ASIAN MEDICAL STUDENTS ASSOCIATION

UNIVERSITAS JAMBI
Sekretariat: Jl. Letjen Soeprapto samping RSUD Raden Mattaher Jambi
Telanai Pura Telp/Fax : 0741-60246 web : www.amsaindonesia.com
Email : amsaunja@gmail.com

APPLICATION FORM FOR EXECUTIVE BOARD AMSA-Unja

2018/2019

General Information
Name
Photo
Nickname
3x4
Place and Date of birth Province

University/Year of Study City

E-mail and Skype username

Line ID Mobile no.

Executive Board position applying for

Organization Experiences – In 7 Years

■
■
■
■
■ .....

Contribution in AMSA-Unja
■
■
■
■
■ .....

Participation in AMSA-Indonesia:
■
■
■
■
■ .....

Participation in Trainings – In 7 Years

■
■
■
■
■ .....

Academic and Non-Academic Achievements – In 7 Years

■
 ASIAN MEDICAL STUDENTS ASSOCIATION
UNIVERSITAS JAMBI
Sekretariat: Jl. Letjen Soeprapto samping RSUD Raden Mattaher Jambi
Telanai Pura Telp/Fax : 0741-60246 web : www.amsaindonesia.com
Email : amsaunja@gmail.com

■
■
■
■ .....

Motivation in AMSA-Unja
Please explain your motivation in joining AMSA-Unja and what are the benefits that you have received.

Motivation in Executive Board Position

Please explain your motivation in Executive Board Position

What would you do if you are chosen as the Executive Board of AMSA-Unja 2017/2018?

Personal Questions
What do you know about yourself?
 ASIAN MEDICAL STUDENTS ASSOCIATION
UNIVERSITAS JAMBI
Sekretariat: Jl. Letjen Soeprapto samping RSUD Raden Mattaher Jambi
Telanai Pura Telp/Fax : 0741-60246 web : www.amsaindonesia.com
Email : amsaunja@gmail.com

Is there anything that can make you feel down? (give us along with the reasons)

List the following options based on your priority: Family, Academic, Organization.

Explain your skills on organization.

Purpose of Application
Please describe what you know of the previous Executive Board (you can use SWOT analysis) that you are applying for and its problems. And please give your solutions to these
problems.
 ASIAN MEDICAL STUDENTS ASSOCIATION
UNIVERSITAS JAMBI
Sekretariat: Jl. Letjen Soeprapto samping RSUD Raden Mattaher Jambi
Telanai Pura Telp/Fax : 0741-60246 web : www.amsaindonesia.com
Email : amsaunja@gmail.com
Please explain why you are interested in applying for this position.

Please describe all ideas that you may have to improve AMSA-Unja through your position as Executive Board. Explain the ideas systematically and convince us that you are really
passionate in realizing these ideas.

Thank for your kind attention in reviewing this application. I have enclosed my resume with this letter for your
consideration.
(Your Name)

Jambi, Mei 2018