7th International Nursing

Summer School
2021
School of Nursing
Student Activity
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 Application and Admission

Register
DOCUMENTS REQUIRED

1. Application Form (.pdf)

2. Recent photo (.jpeg or .png)
3. Copy of student ID (.jpg or .png)
4. Copy of Transcipt or Academics record (.pdf)

HOW TO APPLY

1. Download the application in our website inss.umy.ac.id or this link

https://drive.google.com/file/d/13YfTGTDtoRWbcPYkMnfhdf9RByJ7K
KX3/view?usp=sharing

2. Fill the application form

3. Prepare all documents required
4. Send all documents to himikaumy01@gmail.com before the
application deadline with subject :
Name_University_Country_INSS2021*
5. Within 48 hours you will accept a Letter of Acceptance

For more information you can also send us via WhatsApp :

Filia: +62 823-2946-0087 (Liaison Officer)
Rofiq: +62 822-4916-3090 (Liaison Officer)

IMPORTANT DATES

 Applications Submission Deadline

 INSS 2021 Program date
 This schedule is temporary and can be changed
anytime according to the needs by organizer
 Package

THE PACKAGE

Educational Program
Non-Educational Program
Special Program from IIUM
Certificate and more
 7th International Nursing Summer School 2021 Schedules

No. Date Time Sub Event Via

1 Tue, 13 July 2021 07.15-07.30 Registration Online
07.30-07.35 Opening
07.35-07.40 Holy Qur’an
07.40-08.00 Sing the national anthem
08.00-08.10 Introduction of participants
08.10-08.15 Welcoming speech from PM INSS
08.15-08.20 Welcoming speech from Head of
School of Nursing – Bachelor
Program
08.20-08.25 Welcoming speech from The Dean
of Faculty of Medicine and Health
Sciences
08.25-08.30 Inauguration of the opening 7th
INSS
08.30-08.35 Play profile video of PSIK UMY
08.35-08.40 Introduction of lecturers
08.40-08.45 Introduction of committee
08.45-08.55 Explanation of guide book
08.55-12.15 Closing and Breaktime
12.15-12.30 Registration
12.30-14.10 Language class
14.10-14.15 Announcement

2 Wed, 14 July 07.15-07.30 Registration Online

2021 07.30-10.45 Opening IRO
10.45-12.30 Breaktime
12.30-14.00 Lecture 1: General explanation of
PTM

3 Thu, 15 July 2021 07.15-07.30 Registration Online

07.30-09.00 Group Presentation
09.00-09.15 Breaktime
st
09.15-10.45 1 Skills Lab A

10.45-12.30 Breaktime
12.30-14.00 1st Skills Lab B

4 Fri, 16 July 2021 07.15-07.30 Registration Online

07.30-09.00 Lecture 2:
Non communicable disease in
Indonesia
09.00-09.15 Breaktime
09.15-10.45 Lecture 3:
Non communicable disease in
Malaysia
10.45-12.30 Breaktime
12.30-14.00 Lecture 4:
 Programmer from puskesmas in
Indonesia
14.00-14.05 Announcement

5 Sat, 17 July 2021 07.15-07.30 Registration Online

07.30-14.00 Program IIUM

6 Sun, 18 July 2021 07.15-07.30 Registration

07.30-09.00 Group presentations
09.00-09.15 Breaktime
09.15-10.45 Lecture 5 :
Non communicable disease in
Philippine Online
10.45-12.30 Breaktime
12.30-14.00 Lecture 6 :
Non communicable disease in
Thailand

7 Mon, 19 July 07.15 - 07.30 Registration

2021 07.30 – 09.00 2nd Skills Lab A:
Posbindu simulation of non-
communicable diseases
09.00 - 09.15 Breaktime
09.15-10.45 2nd Skills Lab B: Online
Posbindu simulation of non-
communicable diseases
10.45 – 12.30 Breaktime
12.30 – 14.00 Lecture 7:
Non-communicable disease’s cadre

8 Wed, 21 July 07.15-07.30 Registration

2021 07.30-09.00 Lecture 8:
Nursing Interventions for non-
communicable disease
09.00-09.15 Breaktime
Online
09.15-10.45 3rd Skills Lab A:
Therapeutic modalities
10.45 – 12.30 Breaktime
12.30 – 14.00 3rd Skills Lab B:
Therapeutic modalities

9 07.15-07.30 Registration
07.30-09.00 Lecture 9:
Therapeutic modalities
Thu, 22 July 2021 09.15-09.30 Breaktime Online
09.30-10.45 OSCE B
10.45-12.30 Breaktime
12.30 – 14.00 OSCE A

10 Fri, 23 July 2021 07.15 – 07.30 Registration Online

07.30 – 09.00 MCQ
09.00 – 09.15 Breaktime
 11 Sat, 24 July 2021 07.15 – 07.30 Registration Online
07.30 – 09.00 Closing Ceremony

Note: This schedule is temporary and can be changed anytime according to the needs by organizer
P'z•ogz•am
Outfit

We recommend you to bring the necessary items for a particular purpose

during the process of INSS as follows :

1. Formal dress (for daily lecture and Pre-opening Ceremony)

2. Traditional dress (for Closing Ceremony)
3. Casual dress
4. Personal hygiene equipments
5. Personal medicine
6. Computer
7. Reliable internet
8. Textbooks
9. Pens, paper, and highlighters
10.Comfortable, neat workspace
And the others equipment that may you need in case to support days during
the program.
Addition
7th INSS 2021 Poster
 7TH INTERNATIONAL NURSING SUMMER SCHOOL 2018
School of Nursing Activities
Faculty of Medicine and Health Science
Universitas Muhammadiyah Yogyakarta
Email : umy.inss@gmail.com
Website : inss.umy.ac.id
Phone number : ( 0274 )387 656. Ext. 215.
Fax ( 0274 ) 387 658

STUDENT APPLICATION FORM 7TH INSS 2021

This year INSS will be running from July 13rd-24th 2021
Application Deadline July 28th 2021
All students seeking to apply for 7th INSS 2021 must complete this form in it’s entirely

PERSONAL DETAILS
Last Name : Instant Messenger :
First Name : Preferred Method of Contact:
Sex : [ ] Male [ ] Female [ ] Phone [ ] Email
Birthday : University :
Nationality: School Attended:
Address : [ ] Nursing
Home Number : [ ] Non-Nursing
Mobile Number :
ID LINE :
Email Address :

EMERGENCY CONTACT DETAILS

Last Name :
First Name :
Contact Number :
Relationship :
MEDICAL INFORMATION
Date of last tetanus immunization:
Is there any other immunization you have taken? [ ] Yes – please specify [ ] No

Student Medicare:
Private Health Insurance:
Do you have any medical conditions? [ ] Yes [ ] No - If so, please provide details:
7th INSS 2021 SURVEY
How do you rate your knowledge in the field of nursing summer school?
[ ] None, but I’m eager to know [ ] Beginner* [ ] Experienced in this field*
*If you check one of the boxes with this (*) sign, please state briefly why you rate yourself
in that level.

How did you hear about 7th INSS 2021? (You can sign more than one checkbox)
[ ] Friend/previous INSS student
[ ] Email
[ ] Mailing list, please specify
[ ] Faculty
[ ] Poster
[ ] Leaflet
[ ] Website (including Google search)
[ ] Publication in Medical Conference
[ ] Others, please specify

MOTIVATION AND EXPECTED OUTCOMES

Motivation letter to join in 7th INSS 2021:

Date: Signature:

Please write clearly and print this form after you fill in its entirety, and sign it
with written signature.
Send a color scanned document and evidence of
transfer of this form to: himikaumy01@gmail.com
For more information you can also send us via WhatsApp :
Filia: +62 823-2946-0087 (Liaison Officer)
Rofiq: +62 822-4916-3090 (Liaison Officer)