International Pharmaceutical Students’ Federation

Application Form for Leaders In Training Program

Please fill in the application form.

Your answers should appear yellow.

Event “Leaders in Training” Program

IPSF Word Congress LIT 30th July - 3rd August 2011,

Hatyai, Thailand
Name
Age
Gender Male Female (Please delete one)
Country
Organisation /
Individual Member

Grade
List how many IPSF
World Congress you
attended

Address

Contact number
Email
Please provide brief answers for the statements below.

1. What is your motivation to complete LIT?

2. Give three words that best describe you and why.

3. List your recent involvement in student organisations or IPSF.

4. List any other leadership experience not mentioned above.

5. List any involvement in training programs before, either as participant

or trainer?

6. Do you intend to run training programs back home at local association?

7. Do you intend to be involved with IPSF in a leadership position such as

executive or coordinator sub-committee in the coming work year? If so,
what is your interest?

Signature:

Date:
 Please return this form to
training@ipsf.org

by 30th April 2011

Remember to include your CV!

If you have Support Letter,

please send in your support letter as well.