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    Youth Building Bridges, 2019 US-China Leadership Education Initiative ​Intern Application

    I. Intern Applicant Information 

    II. Parent Information

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    III. Medical Insurance


    IV. Primary Doctor: 


    V. Dentist:


    VI. Emergency Care Information and Consent to Enroll

    ​I certify that I fully understand the general rules of C&T Youth Technology Academy (CTYTA) and I agree to obey such rules. In case of an emergency, CTYTA has my permission to take my child to the emergency room of the nearest hospital if I cannot be contacted, and the hospital staff has my authorization to provide treatment that a physician deems necessary for the wellbeing of my child. I, for myself, my heirs, personal representatives, or assigns, do hereby release, waive, and discharge CTYTA, its officers, directors, employees, and agents from liability from any and all claims, including but not limited to, physical or mental injury, illness, death, and property loss arising, from participation in activities of CTYTA. I also understand my image may be used in all photos, video and other media under the YBB program. I consent to have my picture taken and used for YBB related content and materials.

    VII. Program Participation Option:


    VIII. Short Answers (Max: 300 Words per prompt):

    Interviews
    All applicants will be asked to participate in an interview. The goal of this interview is to get to know each applicant, and to assure the selection board that the applicant is prepared for the challenges throughout all stages of the internship

Submit

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Copyright © 2020
  • About Us
    • Our Mission
    • History
    • Testimonies
    • Partners
    • Leadership
  • Programs
    • Summer Learning Collaborative
    • Summer Education Initiative
    • Spring China Culture Exploration
    • US Immersion Program
    • Opportunities >
      • Internships >
        • Internship Log
      • Scholarships
    • Alumni Association
  • Media
    • Documentary >
      • Spring China Culture Exploration
      • Summer Education Initiative
    • Public News
    • Photo Gallery >
      • US Immersion
      • Summer Education Initiative Photo Gallery
      • Spring China Culture Exploration
    • Student Newsletter
  • Events
    • 2019 c&t community day
    • YBB Info Session RSVP
  • Support
  • Contact Us