Open Recruitment for Committees

English Week, Cross Cultural Understanding, English Night

Registration Form

Full name

: ......................................................................................................................

Nickname

: ..................................................... Student number: .....................................

Place, date of birth : ......................................................................................................................

Study program

English Education

Address in YK

: ......................................................................................................................

Address of origin

: ......................................................................................................................

Phone number

: ......................................................................................................................

Motto

: ......................................................................................................................

Hobbies

: ......................................................................................................................

Experiences in conducting events

No.
Events

English Literature

Position

Class : ............................

Year

Event

: ...... ..........................................................................................................

Sections wanted

: (1)

Socmed accounts

: (1) FB: .............................................. (2) Twitter: .......................................

(3) Blog: ........................................... (4) Other: .........................................

(2) ...

Yogyakarta, .................................... 2013

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