ARC4 Students' Forum

23 - 24 March 2015 I Hangzhou, China

- Application Form for Participants of the Students' Forum Please submit this online registration by Sunday, 25 January 2015.

Selection Criteria:

Citizen of any of the 51 ASEM member countries

Currently-enrolled university student between 18 and 30 years old

Fluent in English (verbal and written)

Willing and able to actively participate in the pre-event preparatory and postevent follow-up activities (online forum, collaterals, etc.)

Travel and Accommodation:

Full travel reimbursement for the most direct economical connection will be
provided for participants based outside Hangzhou. Accommodation and meals
will be provided during the Forum.

For the Frequently Asked Questions (FAQ), please click here.

Personal Particulars
* Mandatory fields
Salutation*
Mr
Ms
Other:
Name*
First Name*

Last Name*
Gender*
Male

Female

Nationality*

Korea

ASEM Member Countries Only

Birthdate*
Month

Year

Contact Details and Address

Primary Email*
Secondary Email
Mobile No.*
Please also indicate your country code.

Expertise and Biography

Currently enrolled as*
Undergraduate (BA, BSc, etc.)
Year of Study*
1st Year
2nd Year

3rd Year or above

Major Field of Study*

Secondary Field of Study (if applicable)
University/Organisation*
Faculty*

Graduate (MA, MSc, etc.)

Doctoral (PhD, etc.)

Country of University*

ASEM Member Countries Only

University Website
If not applicable, please state "N.A."

Are you a member of any association/group/network (including social, cultural, political, environmental
involvement?)
e.g. AIESEC, Red Cross, etc.

Tell us about yourself

Here is your chance to tell us who you are and what makes you the right candidate for the Students'
Forum. (ca. 250 words):
Please feel free to write here:*N
I am Medical student whom keep pursuing my dream to be one of Indonesias top leader. Having
Strong and passionate leadership toward the development of Indonesia, I am choosen as one of

Young Leader for Indonesia by McKinsey and company. I believe that a big country
will start from how fast the growth rate for its peoples entrepreneurial skill. Thus, I
am eager toward entrepreneurial activities.
Currently I am running Garbage Clinical Insurance Project Socioenterpreneur Project
with my team which were helping the poor while were empower university student
to hone their entrepreneurial skill. Were trying to make a collaboration between
university, business, government and people into a project which can benefit all,
enabling them to tackling the economic inequalities problem. This project has
awarded with Young Sustainable Entrepreneur Award from Prince Charles in
Buckingham Palace, UK. Its my dream and responsibility to expand this type of
collaboration to other Universities, enabling them to learn from this initiative.
Moreover, I also need to learn a lot from all of the student in all over the world. I
believe that ARC4 Students Forum University-Business Partnerships: Asia and
Europe Seeking 21st Century Solutions is one of the best possible answer for this
dream. Here we, all of the student can expand our knowledge, learn from the
expert, and help each other to tackle various challenge in each country. Hereby, I
am willing to commit any responsibility and consequences for being ARC4 Students'
Forum participant.

Summit. characters remaining:

c.a 250 words

Curriculum Vitae*
(accepted document types: .pdf, .doc, .docx. Please limit your CV to 300KB and one page only.)

Profile Picture (optional)

(min. 300 pixels width and file size not more than 500 KB).

Share with us your knowledge (Optional)

You are welcome to share with us your thoughts, ideas and suggestions on one of the Forum's topics
(below). Feel free to unleash your creative side. (ca. 300 words):
Please select only one of the following:
University-Business Partnerships for Employability Skills
Enterpreneurship

University-Business Partnerships for

University-Business Partnerships for New Learning Environments through

Technology
Please share with us here:Number of characters remaining:

collaborations between universities and businesses are becoming more sophisticated and
intertwined, evolving to meet shifting economic, marketplace and educational needs.
Effective cooperation strengthens the exchange and sharing of knowledge between business and
academia and stimulates innovation in both environments. This type of cooperation has resulted in a
range of policies and activities designed to encourage higher education institutions to build stronger
links with the business sector.

c.a 300 words

Workshop Preferences and Roles

Please select your preferences for the Focus Group (FG)
Please let us know if you are interested in taking up any of the following roles:
Moderator
Rapporteur
Coordinator of pre- and post-event online discussions

Confirmation
I hereby confirm that*
I meet all the criteria to apply for the ARC4 Students' Forum, as stated in the Open Call.
currently enrolled as a university student.

I am willing and able to actively participate in the pre-event

preparatory work (online forum, research work, etc.).

(sharing always with the same gender).

I am

I agree to a twin-bedroom hotel accommodation

All the information I have provided in this form is true and

correct to the best of my knowledge. I understand that the organisers reserve the right to withhold my
participation at any stage should a deliberate violation of this requirement be discovered.
Keep in touch with us:
I agree to be contacted as a potential participant for future projects organised by ASEF

Organiser Contact Details

Further Information:
Marcel BANDUR (Mr) | Project Officer, Education Department | Asia-Europe Foundation (ASEF)
31 Heng Mui Keng Terrace, Singapore 119595
T: (+65) 6874 9714 | F: (+65) 6872 1207 | E: arc@asef.org| W: www.asef.org

ARC4 Project Website

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