Leadership Center

1		2025 유니도담 Personal Garden Application Form

1. Personal Information

Name		Contact	Mobile Phone: Email:
Position	(e.g., Student, Faculty, Staff, Researcher):	Gender	□ Male / □ Female
Reason for Application

2. Operation Plan

Crops to be grown	(e.g., vegetables such as lettuce, tomatoes, peppers, or flowers such as tulips, lavender, daisies, poppies, etc.):
Reason for choosing these crops
Detailed monthly activity plan	(e.g., April: Sowing May: Sowing and transplanting June: Tying and pruning ㆍ ㆍ November: .....)
Long-term Management & Feasibility	(e.g., Availability of time for continuous participation, Feasibility of the activity plan, willingness to engage consistently.)
Community Engagement	(e.g., Willingness to actively participate in community gardening activities and collaborate with other participants.)
Expected Benefits from Gardening	(e.g., Psychological and emotional benefits, Physical health improvements, Personal growth and community contribution.)
Requests (if any)

2		Consent for Personal Information Processing

Under the provisions of the Personal Information Protection Act (PIPA), the UNIST Leadership Center seeks consent from applicants for the operation of the UNIDODAM Personal Garden regarding the collection and processing of their personal information. Please review this document thoroughly before granting consent.

▶ Collection and Use of Personal Information

Items to be collected	Purposes of collection and use	Period of data retention
Name, Affiliation, Gender	Participant identification, selection, and management	Until the end of the program
Mobile Phone, Email Address	Notifications and operations related to gardening activities

※ You have the right to refuse consent; however, please note that the aforementioned services may not be available if you do not give consent.

I hereby consent to the processing of all personal information for the purposes outlined in this document. I understand that I have the right to withdraw this consent at any time.

□Give consent	□Do not give consent

Name of Individual Providing Consent:

Signature:

Date of Signature:

(For applicants under 14 years of age) Legal Guardian’s Name: (Signature or Stamp)

3		Participation Agreement

The following terms and conditions apply to participants of the 유니도담 Personal Garden Horticultural Activity at UNIST Leadership Center.

1. The assigned garden plot must not be transferred to anyone other than immediate family members, and must not be damaged.

2. Do not plant crops that could harm others or affect neighboring gardens.

3. Participants are responsible for maintaining and cleaning their own gardens (e.g., removing plastic waste, trash, and weeds).

4. Garden plots left unattended for more than two months may be reassigned to waitlisted participants.

5. Shared tools must be used properly and returned to their designated place after use.

6. Participants bear full responsibility for any accidents resulting from their own negligence.

7. As the garden is a shared space, participants must actively contribute to its management.

By signing below, the participant agrees to follow the above guidelines. If these terms are not followed, the garden plot may be reassigned and any cultivated crops may be removed as part of garden management.

Date:  2025    /    /

Name:          (Signature)