HomeMy WebLinkAbout09102018 City Council Work Session - Draft Application Sister City 50th Anniv�>-l4
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APPLICATION
Applicant Name: Date:
Address:
Phone: E-Mail:
Current Employer & Work Phone Number:
As an applicant for this event, I understand and accept the following:
• There are some financial obligations relating to travel and gifts that will be borne by me, regardless
of the amount "gifted" to me by the city; and
• I am at least 18 years of age; and
• I am willing to accept the time commitment involved, including attending a mandatory orientation
session prior to travel; and
• There may be other scheduled activities sponsored by the City of Obihiro which require my future
participation in order to promote the event; and
• While in Japan, I will be living in a "home stay" environment with a Japanese family as their guest;
and
• The dates of this event will be approximately October 25, 2018 through November 3, 2018; and
• This event may also include an additional visit to Kushiro, Japan (Seward's Port City); and
• While involved in this program, I will represent the City of Seward in the best possible manner.
I also accept that my commitment in this exchange program further involves me to:
Provide the City Clerk's Office with at least five (5) photographs of my experiences in Japan,
labeled with names and events, within two months of my return; and
Potentially share my experiences publicly by speaking at a community gathering, and/or writing an
article about my experiences (possibly a joint effort with other participant) that may be distributed or
published in a local newspaper; and
Review any materials provided by the City of Seward to familiarize myself with Japan and the area I
will be visiting.
I understand. that the City of Seward does not cover medical or liability insurance for this exchange. I
hereby waive on behalf of myself any liability responsibilities of the City of Seward for injuries or damages
sustained in this exchange program. I also understand that medical, liability, and/or travel insurance are my
responsibility.
Signature:
(Applicant)
(Date)
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1) What ' yo r special interests as they relate to Japan?
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2) What community activities do you currently participate in or have you participated in in the past that
may be relevant to this event?
3) How well do you know the Japanese language and/or culture?
4) Why do you feel that you would be the best representative of Seward to go to Japan?
5) Do you have any potential conflicts with the proposed dates?
6) Depending on the dates of the stay, the cost of airfare could vary. Are you capable of partially or
fully funding your travel?
7) Do you have a current, valid passport?
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" GENERAL INFORMATION
ION
Who can apply to be an exchange participant?
° Any adult over the age of 18 may apply; however, applying to participate in this program does
not guarantee selection.
What happens after I submit my application?
The City Council will review all applications and make selections as soon as possible.
• After selections are made, a member of the City of Seward will schedule a mandatory orientation
meeting to help you plan for this adventure.
• Some knowledge of the Japanese language is desirable, but not required.
FUNDING
What will you be responsible for?
• Homestay families in Japan will provide accommodations and activities for you while you are in
Obihiro, Japan.
• You may be expected to cover your airfare, the cost of bringing gifts to your host families, and any
other expenses you incur.
APPLICATION DEADLINE
All applications must .be submitted. to the City Clerk's o f ee by 5:00 p:M. on Fr day,,5S ptember 21,
2018
QUESTIONS
All adults interested in applying for the program or having questions should call the city clerk's office at
(907) 224-4046 or send an email clerk@cityofseward.net.
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