SECTION 1 : PERSONAL INFORMATION

Full name Nick Name Date and Place of Birth Address Contact Address Telephone & Mobile number E-mail Faculty / Semester English language levels

Please insert your photo here!

(native/excellent/good/ basic)

SECTION 2 : PERSONAL SKILLS AND MOTIVATION

*You may answer the following questions either in English or Indonesia 1. Mention your personal Weaknesess and Strengths?

2. What is your motivation to join this organization?

3. What kind of learning and expectation do you want to have by joining this organization?

4. What was your greatest achievement in your life and why?

5. What do you know about EECC ?

Economics English Conversation Club 13/14

6. What is goal for the next 3-5 years ahead?

7. How do you see yourself as personal?

8. What is leadership to you?

SECTION 3 : ORGANIZATIONAL EXPERIENCES (IF ANY)

. Year Name of Organization Position Learnings

*Submit the application form by November 14,2013 the latest at B Building floor 2. Note: If you have any questions regarding the application kindly send your message to Randy (085762727323) or directly approach EECCs official twitter account

@eecc_febundip

We are not recruiting skills, we are recruiting passionate ones

Economics English Conversation Club 13/14