GPV Camp Application Form Makassar

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APPLICATION FORM GLOBAL PEACE VOLUNTEER CAMP 1.

16 Makassar
General Criteria: Being 18-25 years old on July 1st 2013 Able to understand English (at least passively) aving leadership aving interest in the ter!s o" Family, Interfaith, and Volunteerism Able to #oin $hole o" the progra!s %3 days& Ele'ted parti'ipants !ust pay training "ee 300(000 )*+( ,he latest pay!ent should be trans"erred seven days a"ter the announ'e!ent( ,he ban- a''ount $ill be in"or!ed by e!ail(

Send back this application form to gpvmakassar@gmail.com at least June 20th 2013. For the elected participants will be announced on June 22th 2013. A. Personal information .ull /a!e 0usdia!an /i'-na!e dia!an

1la'e and +appang2 3ay 14th 1553 *ate o" Birth Address /usa arapan 1er!ai Blo- A6 /o(52 3a-assar 7an you #oin this event $hole o" days8 E!ail 9ear 1555 2005 2008 2011

,elephone (ho!e) /o( p

,elephone ($or-)

9es

085215310105: .a; 08550645553 B. Education and Qualification Edu'ation : =''upation Ele!entary 0'hool > Benteng Junior igh 0'hool 1 1an'ari#ang 0enior igh 0'hool 5 3a-assar 3edi'al .a'ulty o" ?niversity o" 3usli! )ndonesia Organization and Committee Experience =rgani@ation:7o!!ittee 1)A A++ =rgani@ed byB 1la'e 03A/ 5 3AAA00A+

susdia!an<yahoo('o(id

*es'ription As a sa!e age tutor to give in"or!ation

1eriod 2005-2011

$$$(gp"indonesia(org

APPLICATION FORM GLOBAL PEACE VOLUNTEER CAMP 1.16 Makassar


to !y "riends about )C:A)*02 drugs2 and teenager reprodu'tion health( Anti-drug and hiv : aids in s'hool (DA/A0) o" 3a-assar 3a-assar As a volunteer o" DA/A0 3a-assar to !a-e a !ove!ent about anti-drug and hiv : aids in so!e s'hool o" 3a-assar As a representative (leader) o" A30A ?3) As a 'o!!ittee o" se'retarial division As a 'o!!ittee As a 'o!!ittee o" event division As a 'o!!ittee o" .und raising As a treasure( ,his event is 'ooperated by A30A ?3)2 A30A ?/ A02 and A30A ?/)03? As a 'o!!ittee leader

2005-2010

Asian 3edi'al 0tudent Asso'iation (A30A) ?3) )nauguration o" 3edi'al .a'ulty o" ?3) bat'h 2011 3edi'al 0tudent English *ebating 7o!petition Anniversary o" AB3.A ?3) /ational Eeadership ,raining (/E,) o" A30A )ndonesia by A30A ?3) Forld ealth *ay ( "ree !edi'al 'he'- up and 'ir'u!tition)

?3) 3a-assar ?3) ?3) 3a-assar and 3alino asanuddin "ield and Junior igh 0'hool o" Aarti-a Firabuana 3a-assar ?3)

2013-201> 2012 2012 2012 2013

2013

,ry =ut by 3edi'al .a'ulty o" ?3)

2013

Recognition Events 1st Best 0tudent o" 0idrap 3 Finner o" English 0pee'h 7o!petition A#attappareng +egion 1.
rd

1la'e 0idrap 0idrap

.ield A'ade!i' A'ade!i' 2004 2008

9ear

WHAT ! "O#R REA!O$ %OR &O $ $G TH ! PROGRA'( )'ax *++ ,ords-

=rgani@ed byB

$$$(gp"indonesia(org

APPLICATION FORM GLOBAL PEACE VOLUNTEER CAMP 1.16 Makassar


By #oining this progra!2 ) hope that ) 'an get !any e;perien'e and lessons so in the "uture2 ) 'an be appli'ate all o" )Gve gotten and ) 'ould be the part o" people o" to!orro$ $ho $ould !a-e better "uture2 better 'hange by being a volunteer o" global pea'e(

0ignature 0usdia!an

*ate

June2 24th 2013

=rgani@ed byB

$$$(gp"indonesia(org

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