PROJECT SHINE 2019 SUMMER TRIP APPLICATION FORM
Project Shine is conducted by: Culture Regeneration Research Society

For more info - http://crrsprojectsh

Email address *
Project Shine Summer Trip 2019 Application Form
Today's Date *
Please provide today's date
MM
/
DD
/
YYYY
Application Category
Which category are you in?
Last Name & First Name *
*Name as shown on Passport
Your answer
Chinese Name
Your answer
Gender *
Street Address (City, Province, Postal Code) *
Your answer
Date of birth *
MM
/
DD
/
YYYY
Current Age *
Your answer
Passport Expire Date
Please type in your passport expiry date. If your passport expires before February 2020, please renew your passport. This is a requirement for the application of China Visa. (FYI - Expiry date must be valid for at least 6 months after departure date and have minimum 2 empty pages in the passport.)
MM
/
DD
/
YYYY
Home Phone #
Your answer
Cell Phone # *
Your answer
WhatsApp (or WeChat) number and Facebook username *
* This is necessary for our team communication if you are accepted to the project. We will start a WhatsApp group while in Canada and will start a Wechat group while in China for team communication.
Your answer
Status *
Emergency Contact *
Name / Email / Phone/ WhatsApp/ WeChat (it is necessary to give ALL information.)
Your answer
For minors (18 & under) must provide both parent's contact
Name / Email / Phone/ WhatsApp/ WeChat (it is necessary to give ALL information.)
Your answer
Do you have a valid Hong Kong ID card? *
Required
If you have Hong Kong ID, 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 / Medical Attention / Food Allergies
Please describe if you have any health problems, food allergies and if you would need to take medication regularly on the trip?
Your answer
Sleeping Habits
What are your sleeping habits like? Do you tend to wake up early, sleep late, or otherwise? Please describe.
Your answer
T-Shirt Size : *
Language *
Your answer
Occupation or School year/grade *
Your answer
Hobbies / Interest/ Special Skills (i.e. Sports, music, etc...) *
Your answer
Leadership experiences *
Please give details of any qualifications or experience (volunteer or work) which could be relevant to your work on this Short Term Teaching trip.
Your answer
What do you think your strengths and weaknesses are? *
Your answer
Do you consider yourself more of an “extrovert” , “introvert” or "ambivert"? Please describe. *
Your answer
Why do you want to join Project Shine Summer Trip? What are your goals and objectives for this trip? *
Your answer
Additional Information
Please use this space to comment on any of the answers above such as: specific skills, health concerns, medications, experiences etc. Or, any further information which you feel we need to know.
Your answer
Next
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service