2018 GSLS Nomination Form.pdf - Google Drive

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Page 1 of 3. Diversity​ ​Abroad. Global​ ​Student​ ​Leadership​ ​Summit​ ​Nomination​ ​Form. Sum
Diversity​ ​Abroad Global​ ​Student​ ​Leadership​ ​Summit​ ​Nomination​ ​Form Summit​ ​Goals: ● ●





Empower​ ​student​ ​leaders​ ​to​ ​realize​ ​the​ ​skills​ ​necessary​ ​to​ ​make​ ​an​ ​impact​ ​on​ ​their​ ​campuses and​ ​in​ ​their​ ​career Enrich​ ​student​ ​understanding​ ​of​ ​international​ ​experience​ ​through​ ​critical​ ​reflection​ ​and structured​ ​engagement​ ​on​ ​topics​ ​such​ ​as​ ​identity,​ ​social​ ​justice,​ ​inclusion​ ​and​ ​access,​ ​and leadership Encourage​ ​students​ ​to​ ​network​ ​with​ ​other​ ​student​ ​leaders​ ​and​ ​professionals​ ​and​ ​explore​ ​ways to​ ​apply​ ​their​ ​international​ ​experience​ ​to​ ​various​ ​career,​ ​post-graduate,​ ​and​ ​academic opportunities Energize​ ​students​ ​to​ ​harness​ ​their​ ​global​ ​experiences​ ​to​ ​make​ ​real​ ​change​ ​on​ ​their​ ​campus,​ ​in their​ ​communities,​ ​and​ ​in​ ​the​ ​world

Who​ ​should​ ​attend: Institutions​ ​are​ ​particularly​ ​encouraged​ ​to​ ​register​ ​students​ ​from​ ​the​ ​following​ ​student​ ​populations: First-generation,​ ​Racial/ethnic​ ​minority,​ ​With​ ​disabilities,​ ​High​ ​financial​ ​need,​ ​and​ ​LGBTQI+.​ ​While students​ ​are​ ​not​ ​required​ ​to​ ​submit​ ​separate​ ​materials​ ​to​ ​“apply”​ ​to​ ​the​ ​GSLS,​ ​we​ ​do​ ​ask​ ​that nominating​ ​institutions​ ​identify​ ​students​ ​who: ● ● ● ● ● ●

Exhibit​ ​exceptional​ ​leadership​ ​potential Are​ ​engaged​ ​in​ ​the​ ​campus​ ​community Are​ ​able​ ​to​ ​speak​ ​thoughtfully​ ​about​ ​their​ ​experience​ ​abroad Will​ ​be​ ​able​ ​to​ ​engage​ ​in​ ​and​ ​contribute​ ​to​ ​the​ ​sessions​ ​and​ ​discussions​ ​throughout​ ​the​ ​GSLS Are​ ​likely​ ​to​ ​utilize​ ​what​ ​they’ve​ ​gained​ ​from​ ​the​ ​Summit​ ​and​ ​share​ ​with​ ​the​ ​campus​ ​community upon​ ​their​ ​return Have​ ​a​ ​GPA​ ​of​ ​a​ ​3.0​ ​or​ ​higher

NOTE:​ ​Nominating​ ​Institutions​ ​or​ ​Providers​ ​act​ ​as​ ​conference​ ​“Registrants”,​ ​and​ ​receive​ ​administrative updates​ ​from​ ​DAC​ ​organizers.​ ​As​ ​the​ ​nominator,​ ​please​ ​provide​ ​your​ ​own​ ​name​ ​and​ ​email​ ​address​ ​to initiate​ ​the​ ​Student​ ​Nomination​ ​process. Student​ ​nominations​ ​act​ ​as​ ​conference​ ​registrations​ ​and​ ​will​ ​automatically​ ​be​ ​accepted.​ ​Evening receptions,​ ​lunch​ ​on​ ​Tuesday​ ​and​ ​Wednesday,​ ​and​ ​coffee​ ​breaks​ ​are​ ​included​ ​in​ ​the​ ​student nomination.

Nominator​ ​Information ● ● ● ● ● ● ● ● ●

Email: First​ ​Name: Last​ ​Name: Job​ ​title: Institution/Organization: Address: City/State/Zip​ ​(Postal​ ​Code): Why​ ​have​ ​you​ ​nominated​ ​this​ ​student​ ​for​ ​the​ ​Global​ ​Student​ ​Leadership​ ​Summit?​ ​(250​ ​word limit) I​ ​acknowledge​ ​that​ ​our​ ​office​ ​will​ ​be​ ​responsible​ ​for​ ​the​ ​registration​ ​fee​ ​for​ ​this​ ​student​ ​and​ ​that s/he​ ​has​ ​accepted​ ​the​ ​nomination​ ​to​ ​attend​ ​the​ ​Global​ ​Student​ ​Leadership​ ​Summit.

Nominee​ ​(Student)​ ​Information ● ● ● ● ● ● ● ● ● ● ● ●

First​ ​Name: Last​ ​Name: Gender​ ​(Male,​ ​Female,​ ​Other): Email: Phone​ ​Number: Graduation​ ​Year: Major: Study​ ​Abroad​ ​program​ ​sponsor​ ​and​ ​location: Current​ ​grade​ ​point​ ​average​ ​(GPA): Emergency​ ​Contact​ ​Name: Emergency​ ​Contact​ ​Phone​ ​Number: Please​ ​ask​ ​student​ ​nominees​ ​to​ ​respond​ ​to​ ​this​ ​prompt​ ​(upload).​​ ​Please​ ​note​ ​that​ ​the​ ​title​ ​of​ ​the uploaded​ ​document​ ​can​ ​not​ ​contain​ ​any​ ​special​ ​characters​ ​(only​ ​letters​ ​or​ ​numbers).

2018​ ​prompt For​ ​years​ ​the​ ​education​ ​community​ ​has​ ​discussed​ ​the​ ​changing​ ​student​ ​demographics​ ​and​ ​how​ ​a​ ​more diverse​ ​student​ ​population,​ ​racially,​ ​economically​ ​and​ ​otherwise,​ ​would​ ​impact​ ​how​ ​professionals​ ​do their​ ​work.​ ​This​ ​is​ ​no​ ​longer​ ​a​ ​theory,​ ​it​ ​has​ ​become​ ​a​ ​reality.​ ​At​ ​the​ ​same​ ​time,​ ​as​ ​more​ ​diverse students​ ​go​ ​abroad,​ ​professionals​ ​must​ ​reconsider​ ​what​ ​student​ ​support​ ​looks​ ​like,​ ​and​ ​how​ ​reflective that​ ​is​ ​of​ ​the​ ​unique​ ​needs​ ​of​ ​diverse​ ​students.​ ​Reflect​ ​on​ ​your​ ​own​ ​experiences​ ​studying​ ​abroad,​ ​and consider​ ​what​ ​type​ ​of​ ​support​ ​you​ ​received​ ​from​ ​professionals​ ​during​ ​the​ ​study​ ​abroad​ ​process​ ​before, during,​ ​and​ ​after​ ​your​ ​program.​ ​ ​Did​ ​you​ ​receive​ ​identity-based​ ​support?​ ​If​ ​so,​ ​how​ ​did​ ​that​ ​impact​ ​your preparedness​ ​abroad?​ ​If​ ​not,​ ​what​ ​kind​ ​of​ ​support​ ​would​ ​have​ ​been​ ​most​ ​beneficial​ ​for​ ​you?​ ​As​ ​global leaders,​ ​you​ ​represent​ ​the​ ​untapped​ ​potential​ ​that​ ​can​ ​transform​ ​the​ ​field​ ​into​ ​a​ ​more​ ​inclusive environment,​ ​and​ ​we​ ​want​ ​to​ ​know​ ​more​ ​about​ ​what​ ​you​ ​would​ ​do​ ​to​ ​improve​ ​the​ ​study​ ​abroad experience​ ​for​ ​your​ ​peers​ ​in​ ​the​ ​future. As​ ​you​ ​reflect​ ​on​ ​your​ ​recent​ ​study​ ​abroad​ ​experience​ ​and​ ​this​ ​year’s​ ​conference​ ​theme,​ N ​ ew​ ​Realities and​ ​Untapped​ ​Potential​,​ ​please​ ​share​ ​with​ ​us​ ​an​ ​innovative​ ​activity​ ​or​ ​program​ ​that​ ​you​ ​would​ ​create on​ ​campus​ ​to​ ​better​ ​support​ ​students​ ​of​ ​diverse​ ​backgrounds​ ​going​ ​abroad.​ ​As​ ​a​ ​leader​ ​on​ ​campus​ ​with a​ ​global​ ​mindset,​ ​what​ ​would​ ​you​ ​develop​ ​on​ ​campus​ ​(or​ ​through​ ​your​ ​program​ ​provider)​ ​that​ ​will expand​ ​support​ ​services​ ​before,​ ​during,​ ​and​ ​after​ ​education​ ​abroad​ ​programs​ ​for​ ​diverse​ ​and underrepresented​ ​students?​ ​Include​ ​a​ ​brief​ ​description​ ​of​ ​your​ ​background,​ ​and​ ​how​ ​you​ ​believe​ ​this initiative​ ​will​ ​impact​ ​access​ ​and/or​ ​support​ ​ ​efforts​ ​for​ ​underrepresented​ ​populations​ ​ ​in​ ​global education.​ ​Please​ ​limit​ ​your​ ​response​ ​to​ ​no​ ​more​ ​than​ ​two​ ​pages​ ​double-spaced. ●



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Nominee​ ​Resume​ ​(upload) Please​ ​note​ ​that​ ​the​ ​title​ ​of​ ​the​ ​uploaded​ ​document​ ​can​ ​not​ ​contain​ ​any​ ​special​ ​characters​ ​(only letters​ ​or​ ​numbers).​ ​Please​ ​upload​ ​a​ ​recent​ ​copy​ ​of​ ​the​ ​nominated​ ​student's​ ​resume. Roommate​ ​List:​ ​ ​Please​ ​mark​ ​"yes"​ ​to​ ​add​ ​the​ ​nominee's​ ​name,​ ​email,​ ​gender,​ ​and​ ​school​ ​to​ ​the roommate​ ​contact​ ​list.​ ​This​ ​list​ ​will​ ​be​ ​shared​ ​with​ ​all​ ​nominees​ ​interested​ ​in​ ​sharing​ ​a​ ​room during​ ​the​ ​GSLS.​ ​Please​ ​note,​ ​students​ ​and​ ​nominating​ ​institutions​ ​are​ ​responsible​ ​for contacting​ ​potential​ ​roommates,​ ​reserving​ ​lodging,​ ​and​ ​arranging​ ​payment. Nominee​ ​Dietary​ ​Restrictions​ ​-​ ​Please​ ​describe​ ​any​ ​dietary​ ​restrictions​ ​you​ ​may​ ​have​ ​and​ ​we​ ​will do​ ​our​ ​best​ ​to​ ​accommodate​ ​(Vegetarian,​ ​Vegan,​ ​Halal,​ ​Gluten​ ​Free,​ ​Allergy,​ ​None) Pursuant​ ​to​ ​the​ ​Americans​ ​with​ ​Disabilities​ ​Act,​ ​the​ ​participant​ ​requires​ ​specific​ ​aids​ ​or​ ​service at​ ​the​ ​event​ ​location.​ ​Please​ ​indicate​ ​type​ ​of​ ​need(s).​ ​(Audio,​ ​Visual,​ ​Mobile,​ ​None) Please​ ​list​ ​the​ ​participant’s​ ​specific​ ​ADA​ ​needs Would​ ​you​ ​like​ ​to​ ​have​ ​your​ ​student​ ​considered​ ​for​ ​a​ ​travel​ ​grant? Limited​ ​travel​ ​grants​ ​may​ ​be​ ​available​ ​pending​ ​funding.​ ​Estimated​ ​travel​ ​costs​ ​include​ ​flight/car to​ ​Miami,​ ​single​ ​or​ ​double​ ​occupancy​ ​at​ ​the​ ​conference​ ​hotel,​ ​and​ ​meals​ ​not​ ​included​ ​in conference​ ​registration​ ​fee.