Intern App Form
Intern App Form
1. This form is part of your proposal to apply Internship Program. Therefore, please fill information needed to describe your personal; academic & career qualification.
2. Save this file with filename: INTERN_UniversityName_YourName_Program.XLS or .XLSX (E.g. INTERN_UGM_Yunandar_PW.xlsx).
3. Subject your email same with file name (see point 2) then send to [email protected] includes research paper & university recommendation letter.
PERSONAL DATA
ESSAY
Internship Applied
: Practical Work
Preferred Month
RESEARCH PROPOSAL
Please choose : 1. Practical Work / Kerja Praktek (Duration 1 month)
2. Thesis Research / Tugas Akhir (Duration 2 months)
3. Apprentice / Magang (Duration 3 months)
2013
July
to
August
Note : You should submit this form at the latest 3 months before your
preferred month to start the program.
PERSONAL DATA
Name
Contact Number
1 085718758483
Gender: Male
(format: DD/MM/YY)
2
Email
Address
Language Spoken
: Indonesia
Language Certification :
primary
English
>> Score
>> Score
secondary
others
EDUCATION BACKGROUND
University / School
University of Diponegoro
Degree
Strata 1
NIM
21060110141012
Major
GPA
3.1
Graduation (MM/YY)
CAREER OBJECTIVE
Where do you see
yourself in 5 years time?
Department
Priority
First Priority
E&I
Second Priority
HSSE
OPS = Operations
PRO = Projects
SUB = Subsurface
because healty, safety and security is the first priority in a company to safe the enginner
Period
-
To
OSIS SMP
2006
2007
OSIS SMA
2008
2009
Multilevel Marketing
2011
2012
Company / Organization
Industry
Job Description
Sie. Minat dan bakat
Leader
1. This form is part of your proposal to apply Internship Program. Therefore, please fill information needed to describe your personal; academic & career qualification.
2. Save this file with filename: INTERN_UniversityName_YourName_Program.XLS or .XLSX (E.g. INTERN_UGM_Yunandar_PW.xlsx).
3. Subject your email same with file name (see point 2) then send to [email protected] includes research paper & university recommendation letter.
PERSONAL DATA
ESSAY
RESEARCH PROPOSAL
Have you ever failed? Why and how you deal with it?
yes , I've ever failed because my mistakes. I should regret our mistakes and learn from them, but never carry them forward into the future.
Please describe you leadership experience? How did you carry out the role?
to be a leader is not a easy way. Because it needed hardwork and time management. To manage any people, I usually start from my self to be a better
man. We can't change somebody if ourself can't changed. I start to dicipline of time, hardwork, and pray. What ever the result , let God give the best for
me.
Year
Attained
PERSONAL PREFERENCE
Are you willing to relocate or travel?
Do you have any connection to anyone who works at PHE ONWJ?
Person Name :
Position / Department :
Relationship :
1. This form is part of your proposal to apply Internship Program. Therefore, please fill information needed to describe your personal; academic & career qualification.
2. Save this file with filename: INTERN_UniversityName_YourName_Program.XLS or .XLSX (E.g. INTERN_UGM_Yunandar_PW.xlsx).
3. Subject your email same with file name (see point 2) then send to [email protected] includes research paper & university recommendation letter.
PERSONAL DATA
ESSAY
RESEARCH PROPOSAL
Option 1
Option 2
Option 3
Hints:
You may submit up to three topics. Use
priority in filling the next choices and
describe your main topic in the next
columns.
How to answer this question?
[YourName] submit this research in order
to [X]. I will focus on [A], [B], and/or [C].
Hints: Point A/B/C in this sentence are
concrete, measureable or deliverables
activities and the X in this sentences is a
bigger/broader objectives.
Hints:
If possible, you can ground with statistics,
issues, citations or examples.
Hints:
You can describe it by breaking down
phases in doing the research.
Example:
1. Initiation (Learn company & dept business
process) - Week 1 & 2
2. Planning (Finalize scope of research; define
obstacles etc) - Week 2
Other notes
Hints:
You may add concern / issue for your
research.
I hereby certify that the above statements are true and correct to the best of my knowledge. Submitting false and incorrect
information will automatically disqulify me from this process.