APPLICATION FOR STUDY ABROAD

“LEAD 475/GERMAN 100”

In Berlin, Potsdam, and Garmisch

Tentative travel dates: May 18 – June 5, 2010

Rev. 10/27/2009

Read the instructions carefully! Applications are being accepted now. Submit your typed application to Laura McGee in Wilson FAC 251 or send as a Word attachment by email to laura.mcgee@wku.edu. NO handwritten applications will be accepted. Questions? Email me, or call me at 270-745-6408.

1. FIRST AND LAST NAME (SAME AS ON YOUR PASSPORT):

FIRST NAME you go by: WKU I.D. #

CITIZENSHIP:

2. EMAIL ADDRESS FOR ALL CORRESPONDENCE REGARDING THIS PROGRAM:

3. ADDRESS, PHONE, with DATES THESE ARE VALID (note BEST phone # to reach you):

a. current

b. permanent / parents’ + email of at least one parent or guardian

4. BIRTH DATE (month, day, year)

5. 2 Emergency contacts in the USA: (names, relationships to you, addresses, phone numbers)

6. EDUCATION (high school & institutions attended)

Institution and location From / To Graduation

_________________________________________ ______________ _________

7. ACADEMIC STATUS DURING STUDY ABROAD

Academy ( ) Fr. ( ) Soph. ( ) Jr. ( ) Sr. ( ) Other ( )

8. GPA: 9. MAJOR:

10. ADVISOR’S NAME:

11. LANGUAGE STUDY YOU WILL HAVE COMPLETED as of May 18, 2010

language high school college If you took German in high school,

who was your teacher?

_____________ _____ years _____ years

12. SCHOLARSHIPS, HONORS, AWARDS, ELECTED OFFICES, ACHIEVEMENTS:

13. EMPLOYMENT (current and / recent jobs)

14. REFERENCES List two persons who can comment on your ability to successfully take part in the program. The references should have recent knowledge of you from an academic or work context! Get your references’ permission BEFORE listing them here, and explain to them what kind of program you are applying for. Your references will be checked soon after your application is received!

Name, relationship, email, phone, how long they have known you:

15. ESSAY Answer the following in a thoughtful essay form (approx. 500 words, double-spaced, proofread and spell-checked, inserted here): What international travel experience do you have, if any? What do you hope to gain from your experience on this program? How is it related to your academic and personal interests?

Immediately Applications being accepted (fill out German Partner Matching Form also)

Dec 18, 2009 Absolute latest application date ($300 fee applies to ticket)

Jan 15, 2010 Acceptances issued (Feb 15, 2010 lock in tickets)

March 1, 2010 50% of balance due

May 1, 2010 Final 50% due

For cancellations any time after March 15, amount refundable is only 50% of fees paid to date, after May 15, only 25% of fees paid to date (due to ticket purchases and hostel bookings that cannot be revoked).

IMPORTANT! CHECK ONE:

_____ I will fly with the group from Nashville to Berlin roundtrip. Group travel is only available from Nashville. Van transport from WKU will be offered.

_____ I will not fly with the group. Note: Students who do NOT fly with the group are responsible for buying their own tickets and should book a connection recommended by the group leaders so as to travel together with the group from the US East Coast. A $1100 reduction in the program fee will be given for those buying their own tickets. The payment schedule for those traveling on their own will be: 12/18/09 $300 due, 3/1/10 $550 due, 5/1/10 $550 due. Students who travel on their own are responsible for their transportation to and from the US point of departure, and if they arrive in Germany at a different time than the group does, for their transportation to the hostel. WKU and its representatives are not responsible for students who stay on in Europe after the program has ended.

Please apply for a Worldtopper grant! (http://www.wku.edu/studyabroad/students/outgoing/forms.html) – see due dates online! Academy students should check with the Academy for additional funding (Tim Gott); Honors students should apply to Honors for an HTAG grant. You may be eligible for as much as $1000 of funding from combined sources.

Please read, check and sign:

____ I understand I must have a valid passport for the duration of the program.

____ I understand I must maintain healthcare coverage for the duration of the program and it is my responsibility to be informed of the provisions of my healthcare while abroad.

____ I commit to active participation in the preparation course and the program itself.

____ I understand I must be able to walk lengthy distances while on tours in the city, sometimes over uneven terrain such as cobblestones, that I will have to climb stairs and manage my own luggage.

Student Signature _______________________________________________ Date _________________

Parent or guardian signature if under 18 _______________________________ Date _________________

UPON ACCEPTANCE TO THE PROGRAM, you will be required to submit your $300 first payment in order to FINALIZE your acceptance. Bring your payment check made out to WKU and the following signed documents: (1) Alcohol / Substance Abuse Policy (below), and (2) WKU Waiver of Liability (see http://www.wku.edu/studyabroad/students/outgoing/forms.html).

ALCOHOL/SUBSTANCE ABUSE POLICY

“LEAD 475/GERMAN 100” in Berlin, May 18 - June 5, 2010

Faculty: Dr. Laura G. McGee, Prof. John Baker

Rev. October 27, 2009

The purpose of this program is to guide participants as they apply basic principles of leadership already acquired in LEAD 200 to an international location. At the same time students receive a sound introduction to living and functioning in an international environment through cultural orientation and practical language skills gained in GERM 100. An active engagement with other members of the group and with members of the target culture is essential to the learning process. Participants are expected to behave in a manner that is conducive to the purpose of the program. They are also expected to obey the laws of Germany at all times.

Participants in this study abroad program are advised as follows:

Enrollment in a study abroad program obligates participants to observe the same rules that are also valid on the WKU campus.

The legal drinking age in Germany is 16 for wine and beer, 18 for spirits. It is not unusual to see Germans consume alcohol in social situations, for example in restaurants and pubs, where friends meet to talk.

Program participants are expected to make responsible choices with regard to their personal use of any kind of substances such as drugs and alcohol. Consumption of alcohol at a level that impairs normal functions is regarded as abuse, and will not be tolerated on this program.

If it is observed that a participant has abused alcohol or other substances to an extent that impairs his/her ability to participate actively in any aspect of the program, he/she will be given one verbal warning. If the participant offends again, the faculty leaders have the right to return him/her to the United States immediately at his/her own expense.

A general warning is issued to all: individuals who abuse substances increase their risk of becoming a target of crime, because their awareness of their surroundings and their ability to make wise decisions may be impaired.

I, _______________________ (printed name) ________________________ (signature), have read and understand the above alcohol/substances policy. Dated: _______________.