H. Medical/ Health Record
Height:Weight:Blood Type:Drink:Smoke:Common Illness:Allergies: Medications: Diet:For females – Are you pregnant?
I. Additional Documentation
(provide these data as enclosure to yourapplication)
Please ensure that the following documentations are enclosed with this application (scan PDF format andsend 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 yoursuperior or the head of your organization.Expectations, objectives, focus of interests on the human rights folk school.Proof of organization’s legal identity or registration.
J. Personal Undertaking/ Organizational Consent/ Endorsement
I the undersigned hereby declare that I have completed this application accurately and truthfully. Iunderstand that the Gwangju Asian Human Rights Folk School prohibits me in bringing my family or friendsduring the duration of the school program. I understand that my air travel and other folk school relatedexpenses will be paid for by the Foundation during my stay in Korea.
DateParticipant’s NameSignature
I hereby attest to the statement made above and recommend or endorse the participation of our staff tothe Gwangju Asian Human Rights Folk School.
DateSuperior’s Name/Head of the organizationSignature
K. Organizational Affiliation and Network
Name of Network Focus Country/Location
Application form_ Gwangju Asian Human Rights Folk School 2009
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