Personal Student Information
Country of Citizenship:
PASSPORTS: INNOVATE strongly encourages all applicants to apply for or renew their passport at the time of application. Visa applications for most foreign countries require that your passport be valid for at least six months after your date of travel, in this case through September 2009. US citizens may access the US Department of State Passport Information Page to apply for or renew your passport. Citizens of other nations should contact their designated passport issuing authority. US VISA HOLDERS: If you are an international student attending a university in the US on an F-1, J-1 or other visa you must also ensure that your US visa is valid for re-entry to the US when INNOVATE concludes. Schedule a meeting with your Office of International Students and Scholars to verify this information as soon as possible. VISAS FOR VIETNAM: All INNOVATE delegates must obtain a visa to enter Vietnam. For US-delegates the visa application & processing fee is included in your conference registration fee and more details on this process will be forwarded to you in December. International delegates are responsible for obtaining their own visas into Vietnam by applying through your local Vietnamese Embassy or Consulate. VISAS FOR TAIWAN - US CITIZENS: U.S. passport holders will be allowed to enter Taiwan without a visa for up to thirty days (no extensions or change of status allowed) if they have a passport valid for at least six months from the date of entry into Taiwan and a confirmed return or onward air ticket.  Travelers must have already met any additional visa requirements for the next destination, if applicable.  VISAS FOR TAIWAN - NON US CITIZENS: Citizens of 31 other nations qualify for the Visa Exemption Program for Taiwan. To determine if you qualify for please click here. If your country is not listed under the visa exempt program you will need to apply individually for a tourist visa to enter through your local Taiwanese Embassy or Consulate. Please keep in mind that visa issuance is at the discretion of the host nation and INNOVATE cannot be held accountable if you are denied a visa or entry into Vietnam or Taiwan for any reason.
Passport Number
Date of Issue
Date of Expiration
Date of Birth
City of Birth
Country of Birth
Native Language
Other Language/s Spoken	---

Emergency Contact Information:
All applicants must list an emergency contact that INNOVATE may use in the event we need to contact someone on your behalf. The emergency contact you provide should be an adult, over the age of 18 who would be able to make decisions on your behalf in case of an emergency abroad.
Contact Name
Contact Email
Contact Phone
Contact Relationship	--- Parent or Guardian Sibling Other Relative Spouse/Partner Friend Other

University Information
University Name
Are you a member of IAESTE US or an International IAESTE chapter?	Yes No	Preference will be given to IAESTE US members. Membership in IAESTE provides access to paid internships abroad, other short-term international programs, leadership training and international networking opportunities in over 80 countries worldwide. To become a member of IAESTE US please click here. International applicants who would like to learn more about IAESTE and see if there is a chapter in your country please click here.
Major
Second Major/Minor
Status	--- Freshman Sophomore Junior Senior Graduate Student (MA or MS) Ph.D Candidate
Anticipated Graduation Date
Please upload a copy of your unofficial transcript. This transcript should show all grades received to date and indicate all coursework currently in progress for the current term. This file may be uploaded as a PDF, Microsoft Word document, or JPEG file.

INNOVATE Essays & Experience

This online application only supports single-spaced, plain text. Please do not use any special formatting such as bullets or text formatting when submitting your essays. It is strongly advised that you compose your essays first in a word processing software such as Microsoft Word so that you can check for spelling or grammar errors prior to submitting your application. Once you have had your essays proofread you can then copy and paste this information directly into the online application. Maximum length for each essay is 300 to 500 words.

1. Describe the impact that globalization and technology have had or will have on your field of study or chosen profession. What aspects of globalization, as they relate to Vietnam and Taiwan, are you most interested in learning about through INNOVATE?

2. What do you hope to gain from participating in INNOVATE and how will you apply this to your academic and/or future professional career? How will you share your INNOVATE experience with other members of your campus or local community?

3. Briefly describe your previous leadership experience or any leadership training you have completed. How will INNOVATE serve to further strengthen or develop your leaderships skills and how will you apply these skills to your future academic or professional career?

4. List up to three campus or community organizations that you are currently involved with and briefly describe your role with each.

5. Briefly describe any previous experience abroad highlighting any international study, work/internship or volunteer experience.

Upload a copy of your most recent resume or CV as a Microsoft Word or PDF document file.

Optional Information
While your response to the questions below is appreciated, these are optional and will have no bearing on the review and selection process for INNOVATE.
Gender	--- Female Male
Ethnicity	--- African-American/Black Asian Hispanic Native American Caucasian/White Other/Multi-Ethnic
Indicate your shirt size	--- X-Small Small Medium Large X-Large XX-Large
Indicate any special dietary needs	--- Vegetarian No Pork No Seafood Food Allergies Other
Describe any Food Allergies or Other as indicated above	None.
Describe any Other Special Needs	None.
The INNOVATE conference is committed to equality of opportunity for persons with disabilities and to compliance with the Americans with Disabilities Act as well as Section 504 of the Rehabilitation Act of 1973. Rice University strives to make international programs accessible to individuals with disabilities. However, accommodations available in the US may not be available abroad and we encourage all participants to talk with the INNOVATE program about your needs and expectations.
How did you learn about the INNOVATE? --- INNOVATE Website Academic Advisor Professor Study Abroad Office Internet Search Newspaper Other
Please list the name of the contact that provided you with information on INNOVATE.
Contact Name
Contact Email Address