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Access Student Travel Awards 2015

Nomination Form
Pages 1 and 2 are to be completed by an Access Officer, professor, youth worker or similar professional. Pages 3-5 are to be
completed by the nominated student. The completed application form is to be returned to the following address: EIL
Intercultural Learning, 1 Empress Place, Summerhill North, Cork

Personal Details of Nominee

Your Personal Details

Name:

Name:

Address:

Address:

Main occupation in nominees household:

Occupation:

Mobile:

Phone:

E-mail:

Mobile:

Date of birth:

Male

Female

Age as of 1 June 2015:

E-mail:
How do you know the nominee?

Name and address of college or Institute of Technology

Name:

How long have you known the nominee?

Address:
What travel experience abroad does your nominee have?

Class/year/field of study:

EIL Intercultural Learning, 1 Empress Place, Summerhill North, Cork, Co. Cork, Republic of Ireland

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To nominate someone for one of these travel opportunities, please tell us some information about the nominee. We
are interested in how long you have known them, why they impress you, what are their achievements, voluntary
involvements, future plans, hobbies, etc. This award is intended for participants who would not ordinarily have the
financial means to fund such an experience. With this in mind, please also provide some background information on
why you feel the nominee merits this award and how you feel he or she would benefit from it.

Declaration:
I hereby nominate the above person for consideration for a fully-funded EIL Travel Award. I confirm that all of the
information given above is true to the best of my knowledge and I have read and fully accept the terms and conditions
as outlined below
Signed: ________________________________

Date: _________________
Terms and conditions
Nominations should only be made with the full
Selected participants shall forfeit their Award should
permission of the young person involved.
they not be able to fully participate in the programme on
all the dates as specified including pre-departure
Nominee must be currently enrolled in a University/IT
orientation sessions in Cork. and/or should they be
full time Access programme.
found unfit to travel by a medical practitioner.
Shortlisting may take place and interviews will be
A separate form must be completed for each person
conducted prior to final selection.
being nominated.
Each successful applicant must complete all necessary
The applicant must not be younger than 18 or older
supplementary application forms as required by EIL.
than 26 on 1 June 2015.
Each successful applicant will be required to submit a
medical form completed by his/her GP. Please note that Entries must include this fully completed application
form. Closing date for receipt of hard copy entries is
having a condition may not necessarily exclude the
12 noon Tuesday 10 March 2015.*
applicant
*If
you are submitting your hard copy application by post very close to
Candidates will need to demonstrate an appropriate
deadline, we require you to post original in any An Post letterlevel of maturity and responsibility in order to participate. the
box/office up until Tuesday 10th March 2015 and email a full
All persons making nominations and all the applicants scanned copy of the entry to info@eilireland.org before 12 noon
agree to accept the decision of the EIL adjudication panel Tuesday 10th March 2015.
as final.
Shortlisted candidates must be available for interview
Sat 28 March 2015 in Dublin
Winners will be announced in April 2015
The final application must include the form overleaf which is to be completed by the person you are nominating
for this award.
th

th

EIL Intercultural Learning, 1 Empress Place, Summerhill North, Cork, County Cork, Republic of Ireland

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To be completed by the nominee for the ACCESS Travel Award

In not more than 600 words, please explain why you are motivated to apply for this award, what you think you
could contribute to a volunteer project and how you would hope to benefit from the programme.

EIL Intercultural Learning, 1 Empress Place, Summerhill North, Cork, Ireland

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Terms and Conditions

Applicants need to demonstrate an appropriate level of

maturity and responsibility in order to participate.

Selected participants shall forfeit their Award should

they not be able to fully participate in the programme on

all the dates as specified including the pre-departure
orientation in Cork and/or should they be found unfit to
Shortlisting may take place and interviews will be
travel by a medical practitioner.
conducted prior to final selection.

applicants agree to accept the decision of the EIL

Each successful applicant must complete all necessary All
adjudication panel as final.
supplementary application forms as required by EIL.

Shortlisted candidates must be available for interview

Sat 28 March 2015 in Dublin
Winners will be announced in April 2015.
th

Declaration:
I confirm that all of the information given above is true to the best of my knowledge and I have read and fully
accept the terms and conditions as outlined above.
Signature: _____________________________________________

Date: _________________

EIL Intercultural Learning, 1 Empress Place, Summerhill North, Cork, Ireland

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Your Action Project

As part of your application, we would like you to outline an Action Project you would do if successful.
Selected participants must complete an Action Project. This aims to:
! Help you to get the most out of your experience enrich your life
! Encourage you to give back be a Global Citizen
Types of Projects include:

Explore a project that looks at similarities and differences, and what we can
learn from other cultures. Take part and talk with your community on topics like
traditions, celebrations, a typical day or food.

Connect a project that links people and communities. If youre interest in

education, interview a teacher abroad and a teacher in your own community. Maybe
musicians, engineers, sports teams, grandparents, local politicians!
Voice a project that allows you take a social issue and be a voice for the people
you have met and if you think it necessary advocate for change on their behalf.

The Action Project is divided into three distinct stages. Each stage is important.

Stage 1: Before you leave.

! Design and plan your project

! Identify the type of project
! (Explore, Connect, Voice)
! Research a topic to focus on when abroad
! (e.g. food & culture, young people & community, role of women in society etc)
! Choose how you will share your experience
! (e.g. write, photograph, video, artwork, drama, music etc)

Stage 2: During your experience abroad.

! Talk to members of your host community (family, teachers, leaders etc)
! Gather photos, notes, video and artifacts on your chosen topic
! Explore and develop your topic. Review your original plan, even change direction!

Stage 3: On your return home.

! Use your experience and gathered stories/photos etc to share your learning with your local
community.
! Your audience can be your family, friends, school, place of work, local community, media or
anybody you can convince to listen to the story you have to tell.

Note: If you are shortlisted and invited to interview for the Award, we may ask about your outline for your Action Project.For more information, samples and tips check out:

www.eilireland.org/travel-awards/tips-for-applicants
Please complete the following page and submit as part of your application
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EIL Intercultural Learning, 1 Empress Place, Summerhill North, Cork, Ireland

Outline for my Action Project

(My ideas and the methods I will use)
Applicants name: _________________________________
TYPE OF PROJECT (the which)
The type of project I am interested is.
(Please circle one)
Explore

Connect

Voice

TOPIC OF INTEREST (the what and the why)

The topic I am interested in concentrating on during my Action Project is.

OUTLINE (the how, when and where)

I plan on carrying out my Action Project by.

EIL Intercultural Learning, 1 Empress Place, Summerhill North, Cork, Ireland

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