HIMPUNAN MAHASISWA PRODI SASTRA INGGRIS

HIMAPRO-SI FAKULTAS ADAB DAN HUMANIORA

UIN SUNAN AMPEL SURABAYA 2020
Jalan A. Yani 177 Surabaya 60237•Gdg Multimedia B Lantai 3•Email: himapro.siadab@gmail.com • Tel: 08385001105X

APPLICATION FORM
RECRUITMENT STAFFS OF HIMAPRO-SI UINSA 2020

1. Personal Details

Stick your
photo here

Name
Nickname
Age
Place, Date of Birth
Address
Current Address
*for everyone who
lives in boarding
house
Job Part Time ( )Yes, I have ( )No, I don’t have
Job
*if you answer yes
Marital Status ( )Single ( )Married
E-mail
Phone/WA/Line
Sex
Semester/Class
Student Number

2. Qualification and Skills

Tick (√) where applicable

Writing
Public Speaking
Computer Skills/Software
 HIMPUNAN MAHASISWA PRODI SASTRA INGGRIS
HIMAPRO-SI FAKULTAS ADAB DAN HUMANIORA
UIN SUNAN AMPEL SURABAYA 2020
Jalan A. Yani 177 Surabaya 60237•Gdg Multimedia B Lantai 3•Email: himapro.siadab@gmail.com • Tel: 08385001105X

Internet/ Information Search

Graphic Design
Photography
Teaching
Others (mention the skills)
*Attach your certificate to prove your skills if any

3. Organization Experience
No Organization Position Period
1
2
3

*Attach your fotocopy certificates or achievements to prove your Organization

Experience if any

4. Questions

1. What do you know about HIMAPRO-SI UINSA? (max 50 words)

2. What is your motivation to join HIMAPRO-SI UINSA? (max 50 words)

3. Are you involved in any community/organization before? Explain your

involvement and the great challenge that you ever face on that
community/organization. (max 100 words)
 HIMPUNAN MAHASISWA PRODI SASTRA INGGRIS
HIMAPRO-SI FAKULTAS ADAB DAN HUMANIORA
UIN SUNAN AMPEL SURABAYA 2020
Jalan A. Yani 177 Surabaya 60237•Gdg Multimedia B Lantai 3•Email: himapro.siadab@gmail.com • Tel: 08385001105X

4. Why should we accept you to be member in HIMAPRO-SI UINSA? (max 50

words)

By filling up this application form, clarify that I am ( your name ) truly

want to join with HIMAPRO-SI UINSA and give the real data of my self.

Surabaya, December , 2019

( Your Name )

# Application for this programme can be Submitted to basecamp Himapro-SI

#Don’t forget to attach :

1. Hard file of :
- Application Form
- Student ID
- Certificate of Health
- Fotocopy Certificate/Award (If Any)