About CommTECH Application Procedure Requirements

14 days in Indonesia
About Surabaya
As the second largest city in
Indonesia and the capital city of East
Java province, Surabaya is wellequipped with public facili es and
infrastructures. Surabaya with a
popula on of over 2.7 million is
located in the equatorial region.
Hence there are only two seasons: a
very humid rainy season and a dry
season. Surabaya is the main seaport
and commercial centre in the
eastern region of Indonesia.
Surabaya also known as “City of
Heroes” due to the importance of
“Sepuluh Nopember (10th of
November)” ba le during
Indonesia independence war. Surabaya is a mul -ethnic and mul religion
city. It is very vibrant city that offers dynamic life style. In addi on to
Indonesian language, the majority of residents speak a dialect of Javanese
called "Suroboyoan". English is also widely spoken at major shops, hotels
and universi es. Surabaya is also famous for many landmarks such as Tugu
Pahlawan (Heroes Monument), Suro and Boyo Statue (Surabaya City’s
Symbol), Suramadu Bridge (the longest bridge in Indonesia), and many
more.
Institut Teknologi Sepuluh
Nopember (ITS)
About CommTECH
get 3 transferable credits
Con nuing 2012 to 2016 Community and Technological (CommTECH) Camp,
this me ITS again offers a very fascina ng program for interna onal partners
namely CommTECH Camp Highlight 2017. This program provides two sub
courses on sustainable urban water management and smart city. Not only
thema c courses, the program will incorporate Indonesian language course,
tradi onal music and dance classes, and ba k making. Tas ng delicious
Indonesian foods and visi ng Surabaya community and main tourist
des na ons will definitely become inseparable parts of the program.
All courses are designed a rac vely based on Project-based-Learning (PbL)
method. Materials have been compiled from many credible resources and
added with interes ng data and facts that will provide broader and deeper
understanding on the topics. “Think Loudly” is a term encouraged in the
classroom interac on, in which par cipants are given great opportuni es to
ar culate their understanding and opinions. This method would provide best
learning environment for par cipants from different countries and background
to raise ideas and discuss different perspec ves.
12 - 25 July 2017
This program will be held for 14 days. The fee to join this program is very
affordable, i.e USD 1,600. The fee will cover airport pick-up and drop-off;
accommoda on and all scheduled meals; local transporta on; course
material; workshop tools and materials such as fabrics, T-shirt and backpack;
and site visits. Please note that round-trip flight and health insurance are not
part of the fee. Par cipants should arrange their own health insurance prior to
the departure if needed. All par cipants will also have an opportunity to
present their project in CommTECH Ideas and able to discuss with experts
during the session.
Application Procedure
Being one of the best universities in
Indonesia, the vision of Ins tut
Teknologi Sepuluh Nopember (ITS) is to
be an innova ve research university
with interna onal recogni on. ITS,
which was founded in 1961 and
consists of 5 facul es, offers courses
and research in science and
technology. Currently ITS has more
than 20,000 students, 1,000 academic
staffs, and 1,000 non academic staffs.
Located at Eastern area of Surabaya,
ITS occupies a large area totaling 180
hectares as its main campus in Sukolilo.
ITS is prominent to provide excellent scien fic ac vi es, pleasant natural life
environment, very friendly atmosphere, and enormous community spirit.
Working together with na onal and local government, industries, NGOs,
community, and all stakeholders including alumni, ITS carries out strategic
programs such as integrated interna onaliza on programs, Lab-basedEduca on (LBE), technopark, eco-campus, comprehensive research and
community outreach.
st
CommTECH Camp Highlight 2017 will open registra on from
26 December 2016 - 26 May 2017. Registra on form available at
www.interna onal.its.ac.id/commtech-highlight-2017/
Three types of scholarships* are provided as follows:
1. Full Scholarship (for 10 par cipants)
2. 50% Scholarship (for 10 par cipants) - pay USD 800
3. Par al Scholarship (for 5 par cipants) - pay USD 1,000
*scholarship is provided for selected par cipants from different ins tu ons
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Selected par cipants with or without scholarship will be no fied by
email maximum one month a er the submission of the registra on form
Par cipants who have to pay full or par al course fee are requested to
pay no later than appointment date
Acceptance le er or invita on le er will be provided for visa
arrangement
Requirements
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Filled applica on form
Scanned passport
One recommenda on le er from your university
Scanned student/staff/lecturer ID or statement le er sta ng that you
are a student/staff/lecturers from your university
For further enquiries, please contact Mr. Wahyu at [email protected]
Participants Testimony
Jie Lin
(CommTECH Camp Highlight 2016 participant)
Beijing Institute of Technology, China
“I would highly recommend CommTECH to my peers as it is a
chance to learn from a diverse and dynamic group of people
coming together for the purpose of sharing knowledge,
learning and ge ng new angles on research. All CommTECH
par cipants have the unique opportunity to come together to
explore and discuss cri cal issues in a global perspec ve that
require mul disciplinary approaches. CommTECH couses are
fun, but intense. This program taugh me to think deeper, out
of the box and showed me how to integrate studying across
mul ple disciplines. If you want to learn more, just apply it!”
Herehau Blais
(CommTECH Camp Insight 2016 Participant)
Universite de Technologie Compiegne (UTC)
France
"In CommTECH Camp, you will discover how to make lifelong
friendships in 10 days. You will also learn about cultural
aspects in a very friendly and interac ve way by visi ng SME,
admiring indonesian landscapes such as Mount Bromo or
enjoying its waterfalls while doing ra ing. The courses are
concrete, inspired by elements directly no ced in the
environment and help developing our open-mindedness in
that new country. In a word, why haven't you joined yet?”
Shotthom Rahman
(CommTECH Camp Insight 2015 Participant)
University of Technoloy Sydney, Australia
“The CommTECH program was one of the most enjoyable
programs I had the privilege to par cipate in. In this program
I was able to learn about an important global issue whilst s ll
being able to experience the beauty of Indonesia, from its rich
history and culture to its unique cuisines. However I believe
the greatest benefit from this program was the long las ng
friendship which are made and the wonderful memories my
fellow CommTECH par cipants and I cherish. During my me
at CommTECH we had a saying; You Only CommTECH Once
(YOCO), so make the most of it.”
Dr. Pule Kholopane
(CommTECH Camp Highlight 2013 Participant)
University of Johannesburg, South Africa
“I was lucky to par cipate in CommTECH 2013 camp hosted
by ITS in Surabaya-Indonesia. I really enjoyed this program
since it acted as an eye opener to me with regards to many
issues affec ng our lives globally. I learned and experienced
so much during my stay in Indonesia. Most of all I enjoyed the
warmth and hospitality extended to us by the CommTECH
organising commi ee. I have been in many parts of the world
but I have never come across such warmth, smile and
dedica on shown by the organising commi ee and indeed
people in Indonesia in general. I seriously encourage
ins tu ons across the world to send their people to this
program.”
Program Schedule
Day 1
Opening Ceremony
Campus Tour
Welcoming Dinner
Day 2
Course
Fun Indonesian Languange
Tradi onal Games
r
Day 3
Site Visit
r
Day 4
City Tour - Amazing Race
SME Visit
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Day 5
Visit Rumah Bahasa Surabaya (Surabaya House of Languages)
Free Time
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Day 6
Course
r
Day 7
Course
Project
Tradi onal Music & Dance
Day 8
Project
Visit Tradi onal Perfomance Show
r
Day 9
Project
r
Day 10
Project
Fun Sport
Depart to Bromo Mountain
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Day 11
Trip To Bromo Mountain
Ra ing
Back to Surabaya
r
Day 12
Free Time
Prepara on For CommTECH IDEA
CommTECH IDEA
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Day 13
CommTECH IDEA
r
Day 14
Farewell
For syllabus and schedule details, please visit
www.interna onal.its.ac.id/commtech-highlight-2017
CommTECH Gallery
Sub Courses
CommTECH Camp Highlight 2017 provides 2 subcourses. Each par cipant
should choose one of the following:
Subcourse A:
Sustainable Urban
Water Management
This course introduces par cipants to the concept of sustainable urban
water management. The par cipants will learn on how ci es in developing
countries can have be er chances towards more sustainable, resilient and
livable condi ons. This course covers some important aspects in developing
city towards sustainable urban water management from idea genera on,
brainstorming, observa on, visita on and project planning. Par cipants also
have a chance to visit community and government agencies to get be er
understanding about the water-related problems. Par cipants will be
exposed to real water related project and expected to solve to solve the
problems using science and technology through a mul -diciplinary
approach.
Subcourse B:
Smart City
This course introduces par cipants to the concept of smart city and how
Surabaya evolves towards a smart city. Many aspects of smart city including
urban planning, infrastructure, the use of ICT, transporta on, environment,
and economic will be evaluated through an interac ve teaching method
and a lot of site visits. Par cipants will also get involved in discussions with
community and governmnet agencies to make a project plan based on
Surabaya city cases. Par cipants will be challenged to cri cally solve real
probems in Surabaya within the concept of smart city.
Community & Technological (CommTECH) Camp
2017
Registration Form
Application for CommTECH Camp Highlight 2017
(12 – 25 July 2017)
please choose the sub courses below:
□ Sub Course A: Sustainable Urban Water
□ Sub Course B : Smart City
Management
Personal Information
Last Name:
First Name:
Date of Birth:
Passport Number:
Institution / University :
Country of Citizenship:
□ Male
□ Female
Please describe your motivation to join this program: (please use additional paper if needed)
NOTE: Please describe your motivation thoroughly as we will select the scholarship grantees based
on your motivation statement
Current Mailing Address
Street:
City:
State:
Zip/Postal Code:
Country:
Email:
Mobile Phone :
Telephone (Home) [Including
area/country code]:
Permanent Address (only if different from current mailing address)
Street:
City:
Country:
State:
Mobile Phone:
Zip/Postal Code:
Home Phone:
Emergency Contact Information
Last Name:
First Name:
Street:
City:
State:
Country:
Phone [including area/country code]:
Email:
Academic Information (only if you are a student)
Degree : □ Bachelor □ Master □ Doctoral
Major:
Current Academic Status:
□ First Year □ Second Year □Third Year □ Fourth Year
Institution Information (only if you are a lecturer /staff)
Current Position:
Unit / Department / Faculty :
Travel Plan (You can fill further details later)
Date of Arrival :
dd/
mm/
yy
l Flight Number:
Date of Departure :
dd/
mm/
Additional Information
□ Yes
Join Rafting
Food which you are allergic to:
Restricted Food:
Zip/Postal Code:
□ No
yy l Flight Number:
Phobia:
Shirt Size: □ S, □ M, □ L, □ XL
Costs
USD 1,600,You may choose the category for the payment you apply for:
□ Full Scholarship
□ 50% Scholarship (Paid USD 800)
□ Partial Scholarship (Paid USD 1,000)
□ No Scholarship (USD 1,600)
Course Fee
Payment
Please be sure to check the authorization box below:
□ Wire transfer to:
Account Number : 0476544563
Account Name : Maria Anityasari
Bank Name
: Bank Negara Indonesia (BNI)
Bank address
: Surabaya
Swift Box
: BNINIDJA
□Transfer through Western Union to:
Name: Puty Synthia Hardini
Address: Menur 1, No. 21, RT/RW. 04/01. MenurPumpungan, Sukolilo
City : Surabaya
Postal Code: 60111
Country : INDONESIA
Academic/Professional Reference
Please provide the name and contact information of your reference.
Last Name:
First Name:
Street:
City:
Phone: (including area/country code)
State:
Occupation:
Zip/Postal Code:
Email:
School/Faculty:
Agreement
I have read the program descriptions, including the application policies and procedures, and I feel that I would benefit from CommTECH program. I
certify that all information I have provided in this form is correct and accurate to the best of my knowledge.
(If applicant is under 18 years old of age, parental approval is
required.)
_________________________
Date :
For you want to join this program, please send this registration form with:
- Scanned passport
- One recommendation letter from your university
-
Scanned students/staffs/lecturers I.D or statement letter that you are staff or lecturers from your
university
Please complete the registration before 26 May 2017
CONTACT PERSON:
Mr. Muh. Wahyu Islami PM, S.T.
International Office
Institut Teknologi Sepuluh Nopember (ITS)
Rectorate Building 2nd Floor
Campus ITS Sukolilo Surabaya 60111, Indonesia
Telp/Fax : +62-31-5923411
Email: [email protected] / [email protected]