned and endorsed by your
superior or the head of your organization.
Expectations, objectives, focus of interests on the human rights folk school.
Proof of organization\u2019s legal identity or registration.
J. Personal Undertaking/ Organizational Consent/ Endorsement
I the undersigned hereby declare that I have completed this application accurately and truthfully. I
understand that the Gwangju Asian Human Rights Folk School prohibits me in bringing my family or friends
during the duration of the school program. I understand that my air travel and other folk school related
expenses will be paid for by the Foundation during my stay in Korea.
Date
Participant\u2019s Name
Signature
I hereby attest to the statement made above and recommend or endorse the participation of our staff to
the Gwangju Asian Human Rights Folk School.
Date
Superior\u2019s Name/Head of the organization
Signature
K. Organizational Affiliation and Network
Name of Network
Focus
Country/Locatio
n
Application form_ Gwangju Asian Human Rights Folk School 2009
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