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  • Form Wawancara Seleksi Penerimaan Mahasiswa Baru

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    This document contains a form for interviewing prospective new students for admission to STIKes Karsa Husada Garut. The form collects personal data about the applicant such as name, date of birth, address, religion, previous school, and medical history. It also requests information about the applicant's family, reasons for choosing STIKes Karsa Husada Garut, motivation for their preferred program of study, readiness to study, interests and talents, and parental support. The conclusion section is for the interviewer at STIKes Karsa Husada Garut to summarize the results of the interview.

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    This document contains a form for interviewing prospective new students for admission to STIKes Karsa Husada Garut. The form collects personal data about the applicant such as name, date of birth, address, religion, previous school, and medical history. It also requests information about the applicant's family, reasons for choosing STIKes Karsa Husada Garut, motivation for their preferred program of study, readiness to study, interests and talents, and parental support. The conclusion section is for the interviewer at STIKes Karsa Husada Garut to summarize the results of the interview.

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    13 views3 pages

    Form Wawancara Seleksi Penerimaan Mahasiswa Baru

    Uploaded by

    stikes khg
    This document contains a form for interviewing prospective new students for admission to STIKes Karsa Husada Garut. The form collects personal data about the applicant such as name, date of birth, address, religion, previous school, and medical history. It also requests information about the applicant's family, reasons for choosing STIKes Karsa Husada Garut, motivation for their preferred program of study, readiness to study, interests and talents, and parental support. The conclusion section is for the interviewer at STIKes Karsa Husada Garut to summarize the results of the interview.

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    of 3

    YAYASAN DHARMA HUSADA INSANI GARUT

    SEKOLAH TINGGI ILMU KESEHATAN KARSA HUSADA


    SK MENDIKNAS NOMOR : 129/D/O/2007
    Kampus I : Jl. Subyadinata No. 07 Tlp/Fax 0262 - 235946 Garut – Jawa Barat
    Kampus II : Jl. Nusa Indah No. 24 Tlp 0262 - 4704803 Garut
    FORM WAWANCARA SELEKSI PENERIMAAN MAHASISWA BARU
    FORMULIR WAWANCARA SELEKSI PENERIMAAN MAHASISWA BARU
    STIKes KARSA HUSADA GARUT
    TA 2018/2019

    A. DATA PERSONAL

    NAMA / NOMOR UJIAN / G2. R. 18. ......


    PROGRAM STUDI PILIHAN I
    PROGRAM STUDI PILIHAN II
    TEMPAT TANGGAL LAHIR

    ALAMAT LENGKAP
    No. HP/ TELP.
    AGAMA
    ASAL SEKOLAH
    RIWAYAT PENYAKIT BERAT
    YANG PERNAH DIALAMI

    B. DATA KELUARGA

    NAMA AYAH
    UMUR
    PENDIDIKAN
    PEKERJAAN AYAH
    NO. HP / TELP.
    NAMA IBU
    UMUR
    PENDIDIKAN
    PEKERJAAN IBU
    NO. HP / TELP.
    PENGHASILAN ORANG TUA

    C. ALASAN MEMILIH KAMPUS STIKes KARSA HUSADA GARUT

    1. Apa yang menjadi alasan utama memilih Kampus STIKes Karsa Husada Garut ?

    2. Dari mana anda mendapatkan informasi tentang STIKes Karsa Husada Garut ?
    D. MOTIVASI MEMILIH PROGRAM STUDI YANG DIMINATI

    Apakah yang menjadi alasan Saudara memilih jurusan/program studi yang dipilih
    saat ini ?

    E. KESIAPAN MENGIKUTI PENDIDIKAN

    Sebutkan dan jelaskan kesiapan anda dalam mengikuti proses pendidikan di STIKes
    Karsa Husada Garut !

    F. MINAT DAN BAKAT

    Sebutkan minat dan bakat yang anda miliki serta prestasi yang di capai ( bila ada ) !

    H. DUKUNGAN ORANG TUA DAN SUPPORT SYSTEM YANG LAIN

    Bagaimana dukungan orang tua dalam menjalani proses pendidikan ?

    I. KESIMPULAN HASIL WAWANCARA ( Diisi oleh STIKes Karsa Husada Garut )

    Garut, Mei 2018


    Interviewer, Calon Mahasiswa,

    ................................................. ………………………………….
    BARU

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