International Student Conference On Global Citizenship WATER, FOOD AND ENERGY NEXUS “Striving for a Better Future” 18 – 26 January 2017 APPLICATION FORM Deadline – 20 September 2016 at 11.59 P.M. (GMT+7 – Jakarta/Thailand) Submit your registration form to [email protected] E-mail Subject: Your full name (as in your student ID)_Your Student ID Number (NPM)_Your Major Your picture Hi, I am ....... (your name and your student id number) Representing....... (your major) From the Faculty of .... (your faculty) UNIVERSITAS KATOLIK PARAHYANGAN International Student Conference on Global Citizenship 2016 APPLICATION FORM – UNPAR Student Personal Identity Full name (as in Your Student ID): Place, Date of Birth (DD/MM/YYY): Sexuality: Address: E-mail: Facebook: Twitter: Phone Number: Mobile: Email address of a person who must be contact in case of emergency: Special Dietary Requirement: T’Shirt Size: or Others: UNIVERSITAS KATOLIK PARAHYANGAN International Student Conference on Global Citizenship 2016 APPLICATION FORM – UNPAR Student Education Background University: Faculty: Major: Student ID No.: Current Semester: GPA: COPY of YOUR ACADEMIC TRANSCRIPT (DOWNLOADED FROM THE PORTAL): UNIVERSITAS KATOLIK PARAHYANGAN International Student Conference on Global Citizenship 2016 APPLICATION FORM – UNPAR Student Virtual Interview Please answer these questions below : 1. What does water, food and energy nexus mean to you? (In max 250 words) 2. Could you give an example of water, food and energy insecurity case, which has a global impact? How does the global community cope with that problem? (In max 250 words); 3. What can you, as a student, contribute to create a better future for water, food and energy sustainability? (In max 250 words); 4. Describe your motivation participating in International Students Conference on Global Citizenship 2017 (in max 250 words); 5. Tell us why you should be selected as Unpar’s delegation in International Students Conference on Global Citizenship 2017 in 250 words. 6. Tell us how you would represent Unpar and Indonesia in International Students Conference on Global Citizenship 2017 in 250 words.
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