Code:

TD :
SD :

Application Form
Global Community Development
Programme
AIESEC EXPERIENCE

For more details please contact:

pandu.waskito@aiesec.net
Pandu, +6285697757086

Instructions
AIESEC University of Indonesia | Student Center lt.1 Faculty Economics, Kampus Baru UI Depok 16424
Fax: +62 21 787 2256
Website: www.aiesecui.org

Thank you for showing interest in AIESECs Global Exchange Program. Once you
have read the form and are interested in applying, please follow these steps
below.
1. Complete all sections of this application form.
2. Please attach to the application your CV in English
3. If you apply online, Send the application kit to
exchange.aiesecui@gmail.com
*All in PDF format in 1 ZIP folder naming GCDP_YOUR FULL NAME
4. The interview selection will be held in AIESEC Universitas Indonesia office
(Fakultas Ekonomi Universitas Indonesia, Depok). This round of interview
will determine whether you will be accepted to go on AIESEC Global
Exchange Program or not.

Application form

AIESEC University of Indonesia | Student Center lt.1 Faculty Economics, Kampus Baru UI Depok 16424
Fax: +62 21 787 2256
Website: www.aiesecui.org

Part 1: Personal Information

Last name

Aljufri

First Name(s)

Nadia

Gender

female

Nationality

Indonesian

Date of Birth
(dd-mm-yy)

02-02-1994

Place of Birth

Bogor

Home Address

Jl.mampang prapatan 16 no.34D

City/ Postcode

Jakarta/12790

Phone Number

+62 21 79190126

Email

nadialjufri@ymail.com

Mobile
Number

+6287826084939

Webpage
Passport No.
Emergency
contact:

U683790

Passport
Exp. Date

March 11, 2015

Phone
number

Name

What is your passion? What is your hobbies/interest?

my passion is to travel the world and learn new things and my hobby is singing

Please describe about your strengths and weaknesses! And how do you manage your
weaknesses?

My strength is to persuade and convince people to do something for example if i

have to recommend some good places or to buy something, ill try to convince
my friends to go or buy something that i think its good and most of them are
believe me.. my weakness is im a shy person, i dont talk too much and people
will think that im an arrogant person and quite person, but actually it just
because im too shy..but personally i can be so crazy when im with my
bestfriends..so i hope with aiesec i can be more open to people

AIESEC University of Indonesia | Student Center lt.1 Faculty Economics, Kampus Baru UI Depok 16424
Fax: +62 21 787 2256
Website: www.aiesecui.org

Part 2: Personal Resume

Languages
The languages listed below (except native languages) must be tested and certified by a language
professional (on student contract) according to AIESEC evaluation standards.
The levels are: Native, Excellent, Good and Basic. Have not done any TOEFL/IELTS
Language(s)
Spoken
1. good
2.
1.

Speaking
Level
good
______

Understanding
Level
good
______

Writing
Level
excellent
______

Reading
Level
good
______

Overall
Level
good
______

______

______

______

______

______

Organizational Experience
Please enter any relevant work experience you have had:
Organisation
Title
Responsibilities
1.
2.
3.
4.
5.

Duration
(months)

PART 3: General Questions

What is your motivation applying for AIESEC Global Community Development Program?

To help the world make some changes,try new experience and meet new
people from the entire world

Please list down 3 things you would like to achieve the most from Leadership
Opportunities and International Internship/Exchange in AIESEC? List it separately!

To work with international organization that allows me to cooperate with anyone

from a different countries, gain more skills in communication with foreigner,and
to learn new culture

What is your ultimate life ambition? Please explain your long term goals and how AIESEC
can contribute in achieving your goals!

AIESEC University of Indonesia | Student Center lt.1 Faculty Economics, Kampus Baru UI Depok 16424
Fax: +62 21 787 2256
Website: www.aiesecui.org

My biggest ambition is to work abroad so i can gain more skills,experiences and

work with people from another countries, and joining aiesec will help me to
achieve my ambition because i will get some link by meeting new people and
get new friends from another countries.

What kind of Global Issue that you interested in? Please describe why! (It can be more than
one)
HIV/AIDS
Environment
Children
Entrepreneurship
Cultural
Tourism
Others : ....

What do you think the biggest challenge the world currently face and how it is related to
you?

I think the biggest challenge is global warming because it ruin the earth and it
obviously related to me as a human being to care about our environment and
make it better

Do you have financial problem to go for this exchange experience? (Accommodation will
be provided but you have to pay the fee for selection, administration, preparation, ticket,
and visa by yourself).

no

When is your avalability time to do the internship?

AIESEC University of Indonesia | Student Center lt.1 Faculty Economics, Kampus Baru UI Depok 16424
Fax: +62 21 787 2256
Website: www.aiesecui.org

This is a brief estimation budget for going Exchange. This budget roughly can cover for 6
weeks Exchange in these countries (exclude the selection, administration, and preparation fee
paid to AIESEC):
Rp 5.000.000 Rp 7.000.000 (ASEAN Countries)
Rp 8.000.000 Rp 12.000.000 (South Asia Countries)
Rp 12.000.000 Rp 18.000.000 (East Asia Countries)
Rp 18.000.000 Rp 22.000.000 (Eastern Europe)
> Rp 22.000.000 (Central Europe and Beyond)

Part 4: Survey Questions

From where did you hear AIESEC for the first time?
Friends
Social media
Brochure/Flyer/Poster/Billboard
Other, please specify:
What word comes up in your mind first when you know or think about AIESEC?
Interesting
Cool
Exclusive
Global
Just another student organization

Part 5: Available Schedule

Please tell us if you are available (__) or not available (_X_) to attend our activities at the
following times:
(___) Selection Days: 21 September 2011 2 October 2011

If you are not available at those dates, please provide us your preferable time.

AIESEC University of Indonesia | Student Center lt.1 Faculty Economics, Kampus Baru UI Depok 16424
Fax: +62 21 787 2256
Website: www.aiesecui.org

Applicant Declaration
Please read carefully and indicate your agreement by signing the declaration.
1. I have read the Terms and Conditions for applying an AIESEC internship.
2. If selected, I am prepared to participate in the required activities and various
stages of the program, including learning activities in the preparation,
integration and re-integration stages of the program.
3. I have checked the application and it is to the best of my knowledge complete
and factual, with all necessary attachments.
4. I have the adaptability, open-mindedness, awareness and maturity to handle
the challenges of a traineeship in a different country and culture.
5. I have the ability to cover travel and other related costs to the location of the
traineeship I am matched to.
6. I am willing to sit an interview selection.
7. I understand that my role as an AIESEC trainee from Indonesia is to act as an
ambassador of Indonesia and a representative of Indonesian Culture.

Signature:
Print Name: _________Nadia

Date: _______________

Aljufri_________