GLOBAL INTERNSHIP PROGRAM APPLICATION FORM

Educational Traineeship (ET) Management Traineeship (MT) Technological Traineeship (TT)

NAME : ______________________________ DATE : ________________ For more details, please contact: Outgoing Exchange orporate Team A!E"E # "ura$a%a aiesecsura$a%agoa$road&gmail'com
A!E"E "ura$a%a Baratajaya IX No. 18, Surabaya www.aiesecsurabaya.org | lc-surabaya@aiesec.or.id

!N"T() T!ON"
Tha ! you "or showi g your i terest i #I$S$% &lobal I ter shi' (rogra). * ce you ha+e read the "or) a d are i terested i a''lyi g, 'lease "ollow the ste's below. 1. %o)'lete all sectio s o" this a''licatio re,uire)e ts i *DF "ile. -. (lease i clude the "ollowi g docu)e ts. # co'y o" +alid 'roo" o" a y $ glish 'ro"icie cy test /T*$01, I$1TS, etc.2 # co'y o" +alid 'roo" o" other "oreig la guages 'ro"icie cy (additional) (are ts3&uardia 4s $ dorse)e t 1etter /mandator% i" you are u der -1 year old2 "or) a d sub)it all the

5. To sub)it your a''licatio , se d the so"tco'y o" this a''licatio "or) a d su''orted docu)e ts to aiesecsura$a%agoa$road&gmail'com De+ault File Name: A!E"E _,!*_TraineeshipT%pe_FirstName_#astName $6a)'le. #I$S$%7&I(78T7Sherloc!79ol)es :. The Selectio a d I ductio (rocess will be co ducted u'o a ou ce)e t "ro) #I$S$% Surabaya. ;ou are obliged to "ollow all ste's i order to 'artici'ate i the 'rogra). <. =e e courage you to read the i "or)atio boo!let about #I$S$% &lobal I ter shi' (rogra) thoroughly be"ore you sub)it your a''licatio . >. I" you ha+e a y ,uestio , 'lease dro' us a e)ail or co tact ?a!ia Nurus Syi"a o -./011..234.5 /s)s, whatsa'', li e2. @oi our "aceboo! grou' AO,6 orporate A!E"E "ura$a%aB to "i d out )ore about global i ter shi' o''ortu ities.

A!E"E "ura$a%a Baratajaya IX No. 18, Surabaya www.aiesecsurabaya.org | lc-surabaya@aiesec.or.id

*E("ONA# !NFO(MAT!ON Name Nationalit% "ex Address *hone Email areer ,oal ED) AT!ON
(Add some tabs down if necessary, write the subject of studies related to the internship you are applying for)

: : : Male 7 Female : : : :
(ecent *ass *hotograph 4 x 3 cm

*lace8Date o+ 9irth :

:ear

)ni;ersit%

Facult%7Ma<or

"u$<ect o+ "tud%

=O(>!N, E6*E(!EN E"

(Please write the maximum 5 top working experiences you had related to the internship you are applying for)

Month, :ear

ompan%7!nstitution

*osition

Area o+ (esponsi$ilities

O(,AN!?AT!ONA# E6*E(!EN E"

(Please write the maximum 5 organizational experiences you ha e e er done for the past 5 years)

:ear

Organi@ation

*osition

Area o+ (esponsi$ilities

A!E"E "ura$a%a Baratajaya IX No. 18, Surabaya www.aiesecsurabaya.org | lc-surabaya@aiesec.or.id

A A!EBEMENT"
(Please write the maximum 5 academic or non!academic achie ements you achie ed in the past 5 years)

:ear

#e;el

Achie;ements

O)("E" 7 T(A!N!N,"
(Please write the maximum 5 courses or trainings you attended in the past 5 years)

:ear

ourses7"eminars7Trainings

Area o+ ourses

#AN,)A,E" #anguage 9asic ,ood Excellent Nati;e

A!E"E "ura$a%a Baratajaya IX No. 18, Surabaya www.aiesecsurabaya.org | lc-surabaya@aiesec.or.id

Aa;e %ou e;er taCen an% English pro+icienc% test $e+oreD =hat Eas thatD TOEF# (paperF$ased7!9T) !E#T" TOEF# !T* Other: ________________ "core : ______ ADD!T!ONA#7*A(T! )#A( ">!##"

:es

No

(EFE(EN E
(Please write someone who can recommend you for this program, except your family" #t can be your lecture$professor, your coordinator, or your employer)

Name (elations to %ou Address *hone Email

: : : : :

O)NT(: *(EFE(EN E"

(Please write % countries you want to isit the most for this program)

G' /' 4' MOT!BAT!ON #ETTE( *lease Erite a short essa% o+ 455F255 Eords ansEering these Huestions: =h% do %ou Eant to appl% +or this programD AoE do %ou relate this program Eith %our career goalD =h% Ee should accept %ou +or this programD

MOT!BAT!ON #ETTE(

A!E"E "ura$a%a Baratajaya IX No. 18, Surabaya www.aiesecsurabaya.org | lc-surabaya@aiesec.or.id

ENDO("EMENT Aere$% ! understand and agree to the A!E"E $% A!E"E in "ura$a%a' ,lo$al !nternship *rogram terms and conditions and commit to +olloE the selections and induction processes conducted

Name and "ignature o+ Applicant *A(ENT" ENDO("EMENT A!E"E "ura$a%a Baratajaya IX No. 18, Surabaya www.aiesecsurabaya.org | lc-surabaya@aiesec.or.id

Date

(&andatory if you are under '( year old, signed by one of your parents$guardian)

Aere$% ! acCnoEledge the A!E"E

,lo$al !nternship *rogram terms and conditions ,lo$al !nternship *rogram'

and support our son7daughter application +or A!E"E

Name and "ignature o+ ApplicantIs *arents7,uardian

Date

A!E"E "ura$a%a Baratajaya IX No. 18, Surabaya www.aiesecsurabaya.org | lc-surabaya@aiesec.or.id