National Committee of Bosnia and Herzegovina

Aplikacijski formular za 2012/2013. godinu

Zainteresirani kandidati bi trebali: biti dravljani BiH ili pohaati kolu u BiH u posljednjih 5 godina biti uenici drugog razreda etverogodinje srednje kole u BiH po zavretku aplikacijskog perioda, biti uzrasta od 15 do 17 godina dijeliti vrijednosti i ideale UWC pokreta (www.uwc.org) imati odlian opi uspjeh u koli uz dobro poznavanje engleskog jezika biti aktivni u lokalnoj zajednici i vannastavnim aktivnostima biti spremni predstavljati BiH u pozitivnom svijetlu u meunarodnom okruenju

Uz ovaj aplikacijski formular, kandidati trebaju poslati sljedee dokumente: 1. Ovjerena fotokopija svjedodbe prvog razreda etverogodinje srednje kole 2. Prijepis ocjena prvog polugodita drugog razreda etverogodinje srednje kole (ovjeren od strane kole) 3. Ovjerena fotokopija uvjerenja o BiH dravljanstvu Molimo Vas da aplikacije popunjene na engleskom jeziku (osim u djelu koji se odnosi na roditeljsku suglasnost i preporuke profesora) s prateim dokumentima poaljete najkasnije 12. marta 2012. U obzir e se uzimati samo potpune aplikacije poslane do naznaenog roka na sljedeu adresu: Za UWC Nacionalni komitet BiH United World College in Mostar (UWC Mostar) Gimnazija Mostar panski trg 1 88 000 Mostar Sve dodatne informacije o aplikacijskom procesu moete dobiti na brojeve telefona: +387 36 320 601 +387 36 319 926

National Committee of Bosnia and Herzegovina

Sadraj aplikacije

A: B: C: D:

Ope informacije o kandidatu i fotografija kandidata Esej Podaci o roditeljima i roditeljska saglasnost Dvije preporuke (formular treba ispuniti direktor kole, razrednik i/ili predmetni nastavnik) MOLIMO DA PREPORUKE BUDU POSLANE U ZATVORENIM KOVERTAMA ZAJEDNO S APLIKACIJOM E: Lista aktivnosti kandidati su zamoljeni da u aplikaciji navedu samo aktivnosti, hobije, kurseve te da na intervju donesu dokaze o navedenim aktivnostima (certifikate, potvrde...)

Molimo Vas da navedete kontakte osoba koje su pisale preporuku: 1. Ime i prezime osobe koja je pisala prvu preporuku:_____ __________________________ Profesija osobe koja je pisala prvu preporuku: __________________________________ E-mail i broj telefona: _______________________________________________________ 2. Ime i prezime osobe koja je pisala drugu preporuku: _____________________________ Profesija osobe koja je pisala drugu preporuku: _________________________________ E-mail i broj telefona: _______________________________________________________ Molimo Vas da prije slanja provjerite da li ste ispunili sve sekcije aplikacijskog formulara. IZJAVA: Podaci koje navodim u ovom aplikacijskom formularu su istiniti i potpuni. Svojim potpisom potvrujem da sam aplikacijski formular, ukljuujui eseje, ispunio/la sam/a.

____________________________ Datum i mjesto

____________________________ Potpis kandidata/kinje

National Committee of Bosnia and Herzegovina

Student Application Form For applicants to any United World College Section A Applicant information (to be completed by applicant, please use clear text and use a dark ink)

Last name First name(s) Date of birth Gender Female Male (dd/mm/yy) (please circle)

Photograph

Citizenship(s) Mother Tongue Other Language(s)

Home Address

Telephone/Fax E-mail If you would like to indicate an order of preference for the Colleges please do so below. UWC Mostar UWC USA UWC Pearson College Li Po Chun UWC of Hong Kong UWC Red Cross Nordic

Please give us the reasons for your first choice. _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________

National Committee of Bosnia and Herzegovina

1.

Current School: Start Date (month/year)

Address:

Tel. Number: Fax Number: E-mail/ Homepage: Head of School:

2.

How did you hear about UWC?

3.

Describe any activities you have taken part in which serve others

4.

Describe any special interests or achievements you would like the Selection Committee to know about.

5.

Are you a member of any organisations or clubs? Please give details.

National Committee of Bosnia and Herzegovina

6.

Please give details if you have a strong creative or artistic interest

7.

List any positions of responsibility or leadership you have held (at school and/or outside school).

8.

Describe any physical activities or sports that you regularly pursue.

9.

If you have ideas for what you would like to study at university or do for a career please give details below.

I have discussed all aspects of the commitment involved with applying for entry to a United World Colleges (UWC) with my parent(s)/guardian(s) and this application has their full approval. Should the application be successful, I hereby undertake for myself to observe the rules, regulations and guidelines of the UWC movement and each individual college. I recognise that my scholarship can be withdrawn in case of violation of the UWC Code of Conduct. Signature of applicant: Date:

National Committee of Bosnia and Herzegovina

Section B Essays (to be completed by applicant, please use clear text and use dark ink). All essay questions have to be answered.

In the space below, please write an essay of 400 words. Topic: What is my perception of a common good? (Sta je za mene ope dobro?). Please write in English

National Committee of Bosnia and Herzegovina

Obrazac C Informacije o roditeljima i roditeljska suglasnost (molimo piite itko i koristite tamnu tintu)

Ime i prezime majke ili skrbnika*: Zanimanje: Ime i prezime oca ili skrbnika*: Zanimanje: Dravljanstvo(a): Dravljanstvo(a):

Adresa majke/skrbnika/ice

E-mail: Broj telefona (u toku dana): Mobitel: (naveer): Fax:

Adresa oca ili skrbnika (ako je drugaija)

Email: Broj telefona (u toku dana): Mobitel: (naveer): Fax:

Ako imate posebne napomene (informacije o zdravstvenom stanju i sl.) koje biste eljeli naglasiti Selekcijskom odboru i direktoru Koleda molimo da ih navedete ovdje ili priloite zasebno pismo.

Proitao/la sam aplikacijski formular za prijavu na UWC stipendije i nastavak skolovanja na jednom od koleda ujedinjenog svijeta koju je ispunio/la moj sin/ki/tienik/ca; razgovarali smo o svim aspektima obaveza i ova aplikacija ima moju punu podrku. U sluaju da aplikacija bude uspjena, ovim putem preuzimam, u svoje i u njegovo/njezino ime, odgovornost za potivanje pravila, propisa i smjernica rada i boravka u koledima ujedinjenog svijeta. Odobravam pravo UWC koleda da iz programa iskljui moga/ju sina/kerku/tienika/cu zbog krenja istih i/ili zbog ponaanja koje naruava ugled ili dovodi u opasnost imid koleda te druge uenike i zaposlenike. Odobravam i ovlatavam UWC kolede da za vrijeme kolovanja i tijekom boravka u rezidencijama dodjeljeni Koleda ujedinjenog svijeta djeluje kao skrbnik mom/mojoj sinu/kerki/tieniku/ci i donosi odluke vezane uz njegovu/njezinu linu skrb i dobrobit. Potpis majke/skrbnika Potpis oca/skrbnika

Datum:

Datum:

National Committee of Bosnia and Herzegovina

Obrazac D Preporuka 1/kolski izvjetaj 1 (ovaj dio aplikacije treba ispuniti direktor, razrednik ili predmetni nastavnik kandidata)

Bili bismo zahvalni kada biste Vi (i/ili drugi relevantni lanovi osoblja) napisali kratku procjenu sposobnosti kandidata za pohaanje Koleda ujedinjenog svijeta. Informacije o UWC koledima i njegovim kriterijima moete nai u obrascu E, a dodatne informacije o organizaciji na web stranici www.uwc.org. ili na naem jeziku na web stranici Koleda ujedinjenog svijeta u Mostaru www.uwcmostar.ba Molimo da pri ispunjavanju ove sekcije uzmete u obzir sljedee stavke: Intelektualne sposobnosti:

Radne i akademske navike:

Osobnost i karakter:

Afiniteti, vannastavne aktivnosti i druga dostignua uenika/ce:

Drugi kometari:

Molimo da ocijenite kandidata u tabeli ispod. Sve dodatne komentare moete navesti u prostoru iznad ili u zasebnom zapeaenom pismu. NeosnoNedoPrimjeren Dobar Odlian Izvanredan van voljan Sposobnost rada s drugima Prilagodljivost Komunikativne sposobnosti Briga za druge Kreativnost Energija Inicijativa Zrelost i odmjerenost Motivacija Otvorenost Samopouzdanje Samodiscipliniranost Koliko dugo poznajete kandidata? _______________________________________________________ __________________________ _____________________ ___/__/______

National Committee of Bosnia and Herzegovina

Ime i prezime (tampano) Svojeruni potpis Datum

National Committee of Bosnia and Herzegovina

Section D School report 2 (to be completed by applicants head or teacher) We would be grateful if you (and/or relevant members of the staff) would write a brief assessment of the applicants suitability for attending a United World College. Information about UWC and its selection criteria is provided in Section E, further information about the organisation can be found at www.uwc.org. or in local language www.uwcmostar.ba Please attach any relevant documentation and include comments on the following: Intellectual skills:

Work habits:

Personal qualities and interpersonal skills:

Affinities, non-academic interests and activities:

Other comments:

Please rate the applicant on the grid below, any further comments can be made in the box above or on a separate paper in sealed envelope. No basis Poor Adequate Good Excellent Outstanding Ability to work with others Adaptability Communication abilities Concern for others Creativity Energy Initiative Maturity and balance Motivation Openness of personality Self-confidence Self-discipline

How long have you known the applicant? _________________________________________________ __________________________ First and last name (PRINT) _____________________ Signature ___/__/______ Date

National Committee of Bosnia and Herzegovina

Section E List of interests and achievements (language courses, courses, any other achievements), activities / hobbies and services in the local community

A. Language courses: 1. 2. 3. 4. 5. ___________________________________________________________ ____________ ___________________________________________________________ ____________ ___________________________________________________________ ____________ ___________________________________________________________ ____________ ___________________________________________________________ ____________ B. Hobbies: 1. 2. 3. 4. 5. _____________________________________ __________________________________ _____________________________________ __________________________________ _____________________________________ __________________________________ _____________________________________ __________________________________ _____________________________________ __________________________________ C. Services in local community 1. 2. 3. 4. 5. ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________

Any other courses or activities: 1. 2. 3. 4. 5. ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________

National Committee of Bosnia and Herzegovina

6. 7. 8. 9. 10. ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________