RECRUITMENT FORM

MEMBER

SBE UISC 2015

#GROWING

INNOVATIVE. RECOGNIZABLE. PROFESSIONAL

Attach your current

photo here

A.

PERSONAL INFORMATION
Name
NPM
Major/Batch
Gender
Place, Date of Birth
Address
Mobile Phone
Email
Religion

:
:
:
:
:
:
:
:
:

Social Media Accounts

FB

Twitter

Instagram

Whatsapp

LINE ID

Education
Formal Education

Institution

Year

1
2

Non Formal Education

Institution

Year

1
2
3
4
5

Achievements
Competition

Accomplishment

Year

Organizational Experiences
Organization

Year

Position

B.

Questions

No. Questions
What do you know about SBE UISC and SBE generally?
1.
Ans:

2.

What do you think biological engineering can do for a better world and a better
Indonesia? How to achieve it?
Ans:

3.

Personally, what do you think is the most interesting issue about bioprocessing and
biological engineering recently?
Ans :

4.

Have you become a member of SBE UISC? If you havent become our member,
why?
Ans :

5.

What events do you expect to be held by SBE UISC?

Ans:

6.

What do you think of SBE UISC so far?

Ans :

7.

Do you have any evaluation/suggestions for SBE UISC?

Ans :

C.

Preferences

Choose 3 from these preferences below. Do not forget to put 1, 2, 3

so we can see your priority. This preference will be used to
determine topics that will be discussed by SBE UISC

Bionanotechnology

Bioenergy

Biomaterials

Biomedical Engineering

Biosensors/devices

Food

Industrial Biotechnology

Synthetic Biology

Metabolic Engineering

Molecular, Cellular and Tissue Engineering

Pharmaceutical Engineering

THANK YOU FOR YOUR INTENTION TO GROW YOURSELF WITH US

Notes:

Filled form should be sent to sbeuisc@gmail.com before February 2nd 2015, 11.59 PM
Filled form should be submitted in PDF FORMAT and please name your form with this
format: Name_Major_Batch
For further information regarding this member recruitment, please contact Ambar
(+6285890377745)