Personal
Information
Applicant’s Name (First, Last) *
Preferred Name (if different than above)
Mailing Address *
Telephone *
E-mail Address *
Gender *
Male Female
Age (as of 6/22/08) *
Date of Birth (MM/DD/YY) *
Grade (Fall 2008) *
High School Name *
H.S. Address *
High School Phone Number *
Language(s) and Proficiency *
How did you learn about this program? *
Have you participated in this, or any other leadership program before? If yes, where? *
Parent/Guardian Information
Custodial Parent/Guardian Name *
Home Address (if different than above)
Home Phone *
Cell Phone
Work Phone
Second Parent or Guardian or Emergency Contact Name *
Home Address (if different than above)
Home Phone *
Cell Phone
Work Phone
Essay Questions
1) Please provide us with a description of yourself, including relevant personal information as well as any educational, work, and volunteer experience. Please mention any leadership positions held and honors received, and feel free to include any hobbies, talents, or special interests you may have.
Answer: *
2) Why are you interested in participating in Camp Ayandeh? If you attended the 2007 Camp, why do you want to participate in this year’s camp?
Answer: *
3) What do you hope to gain by attending the camp?
Answer: *
4) About what aspects of Iranian culture and history would you like to learn more?
Answer: *
5) What does being Iranian mean to you?
Answer: *
6) Please use this space for additional information you would like to share with us or special circumstances that require further explanation.
Answer:
Please upload a recent photo of yourself. (IAAB will only use this photo for camp materials and will not consider it as part of the application for camp participation.)
Security Question
What is the sum of 2 and 5?