Chcem štipendium – Leto v Amerike

Full name

What is your English proficiency level?

*Level of proficiency does not discriminate or affect participation in program. Participants with lower proficiency are encouraged to use online translators for their application, as one of the goals of Summer Work & Travel program is to improve language skills of participants.

Gender

Nationality

*Summer Work & Travel Ambassadors program is open for Slovak citizens or permanent residents who speak and work fluently in the Slovak language.

Home address (city)

E-mail address

Phone number

Where do you study? Please, specify which level and year.

University

City

Level

Year

*Summer Work & Travel is open for post-secondary school students enrolled in and actively pursuing a degree or other full-time course of study at an accredited classroom based, post-secondary educational institution outside the United States, who have successfully completed at least one semester or equivalent of post-secondary academic study.
**Summer Work & Travel Ambassadors program is open for students of universities from Slovakia.

Have you participated in Summer Work & Travel before?
noyes

Please specify
When

Where

Have you ever travelled to the U.S. before?
noyes

Please specify
When

Where

Describe your motivation to apply and why we should choose you as a candidate.

Do you do any extracuriccular activities at your university and/or community?
noyes

Please specify

Would you describe yourself as a member of historically underserved groups, disadvantaged groups, a member of the LGBTI community and/or ethnic minority communities?
noyes

Please specify

Would you describe yourself as an individual with disabilities?
noyes

Please specify

Give an example of a time you encountered a DEIA-related (diversity, equity, inclusion and/or accessibility) challenge and describe how you handled it.

Do you currently live in a complete family?
yesno

Please specify

Are both of your parents employed or self-employed (2 parents)?

My family’s income is:

Do you use any social media?
noyes

Which platform do you use most often?

Please include your reach

How would you describe the level of disinformation you are confronted with?

What is the most often common disinformation you have noticed?

Summer Work & Travel Ambassadors will be required to promote the program at their university and/or among their peers and in their community in the upcoming year. Where will you promote the program?

Please specify

I do consent to storing personal data in compliance to GDPR rules.

By submitting this application, the applicant also grants the consent to:
– the U.S. Embassy in Slovakia, POBOX 309, 814 99 Bratislava,
– Campleaders
– CKM
– Digital agencies PS:Digital and Elia (as cooperating subjects)
to the processing of personal data in the scope of: Name and surname, address of permanent residence, e-mail address, telephone, school, nationality of the applicant and all other information required in the application form, for the purpose of implementing the program and its further promotion by the U.S. Embassy in Slovakia, Campleaders, CKM, PS:Digital and Elia. At the same time, s/he expresses his consent to the processing and storage of provided personal data for an indefinite period. Consent to data storage can be revoked at any time by written revocation of consent delivered to the US Embassy in Bratislava, POBOX 309, 814 99 Bratislava, or electronically to contact_Bratislava@state.gov.

I confirm the accuracy of the provided information.

The Embassy reserves the right, at its sole discretion, to verify in the final analysis whether the participant fulfills all the conditions stated in the detailed description of the project and, at its own discretion, to remove the candidate from the program in case of providing incorrect or misleading data.

Before submitting please read through these detailed information about SWT Ambassadors program.

Ruka hore
slobode

O štipendiu:

Podmienky na získanie štipendia:

Application Form

Where do you study? Please, specify which level and year.

Ruka horeslobode

O štipendiu:

Podmienky na získanie štipendia:

Application Form

Where do you study? Please, specify which level and year.

Ruka hore
slobode