PROJECT SHINE 2017 SUMMER TRIP APPLICATION FORM
Conducted by: Culture Regeneration Research Society
Project Shine Summer Trip 2017 Application Form
Today's Date *
Please type in today's date
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Application Category
Which category are you in?
Last Name & First Name *
*Name as shown on Passport
Your answer
Chinese Name
Your answer
Street Address (City, Province, Postal Code) *
Your answer
Date of birth *
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Current Age *
Your answer
Passport #
Your answer
Passport Expire Date
If your passport expires before February 2017, please renew your passport. This is a requirement for the application of China Visa.
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Home Phone #
Your answer
Cell Phone # *
Your answer
WhatsApp number and Facebook username *
* This is necessary for our team communication if you are accepted to the project. We will start a WhatsApp group for team communication locally and while in China.
Your answer
Email *
Your answer
Status *
Both Parents or Spouse or Emergency Contact *
Name / Email / Phone/ WhatsApp/ WeChat (If you are under 19, it is necessary to give ALL information.)
Your answer
Do you have a valid Hong Kong ID card? *
Required
Do you have a valid China Home Visit Permit? *
Required
Are you a member of a Church?
If yes, please specify
Your answer
Do you have any criminal records? *
If yes please explain
Your answer
Health Problems / Medical Attention / Food Allergies / Sleeping Habits:
Your answer
T-Shirt Size : *
Language *
Your answer
School & grade/year or Occupation *
Your answer
Hobbies / Interest/ Special Skills (i.e. Sports, music, etc...) *
Your answer
Leadership experiences *
Do you have any volunteering work, leadership and / or teaching experience? Please describe:
Your answer
What are your strengths and weaknesses?
Why do you want to join Project Shine Summer Trip? What are your goals and objectives for this trip? *
Your answer
For Alumni only - PREVIOUS Project Shine Experience
Keep scrolling down to the "Reference" section if you are not an alumni.
What previous Project Shine Summer Trip(s) have you attended? (Year and Location)
Your answer
What was a highlight of your previous Project Shine Summer Trip(s)?
Your answer
Why do you want to come back to Project Shine Summer Trips again?
Your answer
References (Only for New Applicants)
Please provide 2-3 adult references you have known for more than 2 years and are available for contact.


Acceptable references: Employers, family friends, pastor or counselor from church, please at least have one adult as your reference.


This references cannot be your parent or a close relative.

1) Full Name
Your answer
Relationship
Your answer
Phone
Your answer
Email (Do not skip this step)
Your answer
2) Full Name
Your answer
Relationship
Your answer
Phone
Your answer
Email (Do not skip this step)
Your answer
What's Next?
After we review your Application Form, you will be contacted through email for an interview with in a week. If you don't receive any email from us after a week, please contact us.

Vancouver Applicants - you will be required to come to our head office for an interview.

Applicants from all other cities will be required to have a phone interview with the Team Manager.

Contact
Esther Leung (Team Manager) - esther@crrs.org

Deakin Ng (Project Officer) - deakin@crrs.org

1-604-435-5486 (Office hours 9am-5pm PT)

Website: www.crrsprojectshine.com

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