Abraham's Vision - 2008 VISION PROGRAM APPLICATION -

To be considered for the 2008 Vision Program, please complete the following online application. When the application is complete click the "SUBMIT APPLICATION" button at the end of this form.

There is no way to save progress on this online application. It is highly recommended that you first download a copy of this form before the beginning of the submittal process in order to save your progress. Once you have completed the entire application, cut and paste your answers from the downloaded form to the online application before clicking "SUBMIT APPLICATION" at the bottom of the page. Click here to download a copy of this form.

Eligibility Checklist

Applicants must meet all of the following requirements:

1. Self-identify as Jewish and/or Palestinian.

2. Currently enrolled in an undergraduate or graduate program at a college or university in the United States of America.

3. Will be enrolled in and attending class on your main campus for the entire academic year immediately following the Summer 2008 portion of the Vision Program.

4. Understand that if not identified as a need-based applicant, you will be required to contribute up to $2,500 towards the total cost of your participation fees.

5. Able to participate in the entire 2008 summer program which takes place in Serbia, Kosovo, Bosnia-Herzegovina and Croatia from June 25 through July 23, 2008.

Attending both the fall and spring weekend retreats.
Organizing and conducting a presentation in your campus community and submitting a report regarding the event.
Organizing and conducting a presentation in your home community and submitting a report regarding the event.
Submission of monthly written reflections during the 2008-09 academic year.

I hereby acknowledge that I have read and understood the above-mentioned eligibility requirements and hereby attest to meeting them without exception.

Part I. Personal Information

Last Name:

First Name:

Middle Name:

Date of Birth (mm/dd/yyyy):

Social Security Number:

Place of Birth (city/country):

Citizenship(s) (list all):

If not a US citizen, current US Immigration Status (F-1, Permanent Resident, Etc):

If not a US citizen, Alien Registration Number:

How do you identify yourself in terms of gender:

How do you identify yourself ethnically and/or religiously, please explain:

Languages Spoken (only include languages you are fluent in):

Have you ever been convicted of a criminal offense:

Yes No

If yes, please explain:

Part II. Contact Information

E-Mail Address:

Phone Number (Mobile):

Phone Number (Land-Line):

Mailing Address:

Permanent Address (IF DIFFERENT FROM MAILING ADDRESS):

Emergency Contact No. 1

Name:

Relationship to Applicant:

Address:

Phone Number:

Secondary Phone Number:

Email Address(es):

Emergency Contact No. 2

Name:

Relationship to Applicant:

Address:

Phone Number:

Secondary Phone Number:

Email Address(es):

Part III. Academic Information

College/University:

City, State:

Will you be enrolled as a full-time student at this same school during the 2008-09 academic year?

Yes No

note: if your answer to this question is anything other than “Yes” you must contact us at gibran@abrahamsvision.org.

Special College or Division (if applicable):

Major/Concentration(s):

Minor(s):

Class Standing (i.e., First-year, Sophomore, Junior, Senior):

Current Overall GPA:

Major GPA:

Academic Awards/Honors:

*Be sure to include your most recent official transcripts as part of the supporting documents you mail in with your completed application. Transcripts must be in a closed envelope with the seal of the registrar.

Have you ever been expelled, suspended, dismissed or had any disciplinary action taken against you by an educational institution?

Yes No

If yes, please explain in detail:

Part IV. Employment

Current Employer

Company Name:

City, State:

Position/Title:

Hours per Week:

Dates (mm/yyyy - mm/yyyy):

Supervisor Name:

Phone Number:

Email Address:

Permission to Contact?

Yes No

Previous/Other Employer No. 1

Company Name:

City, State:

Position/Title:

Hours per Week:

Dates (mm/yyyy - mm/yyyy):

Supervisor Name:

Phone Number:

Email Address:

Permission to Contact?

Yes No

Previous/Other Employer No. 2

Company Name:

City, State:

Position/Title:

Hours per Week:

Dates (mm/yyyy - mm/yyyy):

Supervisor Name:

Phone Number:

Email Address:

Permission to Contact?

Yes No

Part V. Community/Volunteer Activities

Please describe your community, volunteer, and/or organizational work that demonstrates the following skills and/or abilities:

Initiating or implementing activities
Leading, supervising, or managing others
Motivating and organizing others
Outreach towards particular communities (on-campus, ethnic, etc.)

List your most recent activity first. [Note: do not include experiences already listed in employment history]

Organization No. 1

Organization Name:

City, State:

Position/Title:

Responsibilities:

Hours per Week:

Dates (mm/yyyy - mm/yyyy):

Supervisor Name:

Phone Number:

Email Address:

Permission to Contact?

Yes No

Organization No. 2

Organization Name:

City, State:

Position/Title:

Responsibilities:

Hours per Week:

Dates (mm/yyyy - mm/yyyy):

Supervisor Name:

Phone Number:

Email Address:

Permission to Contact?

Yes No

Organization No. 3

Organization Name:

City, State:

Position/Title:

Responsibilities:

Hours per Week:

Dates (mm/yyyy - mm/yyyy):

Supervisor Name:

Phone Number:

Email Address:

Permission to Contact?

Yes No

Please describe which of your activities (i.e., extracurricular, personal activities, or work experience) has been most meaningful to you and why: (Limit essay to 400 words)

Part VI. Essays

Essay No. 1: Identity

Using the space provided below write a personal statement that reflects who you are both as an individual and a member of larger collectivities, paying particular attention to how this affects your identity. Please include the following information in your statement:

What experiences have led you to apply for the Vision Program fellowship? How did you become interested in the Vision Program?
How will you add to the experience of the group?
How will you utilize your experience in the Vision Program to further explore your intended major, field of interest, or general academic interest once you return to your campus community?

(Limit essay to 400 words)

Essay No. 2: Book Review

Using the space provided below write a review of one of the following books:

My War Gone By I Miss It So (Anthony Loyd)
Safe Area Gorazde: The War in Eastern Bosnia 1992-1995 (Joe Sacco)
They Would Never Hurt A Fly: War Criminals on Trial in the Hague (Slavenka Drakulic)
Their Backs to the Wall: Portraits from Serbia (Asne Seierstad)

Please include the following information in your book review:

What are the author's main arguments?
What is your analysis of the author's analytical framework and orientation in regard to the topic (i.e., what are the author’s biases, is s/he aware of these biases, etc.)?
What questions does the book raise for you with respect to the study and analysis of groups in conflict?
What moral questions does the book raise for you?

Enter Title of Book Here:

(Limit essay to 400 words)

Part VII. Recommendations

Fill out the fields below then download the Vision Program Recommendation Form and print one copy for each of your recommenders (or have them download and print a copy). Have your recommender complete the form in full and mail it to us directly in a sealed envelope that is signed across the seal with the recommender’s signature.

One recommendation must be completed by an individual familiar with your academic work (e.g., academic advisor, professor, teaching assistant, etc.). The second recommendation must be completed by a person who is a community leader of some kind (e.g., clergy, employment supervisor, local government official, organizational leader, etc.).

All recommendations must be received by 5pm PST on Friday, February 15, 2008.

Recommendation No. 1

Name of individual completing Recommendation No. 1:

Title:

Institution/Organization:

Recommendation No. 2

Name of individual completing Recommendation No. 2:

Title:

Institution/Organization:

NOTICE: You must download the recommendation form and have each applicant complete one. Carefully follow the instructions listed on the forms. Forms must be recieved no later than 5PM, February 15, 2008.

Click here to download Recommendation Form.

Part VIII. Funding

Abraham’s Vision will subsidize half of the total expenses related to all aspects of the Summer 2008 Vision Program and all Follow-up activities during the 2008-09 academic year.

Unless deemed to be a need-based participant, student will be required to contribute $2,500 towards the total cost of their participation in the program.

If providing $2,500 to participate in the program creates an undue hardship upon you and you need to be considered for additional financial assistance to go towards your financial obligations of the program, enter your full name here:

If you have entered your name in the preceding question, please describe how much assistance you need to make your participation in the program possible. Please include information about current sources of financial support available to you, why you need additional assistance, and how you support yourself throughout the year, in the space provided below.

Be sure to include a 2007 or 2008 FAFSA form as part of the supporting documents you mail with your application.

Would you like to be considered for need-based financial assistance:

Yes No

Enter Explanation Here:

Part IX. Signature

I certify that I meet all the eligibility requirements outlined at the beginning of the application.

I certify that all information in my application, including my essays, is my own work, factually true and honestly presented.

I certify that I will complete all parts of the Follow-up Vision Program, as explained in the Eligibility Checklist, when I return to my campus for the 2008-09 academic year. I understand that the Vision Program Fellowship is contingent upon completing these responsibilities and that failure to do so carries with it the obligation to reimburse Abraham’s Vision for any and all costs covered for my participation in the program.

THE FOLLOWING SIGNATURE FORM MUST BE DOWNLOADED, PRINTED OUT, SIGNED AND MAILED IN UNDER SEPARATE COVER TO THE FOLLOWING ADDRESS:

Abraham’s Vision
P.O. Box 1689
Monterey Park, CA 91754

Click here to download the Signature Form.

Part X. Application Check-List

Distributed Recommendation Forms to recommenders and ensured that they will be mailed (in sealed and signed envelopes) to the below address and post-marked by 5PM PST on Friday, February 15, 2008.
Requested and mailed sealed official transcripts from all undergraduate institutions attended to the address indicated below, post-marked by 5PM PST on Friday, February 15, 2008.
If requesting additional financial assistance, mailed copy of 2007 FAFSA to the address indicated below, post-marked by 5PM PST on Friday, February 15, 2008.
The online application must be submitted by 5PM PST on Friday, February 15, 2008. We encourage applicants to submit a completed application as early as possible. Applicants do not need to wait for all other materials to be sent before submitting this online application.
The Signature Form should be post-marked by 5PM PST on Friday, February 15, 2008 and mailed to the address found below.
All supporting documents (2 Recommendation Letters, Signature Form, Official Transcripts, FAFSA) should be post-marked by 5PM PST on Friday, February 15, 2008 and mailed to the address found below.

Abraham’s Vision
P.O. Box 1689
Monterey Park, CA 91754

When done with online application click "SUBMIT APPLICATION" button below.