2019 Kansha Project Application
Note: If you exit the form before completing it, the information will NOT be saved. We recommend gathering all the necessary information before beginning this application.
Important Dates
Program Dates:
Orientation - June 15th, 2019
Los Angeles - June 16-19th, 2019
Culmination - June 23rd, 2019
Applicant Information
First Name *
Your answer
Last Name *
Your answer
Legal Name, if different from above (for booking flights)
Your answer
Pronouns (she/her, he/him, they/them, etc.) *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Street Address *
Your answer
City, State Zip *
Your answer
Email Address *
Your answer
Phone Number *
Your answer
University, Major, Graduation Year (if applicable) *
Your answer
Dietary Restrictions and Special Accommodation Needs *
Your answer
How did you hear about the Kansha Project? *
Your answer
Please describe your connection (if any) to the Chicago area or JACL Chicago. *
Your answer
Personal Statement
Please respond thoughtfully to the following prompts (max 300 words each)
1) How has being Japanese American/Nikkei impacted your identity? *
Your answer
2) The Kansha Project focuses on legacy, gratitude, and remembrance. Please select one of these ideas and explain what it means to the Japanese American/Nikkei community. *
Your answer
3) What skills and experience would you bring to the Kansha Project (i.e. creative abilities, social justice work, community involvement, relevant coursework, etc.)? *
Your answer
4) What do you hope to gain from this experience? *
Your answer
Expectations & Information
In addition to the four-day to Los Angeles, participants will be required to attend a full day
orientation session at the JACL Chicago office on Saturday, June 15th. Participants will work on a culmination project throughout the program, recording impressions of their experiences. These projects will be presented to the Chicago community during a culmination event held on Sunday, June 23. Participants are required to attend all components of the program.

Upon acceptance, participants must submit medical authorization and liability waiver forms by May 17th 2019.

Please confirm you can attend: *
Required
Applications are due on March 1st by 11:59 CST. Applicants will be notified by March 22nd.
A participation fee of $100 for JACL members (or $150 for non-JACL members) will be required upon notification of acceptance to confirm your place in the program. Please contact kansha@jaclchicago.org or 773-728-7171 with any questions.
By signing this application, I affirm that all information contained herein is accurate to the best of my knowledge. Furthermore, I understand the expectations of the program and agree to fulfill all program expectations, programmatic guidelines, and staff instructions. *
Your answer
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