Access Application for Lectures

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Ame ri can Col le ge Culture
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fo r non- Engli sh Spe aking Stu dent s
Please submit your application to contact@access-asia.org

ACCESS Application: Ho Chi Minh city, Vietnam – High School and college Students
Part I: Applicant Information
Personal Information:

Full Name:
Last First M.I.

Address:

Phone #: Date of Birthday: / /

Month Date Year
E-mail:
Field of Interest
Current School

Educational Information:

1. Since ACCESS is conducted in English, we require that students have a strong command of the English
language. Please provide tests scores (i.e. TOEFL, IELTS, SAT, ACT) or other evidence of your proficiency.
Personal, Volunteer, Extra-curricular Activities and Achievements:

Many of the top universities in the U.S. do not select their students solely on the basis of academics. They also
look at many different aspects. One such aspect is the activities to which you have dedicated your time and how
you have individually excelled in that area: whether they are playing an instrument, taking on an employment
position, or volunteering to help the community, etc… in order for us to find out more about yourself:

1. Please fill in the chart below up to 5 personal, volunteer or extra-curricular activities in which you have
participated or are participating:
a. Name of the activity
b. The start-date (month/year) and end-date. If you are still currently involved, please fill in present.
c. The position you held in the organization (i.e. member, employee or a leadership role)

Dates of participation
Activity Positions held
Start Date End Date

2. Please list up to 5 distinctions or honors you have received in academics or activities. Indicate what academic
subject if it is an award received in academics or the name of the activity. Provide a brief description of the
award.

Academic Subject/Activity Description

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Part II: Essays

We know that this is the hardest part in the application. There is NO right or wrong answers. The response lies
within you. These essays simply help us become more acquainted with you in ways different from scores or other
objective data.

REQUIRED SHORT ANSWER (200 – 300 words)

With the knowledge you acquire through ACCESS’s conference, what will you do to contribute to your community
and Vietnam’s society?

Host essay –REQUIRED for students who would like to host American College students

Write a short letter to a US student in which you show your personality, hobbies, daily habits, and other intriguing
facts that you think will help that person understand you better.

OPTIONAL: FUN! –These are optional topics that you can write about to demonstrate your English
proficiency and to give us insight into your personality.

1. Describe a character in fiction, an historical figure, or a creative work (art, music, science, etc.) that has
influenced you and describe its impact.

2. You just won the lottery!!! What would you do with all the money?

You are writing your autobiography. What would appear on page 179?
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REQUIRED SHORT ANSWER

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OPTIONAL: FUN! –These are optional topics that you can write about to demonstrate your English
proficiency and to give us insight into your personality. They are NOT required and will NOT hurt your
chances of admission into the program. Please limit yourself again to 500 words and indicate your essay
topic.
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Part III: Conclusion

Required Signature:

By typing your name in the box, you certify that all information in your application, including your essays, is your own
work, factually true and honestly represented.

Signature Date

Checklist:

Please check to make sure that you have accomplished all the necessary tasks. Incomplete applications will
negatively hurt your chances in admission into the program.

Part I:
Personal Information: Filled out all entries
Educational Information: provided evidence of English language abilities and obtained a scanned transcript
containing your school’s or principal’s signature
Personal, Volunteer, Extra-curricular Activities and Achievements: completed charts listing your activities and
achievements

Part II:
Required essay
IF you are hosting: Wrote a letter to your American home-stay resident.
OPTIONAL: Responded to FUN essay question.

Part III:
Typed in your personal required electronic signature.

COMPLETE:
Send in your completed application along with all necessary forms in ONE e-mail to application@access-asia.org
before the designated deadline. Please do not send multiple e-mails.
You will know that we have received your application when we send a letter of confirmation. If you have not
received this within 24 hours of sending in your application to us, please contact us immediately.
CONGRATULATIONS! We will notify you of your status as soon as possible.