ASTRA, a world of opportunities

APPLICATION
FORM

3x4
photograph

st

Astra 1
Program

PERSONAL IDENTITY
Full Name:
Place & Date of Birth:
Address:

Email:
Phone Number:
Mobile:
EDUCATION BACKGROUND
High School :
University:

GPA:

Faculty:

Semester:

Major:

Credits have been taken:

Title of your final project: (if any)

Expected time of graduation (month and year):

SPECIAL COURSE / TRAINING ATTENDED:
Yea
r

Course / Training

Place / Insitution

Remark

1

ASTRA, a world of opportunities
EXTRA CURRICULAR ACTIVITIES
(specify organizational activities you have attended within a
maximum of 2 years and showed the greatest contribution that you
provide)
Yea
r

Activities /
Organization

Organizat
ion
Scop

Positio
n
Hel

Responsibilities

WORK EXPERIENCE (Including part time job, freelance, internship, etc.)
Yea
r

Company

Position
Held

Responsiblities

SPECIAL AWARD
Please mention award(s) you have been received and explain it briefly
(academic honors, distinction, scholarship, etc)
Yea
r

Awar
d

Institution

Remar
ks

2

ASTRA, a world of opportunities
INTEREST
What do you usually do in your spare time?

PERSONAL EVALUATION
What make you different from others?

What would you consider need to be improved in yourself?

Would you like to participate in all programs provided during 1 year ?
YES

NO
st

How do you know about Astra 1

Program ?

University information
board Friends / relatives
www.astra.co.id
other internet (facebook, email, mailing list, ......................)

Jakarta, ………………., 2011
Facebook: Astra Community
Twitter: AstraCommunity
Email: astra1st@astra.co.id

(_______________________)
Signature & Full name

3

ASTRA, a world of opportunities
ACHIEVEMENT
Personally, what is your greatest achievement(s), how do you
accomplish it and why would you consider it as your greatest
achievement(s)
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________

4

ASTRA, A WORLD OF OPPORTUNITIES

MOTIVATION & PERSONAL STRENGTH
Explain to us, what is your biggest motivation(s) to join this program
st
and why we need to choose you as one of Astra 1 candidates.
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________

5

Sign up to vote on this title
UsefulNot useful