Application for Myanmar StudentsName *Email *Phone *Date of Birth *City of Residence *Academic Institution and Graduation Year *Field of Interest *Any medical conditions or allergies? (ie. asthma, allergic reaction to mosquito bites) *List your past community service experiences. Briefly describe each of them. *Elaborate on a moment you were proud to have taught something? (ie. tutoring, teaching a baby how to walk) *List extracurricular interests and activities you were involved in. *How do you define Burmese culture? If given the opportunity, how would you introduce it to a global audience of various backgrounds? *One crucial part of this project includes teamwork. Thus, describe an occasion in which you have positively influenced others, helped resolve disputes or contributed to group efforts over time. *If there is anything else you want to mention about yourself relevant to this program, feel free to use the space below. VerificationPlease enter any two digits *Example: 12This box is for spam protection - please leave it blank: