Hmong Student Association at Berkeley

7thPursuitofHigherEducation

UNIVERSITY OF CALIFORNIA, BERKELEY

The Hmong Student Association at Berkeley (HSAB) is a student-initiated service group established in 2008 with the mission to promote higher education and cultural understanding of the Hmong community. To amplify the Hmong voice in higher education, the Hmong Student Association at Berkeley initiated the Pursuit of Higher Education (PoHE) program in 2008. PoHE is a three-days, two-nights educational program on Friday, April 8th to Sunday, April 10th, 2016located at the University of California, Berkeley. The program caters towards Hmong high school students from the Northern and Central region of California. Selected participants will get the opportunity to participate in academic and cultural workshops, develop leadership skills through peer-bonding activities, and learn more about the Hmong history and culture.

The vision for the 7th Pursuit of Higher Education: The Ties That Bind seeks to incite conversations that would build a bridge between our differences to find common ground; in doing so, we want to mark the significance of our history, education, perseverance, and identity to demonstrate what helps make a community. Whether it be accomplishments or struggles, we can find ties that bind.

This is an all-expense paid program, which includes food, transportation, and housing. All applicants are eligible to apply. Please take note that academic performance is not a factor in the acceptance of participants, thusall students from various academic background and experiences are highly encouraged to apply.Applications are due (postmarked) by Sunday, March 6th, 2016 at 11:59PM. You may email or mail your completed application.You can also apply online at tinyurl.com/pohe2016mentee.Applicants will be contacted upon receipt of application and selected participants will be notified by the end of March.

7THPURSUITOFHIGHEREDUCATIONAPPLICATION

PERSONAL INFORMATION

Name (LAST, FIRST):

Date of Birth: / /__ (MM/DD/YYYY)Gender:

Ethnic Background: Sexual Orientation (optional):

Home Address:

City, State: Zip Code:

Home Phone: ( ) - Cell Phone: ( ) -

Email:

What is the best way to contact you? Please circle one: Home Phone Cell Phone Email

Emergency Contact Name:

Emergency Contact Phone: ( ) -

Do you have any dietary needs (i.e. food allergies, vegetarian, etc.)?

Do you have any disabilities?

Have you ever been part of any other programs at UC Berkeley or any other college campuses? (REACH! ShadowNite, SASC SI, Fresno State’s HmSA, etc.)? If so, please list them.

How did you hear about the Pursuit of Higher Education?

ACADEMIC INFORMATION

Name of School:

School Address:

Grade Level:

7THPURSUITOFHIGHEREDUCATIONAPPLICATION

PERSONAL RESPONSES

This portion of the application will provide us a better understanding of who you are as an individual. Feel free to be creative and openly express yourself in your responses. Please TYPE each response on a separate sheet of paper. Each of the following questions must contain a minimum of 250 words.

  1. Describe a valuable experience that has influenced your dreams and aspirations.
  1. Provide the name of a meaningful song and its artist/songwriter. Explain what this song means and how it relates to you.

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Please submit COMPLETED applications by Sunday, March 6th, 2016 at 11:59 PM to . You may also mail in a physical copy (Must be postmarked by March 6th, 2016).

MAIL TO:

Pheng Lor

2400 Durant Avenue SP #111

Berkeley, CA 94720

Have any questions or concerns? Feel free to contact us!

Pheng Lor: 559.287.6918 | BenLee: 209.409.4843