THE 2023 YLI NATIONAL PROGRAM

PARTICIPANT - CURRICULUM VITAE AND ESSAY

Instruction: Please fill out this form without changing any template provided.

1. Personal Information

Full name:
Nick name:
Gender (male/female/other):
Permanent address (as in ID card): Street, district (kecamatan), city, province, country, postal code.
Current address: Street, district (kecamatan), city, province, country, postal code.
Primary mobile number:
Email:
Other email address:

2. Education Background

University:
Faculty:
Major:
Cumulative GPA (xx out of xx scale):
Joining year:
Expected graduation year:

Other Education
University:
Faculty:
Major:
Cumulative GPA (xx out of xx scale):
Joining year:
Expected graduation year:
Additional information: Exchange/summer course/etc.

3. Standardized Test (optional)

English test type:

Score:
Other test type:
Score:
THE 2023 YLI NATIONAL PROGRAM
PARTICIPANT - CURRICULUM VITAE AND ESSAY
4. Leadership Activities
Top 3 selected leadership experience in the past 5 years

Leadership Activity 1:
Leadership activity:
Role:
Elected (Yes/No):
From (MM/YY):
To (MM/YY):
Number of team members:
Financial responsibility/budget (if any):
Description of impact (max. 100 words)

Leadership Activity 2:
Leadership activity:
Role:
Elected (Yes/No):
From (MM/YY):
To (MM/YY):
Number of team members:
Financial responsibility/budget (if any):
Description of impact (max. 100 words)

Leadership Activity 3:
Leadership activity:
Role:
Elected (Yes/No):
From (MM/YY):
To (MM/YY):
Number of team members:
Financial responsibility/budget (if any):
THE 2023 YLI NATIONAL PROGRAM
PARTICIPANT - CURRICULUM VITAE AND ESSAY
Description of impact (max. 100 words)

5. Work/Internship Experiences
Two most recent work/internship experience

Work Experience 1:
Name of organization:
Job title:
From (MM/YY):
To (MM/YY):
Role description/responsibilities
(max. 100 words)

Work Experience 2:
Name of organization:
Job title:
From (MM/YY):
To (MM/YY):
Role description/responsibilities
(max. 100 words)

6. Achievements/Awards/Honours/Scholarships
Top 3 achievements in the past 3 years

Achievement 1:
Achievement Name:
Organizer:
Year Received:
THE 2023 YLI NATIONAL PROGRAM
PARTICIPANT - CURRICULUM VITAE AND ESSAY
Description of impact, scale, etc.
(max. 50 words)

Achievement 2:
Achievement Name:
Organizer:
Year Received:
Description of impact, scale, etc.
(max. 50 words)

Achievement 3:
Achievement Name:
Organizer:
Year Received:
Description of impact, scale, etc.
(max. 50 words)

7. Skills and Interest

Skills
(e.g., public speaking, graphic design,
analytical thinking, etc.)
Interests
(e.g., cooking, hiking, dancing, etc.)
THE 2023 YLI NATIONAL PROGRAM
PARTICIPANT - CURRICULUM VITAE AND ESSAY
8. Essay (Max. 500 Words)