Application Form

& Activity Plan

1. Application Form
Team Name (English)

Name
Sex Male / Female
(Leader)

University Contact No. +972-0-0000-0000

Picture 1
Major Gmail ID @gmail.com

Attending/
English
Year Leave of Good / Fair / Poor
Ability
Absence

Name
(Account Sex Male / Female
manager)

University Contact No. +972-0-0000-0000

Picture 2
Major Gmail ID @gmail.com

Attending/
English
Year Leave of Good / Fair / Poor
Ability
Absence

Name Sex Male / Female

University Contact No. +972-0-0000-0000

Picture 3
Major Gmail ID @gmail.com

Attending/
English
Year Leave of 상/중/하
Ability
Absence
 Name Sex Male / Female

University Contact No. +972-0-0000-0000

Picture 4
Major Gmail ID @gmail.com

Attending/
English
Year Leave of Good / Fair / Poor
Ability
Absence

Name Sex Male / Female

University Contact No. +972-0-0000-0000

Picture 5
Major Gmail ID @gmail.com

Attending/
English
Year Leave of Good / Fair / Poor
Ability
Absence

Name Sex Male / Female

University Contact No. +972-0-0000-0000

Picture 6
Major Gmail ID @gmail.com

Attending/
English
Year Leave of Good / Fair / Poor
Ability
Absence
* Criteria of English Ability : Fluent (A) / Average (B) / Short in English (C)

Environment Activity Background and Experiences

Member Winning
Program Name Host Date Activity Detail
Name Career
Global Green …… Green campus, school,
Jayonie DAEJAYON 18.06.27~11.21 Gold
Community Project world activities etc…
 for

Application

Do you agree to our use of personal information? (only used for this program)
Personal
2. Activity Plan for Environmental Education & Campaign
(Please fill up the blanks for ALL categories.)

※ Writing Tips : Goals/objectives, specific activity plan(place, date, activity direction, activities method etc.),
expectancy effects in each category. Write in detail. No page limits.

Subject of e.g.) Subject: Microplastic

Environment Background of Selection: Microplastic is an international issue…
Campaign
and
Background of
Selection
Green Campus Goals/Objectives:
(for University Place: (Scheduled)
Students) Date: (Scheduled)
Activity Direction : (Specific Plan)
Activity Method : (Specific Plan)
Expectancy Effects :
Green School Goals/Objectives:
(for Teenagers) Place: (Scheduled)
Date: (Scheduled)
Activity Direction : (Specific Plan)
Activity Method : (Specific Plan)
Expectancy Effects :
Green World Goals/Objectives:
(for Citizens) Place: (Scheduled)
Date: (Scheduled)
Activity Direction : (Specific Plan)
Activity Method : (Specific Plan)
Expectancy Effects :