“SHOW YOUR RARE” FESTIVAL

A Collaboration Between AMSA-Indonesia and Yayasan MPS dan

Penyakit Langka Indonesia

Division Coordinator and Vice Coordinator

Application Form

Full Name
University / Batch

First Choice of Position and Division:

(Position / Division. Example: Coordinator / Charity Concert)

Why are you interested in applying for this division?

If you applied to become Coordinator, would you want to become Vice Coordinator?

Yes / No

Second Choice of Position and Division:

(Position / Division. Example: Coordinator / Charity Concert)

Why are you interested in applying for this division?

If you applied to become Coordinator, would you want to become Vice Coordinator?

Yes / No
 “SHOW YOUR RARE” FESTIVAL

A Collaboration Between AMSA-Indonesia and Yayasan MPS dan

Penyakit Langka Indonesia

CURRICULUM VITAE

GENERAL INFORMATION
Name (first/middle/last) :
Nickname :
Gender :
University / Batch :
Place, Date of Birth :
Nationality : Photo
Address :
Phone :
Mobile Phone :
E-mail :
ID LINE/ Skype :
Spoken Language :
Other Skills :

FORMAL EDUCATION

Institution :
Completed :

Institution :
Completed :

Institution :
Completed :

Institution :
 “SHOW YOUR RARE” FESTIVAL

A Collaboration Between AMSA-Indonesia and Yayasan MPS dan

Penyakit Langka Indonesia
Completed :

ORGANIZATION EXPERIENCE (Name of Organization / Position / Year)

 ...
 ...
 ...

COMMITTEE EXPERIENCE (Name of Event / Institution / Position / Year)

 ...
 ...
 ...
 “SHOW YOUR RARE” FESTIVAL

A Collaboration Between AMSA-Indonesia and Yayasan MPS dan

Penyakit Langka Indonesia

MOTIVATION

Motivation

Please explain your motivation to become part of “Show Your Rare” Festival committee.

SWOT

Strengths, Weaknesses, Opportunities and Threats

Please explain your strengths, weaknesses, opportunities and threats, as well as how you
would overcome it.
 “SHOW YOUR RARE” FESTIVAL

A Collaboration Between AMSA-Indonesia and Yayasan MPS dan

Penyakit Langka Indonesia

I, (full name here), hereby state that this application form has been filled truthfully.

(place and date)

Sincerely,

(your signature)

(your full name)