International Development Exchange Program
for 2012 in Japan
1st – 18th of July
This application form should be delivered to email@example.com by 24th of April, no
later than 13:00 (Latvian time)
Feel free to use as much space as you need.
Gender: Date of birth:
2. More information about you
Please describe yourself (shortly).
How do you spend you free time? What are your interests and hobbies?
Do you have any experience participating in international programs (school, studies, youth sector,
culture, etc.)? Please describe shortly.
3. Motivation for participating in the program in Japan
Please describe what are the things which come into your mind when you think about Japan?
Have you had any previous connection or experience cooperating with Japan or Japanese people?
What is your motivation to participate in this exchange program? What do you expect from it?
How could you contribute to this program?
If you will be selected as a participant, how will you share/disseminate the outcomes of this
program in Latvia during the exchange and after returning home (please mention concrete activities,
target groups, locations etc.)?
Do you have any further cooperation plans with Japan? Please describe.
4. Support for organizing the visit of Japanese youth in Latvia (9-26 September 2012)
What would you recommend to include in the programme for the visit of the delegation of Japanese
youth in Latvia for them to discover our country better?
Would you be available for supporting us in organizing the programme for hosting Japanese youth in
Latvia: 9-26 September 2012?
If yes, describe your availability (please mention which dates and times of the day (approximately)
would you be able to join us and help).
How would you contribute to organizing the visit of delegation from Japan in Latvia? Please, mention
at least 3 concrete things/activities that you personally would be willing and able to organize/be
5. Other information
Please rate your foreign language skills:
English Japanese Other:__________ Other:__________
Excellent Excellent Excellent Excellent
Good Good Good Good
Average Average Average Average
Poor Poor Poor Poor
Very poor Very poor Very poor Very poor
No skills No skills No skills No skills
Do you have any special needs (dietary, mobility, special medicine etc.)?
Your availability to come to candidates’ interview for final selection of participants for the
program (please mention all times when you are available)1:
Monday, May 14, 2012 (hour) Tuesday, May 15, 2012 (hour)
09:00 13:30 09:00
09:30 14:00 09:30
10:00 14.30 10:00
10:30 15:00 10:30
11:00 15:30 11:00
11:30 16:00 11:30
12:00 16:30 12:00
I am applying for participation in International Development Exchange Program for 2012
in Japan and confirm that in case I am selected I will participate in all planned events and
activities within the Exchange program both in Latvia and Japan.
Date and place
As part of selection procedure, out of all candidates 15-20 people will be short-listed for the second
round of selection and invited for interviews on 14-th or 15-th of May 2012.
ESSAY “Three things that could bridge Latvia and Japan”
Max. 750 words
Please return this form to the e-mail firstname.lastname@example.org
by 24th of April, no later than 13:00 (Latvian time)
We will inform you about selection results of the first round no later than 7th of May!