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Cultural Compencency Institute Application

Please complete and submit your application by Friday, Sept. 13, 2013 at 4:30 p.m. Selections will be based on upon a competitive application.

If you need further information contact Courtney Jones at (410) 706-7438 or cjones1@umaryland.edu.

APPLICATION

Name:*

Student ID:*

Contact email address:*

Contact phone number:*

Current Address:*

Permanent Address (if different for current address):

School Affiliation:*

Cumulative GPA:*

Expected Graduation Date:*

Courses Related to Cultural Competence:*

Please select the best timeframe that works for your schedule:*

Monday from Noon - 1:30 p.m.

Thursday from 5 - 6:30 p.m.

Please attach your resume

Essay: Please answer the following questions in 250 words or less.

1. What does cultural competence mean to you and what do you hope to gain out of the Cultural Competency Institute?
2. Describe an experience where you felt like you lacked knowledge and/or understanding about a particular group and how this impacted you.

SIGNATURE

By submitting this application I hereby confirm the accuracy and completeness of the information provided. I agree that any misrepresentation contained in this application or made during the application process may result in immediate denial or cancellation of my application.

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Cultural Compencency Institute Application