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EECC 2017 APPLICATION FORM

SECTION 1: PERSONAL INFORMATION


Full Name

__________________________
__________________________
Nick Name

__________________________
Date and Place of Birth :
__________________________
Address

__________________________
__________________________
__________________________
Phone Number

__________________________
Line ID

__________________________
E-mail

__________________________
Major/Semester

__________________________
SECTION 2: PERSONAL SKILLS AND MOTIVATION
*You may answer the following questions either in English or Bahasa

1. How would you describe yourself?


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We are not recruiting the skilled ones only, we are recruiting the passionate ones
as well!

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2. In your opinion, what is the meaning of organization?
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3. What makes you want to join to EECC?
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4. Do you prefer to work in team or by yourself? Give the
reason !
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5. What are your weaknesses? How do you overcome
them?
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We are not recruiting the skilled ones only, we are recruiting the passionate ones
as well!

_____________________________________________________________________
_____________________________________________________________________
6. What is the proudest thing that you ever done in your
life?
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7. We are not only looking for someone who is passionate
in English, but also good at some other things that can add
the value of our organization. Give us your reason why we
have to choose you!
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8. What will you do if you are accepted in EECC as our
new rangers?
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Choose the best answer that suits you!
9. There was a bird suddenly come to your house and get
trapped. You wanted to keep it but something strange happened to
that bird. What color do you think that bird will change to in the next
day?
We are not recruiting the skilled ones only, we are recruiting the passionate ones
as well!

10.

A.
B.
C.
D.
Imagine a

Black
Blue
White
Gold
place where you can feel comfortable and peace.

Pick one out of four places below :


A.
On a land of snow
B.
At blue ocean (beach)
C.
On a mountain
D.
On grassland that cover by yellow flower
11.
You stumble by trash can because you are not pay attention
on street. What do you think that will spill out?
A.
Nothing, it just an empty trash can
B.
Stack of garbage spill on the street
C.
Leftover food and others junk
D.
Trash bag which tied down
12.
A white cup made of ceramic is ready to be decorated. What
pattern will you choose?
A.
Lines
B.
Dots
C.
Wavy Line
D.
Square like chess board
13.
When you get lost and starving all day in the forest. What will
you do when you found a house made of candies?
A.
Start to eat anything in front of you
B.
Must try as much as possible all candies
C.
You will eat if you found what you like
D.
You dont like candies but crispy chips.
Checklist the circle that suit you well ! (you may choose
more than one)
o Design
(Corel
Photoshop etc)
o Videographic
making, etc)

Draw,
(editing,

o Write (Blogs, Papers, etc)


o Decoration Space

o Commitment
o Responsible
o Discipline
o Coordinator
o Initiative

o Public Speaking

o Cheerful

o Lobbying

o Shy

o Debater

o Moody

We are not recruiting the skilled ones only, we are recruiting the passionate ones
as well!

o Motivator

o Lazy

o Planner

o Good Listener

o Thinker

o Easy Going

o Risk Taker

o Fast Leaner

o Problem Solver

o Teaching

o Ambitious
English language levels

o Neat

WRITTING

SPEAKIN
G

READING

Poor
Average
Good
Excellent

Answer the question below in English!


Tell us about your family, please describe them in at least 50
words!
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We are not recruiting the skilled ones only, we are recruiting the passionate ones
as well!

_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
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SECTION 3: ORGANIZATIONAL EXPERIENCES (IF ANY)


Year

Name of
Organization

Position

Learnings

Notes:
1.

Submit

the

application

form13th

September 4th October, 2016 onEECCs stand on A Building


2nd floor or EECCs secretariat room on PKM FEB UNDIP at 9am15pm.
We are not recruiting the skilled ones only, we are recruiting the passionate ones
as well!

2.

For batch 2015, attach a copy of LKMM Pra-Dasar (Self

Development Training for Management, Supercamp for


Accounting, and Makrab for IESP) certificate or anything that
can prove your involvement in any of those events according to your
major. For batch 2016 can submit a copy of LKMM Pra-Dasar
after the LKMM Pra-Dasar.
3.
If you have any questions regarding the application, kindly
text your questions to085747995211 (Adel) / id_line: delimaws /
083842544251 (Raissa) / id_line: Hraera or directly approach EECCs
official Line account @FZD7013Z

We are not recruiting the skilled ones only, we are recruiting the passionate ones
as well!

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