Application Guidance The 22nd Duskin Leadership Training in Japan; A Program for Persons with Disabilities in Asia and the Pacific (2020) May 2019 Sponsor: The Duskin AINOWA Foundation Operating Organization: Japanese Society for Rehabilitation of Persons with Disabilities (JSRPD)April 2019 Greetings The 22nd Duskin Leadership Traini A Program for Persons Make Your Dreams Come True Dear Applicants, It has been over thirty-eight years since the Duskin Ainowa Foundation was established in 1981. The “Duskin Study Abroad Leaders Program for the Disabled” was initiated during the United Nation's International Year of Disabled Persons, with the goal of helping persons with ‘abilities to achieve full participation, without discrimination, in society. The Foundation launched its second program, “The Duskin Leadership Training in Japan” in 1999. During the past twenty years, a total of 130 trainees from 28 different countries and regions in Asia and the Pacific area successfully completed the program. We are pleased that the program has been well received, as is evident in the enthusiastic responses from communities in these nations, year after year. At the same time, we are increasingly aware of the importance of our commitment and our responsibility to ensure that this program continues to have its long-term social impact on these nations. We believe that our mission for this program is to provide our selected trainees with the training they need so that on their return to their home countries, they can become leaders among persons with disabilities in their own communitit by dedicating themselves to these individuals and communities. We are proud that many trainees who completed the program are now playing pioneering roles in their home countries. We hope that many young persons with disabilities and who also possess courage and a belief in their ability to face and overcome tough difficulties and challenges. will apply to participate in our 22nd program. There were approximately 160 applicants for the 21st program last year, and we expect that the number of applicants this year will exceed even that total. While the selection process is rigorous, and the training program even more so, we encourage all young people who are determined to accept new challenges to apply for this extraordinary program. We look forward to receiving your application and wish you success in your endeavors. With our prayers, The Executive Committee for the Duskin Leadership Training in Japan Duskin AINOWA FoundationOpening Ceremony I. About the Program Hl Introduction This progra with disabilities living in Asia and the Pa who have the willingness and the potential to is designed for young persons ders in their communities and to become le work for persons with disabilities. The program offers such young individuals with disabilities ty to learn about for persons with reby to obtain 1 support their n opportu fare policies and services disabilities in Japan and knowledge and skills that w future activities, It was first initiated in 1999 by the Duskin AINOWA Foundation as project commemorating the Asian and Pacific Decade of Disabled Persons (1993-2002). Over the past twenty years, 130 people from all acific completed the w over Asia and the prog E@Sponsor The Duskin AINOWA Foundation Ei Co-sponsors Duskin Co, Ltd. The Duskin Group of Companies Application Guidance EZ Operating organization Japanese Society for Rehabilitation of Persons with Disabilities (SRPD) El Supporting organization lth, Labour and Welfare, Japan Ministry Gl The number of trainees selected \ maximum of 10 places are available. In principle, only one trainee can be selected from each country/region BA Duration of the program Approximately 10 months (starting in September 2020 and ending in June 2021) Cross Disability TrainingApplication Guidance EE Target countries/regions Countries/regions in Asia and the Pacific excluding New Zealand and Australia El Training venues Training takes place at a variety of locations across Japan, including rehabilitation centers for persons with disabilities, educational institutions and organizations of/for with disabilities. persons Japanese Sixt HO Main features of the program (1) Approximately the 10-month long training program will consist of three parts - language learning, group training and individual training. (2) The trainee design individual training program based on his/her interests and future goals. A final training plan c drawn up in Language Class Japanese will his/her own 1 be consultation with training coordinators at JSRPD and with experts from related organizations. (3) In principle, all the training will be provided in the Japanese (sign) language. (4) The first three months will be devoted to intensive Japanese (sign) language lessons. Sufficient language skills will enable the trainee to exchange opinions and ideas with people in Japan, It is also a requirement for the trainees to make their presentation in Japanese (sign) language and/or to take a Japanese test. (5) The trainee will learn about the current situation of rehabilitation and welfare services, and movements of/for persons with disabilities, through observation and hands-on experience, opportunities to attend seminars on disability persons with (6) There will be and rehabilitation of conferences and/or disabilities. (7) The holi spend the New Year days with a Japanese family. (8) The trainee will meet with disabled leaders and activ the latest cooperation in relevant fields. (9) The trainee will ts from different countries to get nformation on international covers a wide range of including how to project proposals and reports and how to give presentations. (10) The trainee will be required to submit both weekly reports and a final report. training al topi writeApplication Guidance HANotes for applicants _ Hil Applicant criteria ry or prior work experience is required to apply for this program. However, you must (1) be a person with a disability living in Asia and the Paci be between 18 and 29 years old as of August 8 2019, (3) be able to communicate in either Japanese (or Japanese Sign Language) or English (or International Sign Language/ASL) (see 14. below), be determined to become a future Jeader in your community and to work for persons with disabilities, be willing to adapt yourself to the Japanese lifestyle and complete about the 10-month training in Japan, (6) understand that no temporary return to your home country will be allowed throughout the entire training period until the completion of the training, (7) be able to carry out your everyday act without as & have a surety, who is a parent, a sibling of age, or someone who is next of kin, and (9) agree to participate in the program at your own Q a 6) ance, Group Training (1) Fill in the application form in either Japanese or English. Type or handwrite clearly. The application form consists of 8 pages and has 28 sections. Do not exceed the space provided for each section (2) In Section 10, tick an appropriate box. If you tick ‘I work’ or ‘Other,’ clarify the type of your organization/work and the form of your employment by ticking all appropriate boxes or giving details. In Section 11, refer to any organization of/for persons with disabilities that you are currently involved with as a member, user and volunteer etc. Do not include any information that you have mentioned in Section 10. (4) In Section 12, write down the name of school/university/any other educational ich you graduated and state your major. Do not include any information you have already stated in Sections 10, 6) In Section 13, write down the names of your past employers and the duration of each employment, if any. Then briefly describe each organization and your role. Do not include information you have already stated in Section 10. (6) In Section 17, describe your current situation regarding your disability in detail including medical data. Also clarify if you need any assistance in daily life (and if so, of what kind), It is very important for us to correctly understand your disability and current situation. (7) In Section 24, give the name and contact details of a person who can act as your referee, such as your teacher, current/past employer, etc. Your referee must be able to discuss your skills and personal qualities. He/she must not be related to you by birth or marriage, be in a personal relationship with you, or live at the same address as you, already institution from wiApplication Guidance (8) In Section 25, give the name and contact details of a person who can act as your surety. Your surety will be liable to the Sponsor and the Operating Organization for your fulfillment of your obligations as a trainee, including an immediate payment of any financial debt. (9) In principle, you are expected to fill in the application form by yourself, However, if you have difficulty in doing so, another person may do it on your behalf. In ¢ case, you must clarify this in Section 26 (10) If you are applying by post, attach a photo showing your face and whole body to the first page of the application form. Write your name on the back of the photo. If you are applying by email, send your photo as a separately attached _file preferably in the JPEG format. ‘The size of the photo must not exceed 2MB. (11) If you are applying by email, please send the application form as an either Microsoft Word or PDF file to the following address: duskin_training@dinf.ne.ip (12) Alternatively, you can send your application form by mail or international courier to the following address Secretariat for the Duskin Leadership Training in Japan ¢/o JSRPD 122-1 Toyama, Shinjuku-ku, Tokyo 162-0032 JAPAN (13) You must send your application only once by one of the methods shown above. We regret that we cannot accept applications sent by FAX. (14) Your application and attached documents will not be returned. (15) The Secretariat will not acknowledge receipt of applications respectively. HEI Submission deadline August 8, 2019 Applications sent by email after this date will not be considered. If you are posting your application form, it needs to be postmarked on or before August 8, 2019. Selection procedures ind notification of a result (1) The Executive Committee, consisting of 8 members and 1 advisor, will screen all valid appli applicants. (2) The Secretariat will contact each shortlisted applicant in order to arrange an her own country/region. the Executive ations and shor! interview in Then a member(s) of Committee will travel and meet him/her in order to assess his/her suitability as a trainee. (3) The Executive Committee will make final decisions at a committee meeting. (4) The Secretariat will inform all applicants of a result by post by the end of May 2020. (5) No application-related questions can be answered during the selection process. HEI Expenses (1) The sponsor will cover the following expenses: (i) Cost of traveling between the trainee's home town and Japan, including international flights and domestic transportation. (i) Fees for necessary travel documents, such as passport and visa. (ii) Cost of training during the program. (iv) Living expenses such as accommodation and food, supplemented by daily allowances (2) The trainee will bear any other expenses which are not listed above.NOT FOR SALE Please carefully read the Application Guidance before completing this form. ‘Type or handwrite clearly, and do not exceed the space provided for each section. Note: Please type or handwrite clearly and tick appropriate boxes that should appear as (FOR OFFICE USE ONLY: Registration Number ) The 20% Duskin Leader: A Program for Persons with Disabi ip Training in Japan ies in Asia and the Pacific (2018) 1. Name First (given) name(s) Middle name Second (family) name In your native language: In English alphabet: 2. Sex 3. Date of Birth C1 Male © Female | Year Month Day > —_O Unspecified (19 Age: _ as of August 8,2017) 4 Contact details CD Home © Office 1 Other (please specity: ) Postal address: Country Telephone: _ Fax: Mobile phone Email: 5. Type of disability OO Physical = Visual «= Hearing C0 Intellectual = 2 Mental C1 Other (please specify ) T fe Nationality Attach your photo here A photo must show your face and entire body. It must have been 7. Native language (mother tongue) ene pee Ifyou are applying by post, please write your full name on the back of the photo. - Ifyou are applying by email, please send your photo as a separate 8. Religion attachment. 9. Marital status C Single O MarriedI Note: Please type or handwrite clearly and tick appropriate boxes that should appear as | 10. What do you do? OC Tama student DI work Other (please specify: ) Ifyou are a student, please provide details of your institution: Name of your School/College/Institution Address: ‘Your school Year/Grade: Your major: When do you expect to graduate? Ifyou have employment or any other kinds of work, please provide details below. NGO CO Public administration/government C1 Private firm/institution [) Other type of institution Ci Self-employed Family-run business Oi Freelance 1 Other (details: ) ‘Your organization type: CO Paid staff 2) Unpaid staff/ Volunteer ‘Your status Cl Intern‘Trainee © Other (details: ) Name of Your Employer | (Organization/Company): Address: Telephone: Fax: Website: Email: Describe specialty of your organization and its main business: Deseribe your job details including your present titleNote: Please type or handuwrits clearly and tick appropriate boxes that should appear as @. 11, Do you belong to any organization offfor persons with disabilities? (No, Idon’t belong to any organization.) Yes, I belong to the following organization. ‘Name of the organization: Address: Telephone: Website: Email Its purpose and activities: How are you affiliated with this organization? | 1 Staff Cl Member O Volunteer (tick an appropriate box) O Service user O Other > _| Describe your involvement: 12, Education A.University/ School Give the name of the institution from which you graduated, your degree/major and completion date. Please exclude information that you have already mentioned in Section 10, Attended From | Attended To | Degree, Certificate Niae City/Country | (Month/Year) | (Month/Year) | or Diploma B.Training/Seminar T List training courses and seminars ete. that you have attended and qualifications that you hold. From To Naine City/County (MonthyYear) | (Month/Year) | *ttificates obtained 13, Work Experience Please exclude information that you have already mentioned in Section 10, Name ofemployer/ | Description of — | From To Title, duties and organization organization (Month/Year) | (Month/Year) | _ responsibilities‘Note: Please type or handwrite clearly and tick appropriate boxes that should appear as (2. 14, Reason for applying: Why do you want (o participate in this training program? 15. Your training plan: What do you want to learn in Japan? 16. Your future plan: What will you do after training?Note: Please type or handwrite clearly and tick appropriate boxes that should appear as @. 17. Your disability What is the name of your disability? Please describe details about your disability including medical records. Do you require any assistance in your daily life? CIYES ONO If YES, please tick all appropriate boxes below: - Aids: TElectric Wheelchair Manual Wheelchair CiCrutches CiGuide dog OWhite cane Other (please specify: ) - Personal Assistant: (]Full-time Part-time > CMobility OTransferring ClEating CiCooking CCleaning CClothing OToileting Bathing —L1Other (please specify: ) Give any additional information which would help us to understand your disability and condition 18. Do you have a dietary, medical or any other restriction in your daily life due to your ri or health condition?Please type or handwrite clearly and 19, Deseribe your personal history. 20. What are your hob! and interests? | 21. Have you traveled abroad before? Give details of any travel experience abroad (e.g., study, training and holidays), including its destination, duration and purpose. 22. How did you learn about this program and where did you get this application form?Note: Please type or handwrite clearly and tick appropriate boxes that should appear as 2. 23, Your language skills ~ Circle a number that indicates your level on each scale bar. ENGLISH Speaking: None Basic communication Everyday conversation Business level Native level PS Listening: None Basic communication Everyday conversation Business level Native level [Se None Some words Simple sentences Short stories Newspapers SS oS ay Writing: None Some words Simple sentences Business reports |e JAPANESE Speaking: None Greetings Basic communication Everyday conversation Business level SS Listening: None Greetings Basic communication Everyday conversation Business level a a a | Some letters Simple sentences Short stories Newspapers ar None Some letters Simple sentences Short essays, Business reports i a Te Do you use or understand any of the followings? Please tick all appropriate boxes below. Braille: [Native language ( ) — ClEnglish (Grade) DOther (please specity: ) Sign language: Native language ( ) ASL Clnternational Dapanese “Other (please speci ) Lip-reading: CNative language ( ) English Japanese COther (please specify ) Ifyou have any other communication skills, please describe below:19, | 24. Referee information — Give the name and contact details of your referee. | Name: Relationship to you: _ Address: = Occupation: Email: Telephone: Mobile phone: 25, Surety information ~ Give the name and contact details of your surety. Name; Relationship to you Address: -— | Occupation: Email 20. — | Telephone: Mobile phone: 26. Who completed this application form? I completed this form by myself. 7 1 got help — please give details on the person who completed this form on behalf of you. +— | Name: Relationship to you: 21. trait_| Reason for assistance: 27. Have you applied for this program before? CO Yes, 1 applied in 20 No, this is my first time applying, 32, | 28 Declaration statement by the applicant “[ hereby certify that all the information stated above is true, correct and complete." Your signature (or type your name) Date:| pplication Guidance E Wa How to contact us If you have any inquiries, please contact the il ‘om Secretariat by post, telephone or em (Inquiries by telephone will be accepted Monday to Friday from 10:00-12:00 and 13:00-17:00 Japan time), Secretariat for the Duskin Leadership Training in Japan c/o Japanese Society for Rehabilitation of » Persons with Disabilities JSRPD) ii Traiting 1-221 Toyama, Shinjuku-ku, Tokyo 162-0052, . Japan Telephone: +81-3-527344633, Email: duskin_training@dinf.ne.jp Message from a former trainee I believe that you are very excited to start your marvelous journey of your 7 ‘ Duskin Leadership Training in Japan now. Your wonderful opportunity of Fy the Program reminds me of my experiences as a Duskin Trainee. The golden key for you to possess the valuable knowledge and experience he treasure that Japanese people offer you is to learn Japanese language well MMTGR cr tne first three months. After this first challenge, you will be free to MD explore the accessible living. learning, and working environment of Japanese | people with disabilities, Your wealth of knowledge will entirely depend on your observation, experience, and learning keenness. Therefore, please try to avail all opportunities, raise questions, observe, and experience as much as you can, especially what past and present difficulties and barriers that Japanese people with disabilities have faced an how they have overcome them. This information would be very helpful for your advocacy for disabil n you return after the course. For now, I just want to give you my heartfelt congratulations on your joining our big Duskin family and wish you a fruitful and enjoyable training in Japan. y rights in your country wh Thu Huong Dao (the 13th Duskin Trainee) Group leader, Lift You Up Hanoi, Vietnam