NATIONAL TEAM AMSA-INDONESIA 2018/2019

APPLICATION FORM

General Information
Name Name

Nickname

Place and Date of birth Province

Manado,
November 27,
1999
University/Year of Study City
Sam Ratulangi
University/2017
E-mail and Skype username
charismaclary.88@gmail.com
LINE ID (if you have) charisma.clary Mobile no. +628114312897

National team position applying

for

Please describe your contribution to your AMSA-university:

Name of Event Time and Place Position / Contribution
th
HOMES (High April 7 2018
School Students Manado
Explore
Medical School)
NEWTELLA April 28th 2018
(New Healthy Desa Bahowo,
Lifestyle) Kec. Bunaken
Darat, Kelurahan
Tongkeina
One Fun Day February 15th
2018
Estella
Foundation,
RSUP Prof. Dr. R.
W. Kandou
Manado
FAST ( Finance March 17th, 2018
and Gedung G,
Sponsorship Kampus
Training) Malalayang

Please describe your contribution to AMSA-Indonesia:

Name of Event Time and Place Position / Contribution
Please describe your contribution to AMSA-International:
Name of Event Time and Place Position / Contribution

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

Knowledge of AMSA-Indonesia
Please elaborate on the current AMSA-Indonesia situation in general (you can use SWOT analysis).

Personal Experience
Please tell us about your personal experiences, activities that you have joined, and your achievements that makes you suitable for a position on the
National Team of AMSA-Indonesia. Narrow your descriptions to areas that are related to the position you are applying for. For Academic and Research
National Team applicants, please mention all of your publications.
Purpose of Application
Please describe what you know of the previous National Team (you can use SWOT analysis) that you are applying for and its problems. And please
give your solutions to these problems.

Please explain why you are interested in applying for this position.

Please describe all ideas that you may have to improve AMSA-Indonesia through your position as National Team. 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 electric signature here—

(your name)

Place & Date

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