International Week Helsinki

2015
October 3rd 11th, 2015

Your Photo

Application Deadline: August 20th, 2015

Please send the completed application to
info@iwhelsinki.com

Personal Information
Last Name

Silalahi

First Name

Donnie

Sex

Male

Date of Birth
(DD/MM/YYYY)
Home Address

02/11/1995

ZIP-code & City

Jl. Persatuan, Gg. Langgar, No. 3, Dusun IV, Kel. Tembung, Kec. Percut
Sei Tuan
20371 Deli Serdang

Country

Indonesia

Phone (incl.
country code)
E-Mail

+6285372765282

Nationality

Indonesian

donniesilalahi@outlook.com

University & Association Information

Name of
University
Country

Diponegoro University

Field of Study

Industrial Engineering

Year of Study

3rd Year

Name of
Association
E-mail of IW
Contact Person
Have you
previously
participated on
an IW Week? If
yes, when and
where?

Young on Top Community Regional Semarang

Indonesia

donniesilalahi@outlook.com
No

Contact in Case of Emergency

(English speaking)
Relation
Last Name
First Name
Phone (incl.
country code)
E-mail

Father
Silalahi
Suwardi
+6282163876123
suwardisilalahi@gmail.com

Additional Information
Do you smoke?

Do you mind
staying with a
host who
smokes?
Do you have
dietary
limitations, e.g.
vegetarian,
vegan etc.?
Do you have
any allergies?
Are you under
any medical
treatment?
What is your
level of English?

Do you prefer
living with a

Describe
yourself in 3
words
A weird fact
about you
On a scale from
1 to 5, how
intense of a
partyer are you?
(1 dont care
to party, 5
PARTY?! YES
PLEASE!)

[ ] Yes

] No

[ ] Yes

] No

No

No
No

[ ] 1 Basic
[ ] 2 Intermediate
[ ] 3 Advanced [ ] 4 Proficient

[ ] Female
Preference

[ ] Male

Wanderer, Seeker, Giver.

] No

Motivation Letter
(max. 400 words)

info@iwhelsinki.com
https://www.facebook.com/iwhelsinki
http://iwhelsinki.com/
https://instagram.com/iwhelsinki/
We are looking forward to seeing you in fabulous Helsinki and
spending an unforgettable IW together!
Tervetuloa!