#PowerShiftSabah2018 Call for Action - Application Form
#PowerShiftMsia kini kembali!

Pada 5hb - 8hb Julai ini, #PowerShiftMsia bersama belia Sabah akan bersama-sama dalam bengkel perubahan iklim selama empat hari. Belajar bagaimana untuk menjalankan kempen yang berjaya, bagi membangunkan kempen iklim berkesan.

Jika anda mempunyai impian untuk menghentikan perubahan iklim dan berkerjasama dengan rangkaian anak-anak muda sedunia, ini adalah peluang ANDA!

Yuran Penyertaan : PERCUMA
Tarikh Tutup Penyertaan : 5 May 2018


#PowerShiftMsia is back!

This 5 - 8 July, #PowerShiftMsia will see young Sabahans coming together for a four-day climate action workshop to strengthen their knowledge on climate change, learn how to run successful climate projects/campaigns, and of course, transform their ideas into real actions on our mentorship platform.

Do you have a climate action idea and a team already?


If you’ve got passion to stop climate change and want to be a part of a globally connected network of young people, this is no doubt for YOU!

Registration Fee: FREE
Due date of registration : 5th May 2018

* Keputusan permohonan akan dimaklumkan melalui e-mel.
Result of application will be informed through e-mail.

Email address *
Nama (Seperti dalam Kad Pengenalan)/ Name (as in Identification Card or Passport) *
Your answer
No. Kad Pengenalan/No. Passport (Identification Card Number / Passport Number ) *
Your answer
Kewarganegaraan (Nationality) *
Your answer
Adakah anda bertempatan di Sabah? / Are you located in Sabah?
Jantina (Gender) *
No. Telefon Bimbit (Contact Number) *
Your answer
Alamat E-mel (E-mail Address) *
Your answer
Tarikh Hari Lahir (Date of Birth) *
MM
/
DD
/
YYYY
Daerah (District) *
Your answer
Pekerjaan/ Institusi Pengajian (Occupation/ Place of Study) *
Your answer
Keadaan Kesihatan (State of Health) *
Sekiranya dalam pengambilan ubatan, nyatakan penyakit/ ubatan yang berkenaan (If under medication, Please state your illness/ medication)
Your answer
Sebarang alahan ubatan atau makanan? (Any medication/food allergy?) *
Sekiranya jawapan anda 'ya', sila nyatakan alahan anda (If yes, please state your allergy)
Your answer
Pengenalan tentang diri sendiri (Brief introduction about yourself) *
(Minimum 100 words)
Your answer
Dari manakah anda mengetahui tentang #PowerShiftMsia 2018? (Where did you first heard about #PowerShiftMsia 2018?) *
Mengapakah anda berminat untuk menyertai #PowerShiftMsia 2018? (Why are you interested to join #PowerShiftMsia 2018 workshop?) *
Your answer
Apakah pengetahuan/ kemahiran/ bakat atau idea-idea yang anda boleh menyumbangkan kepada #PowerShiftMsia 2018? (What are your knowledge/ skills/ talents/ ideas that can contribute to #PowerShiftMsia 2018?) *
(200 words) / (200 patah perkataan)
Your answer
Jika anda diberi peluang untuk jalankan kempen perubahan iklim selepas bengkel ini, yang manakah projek yang anda berminat? (If you are given an opportunity to run climate change campaign after this workshop, which projects are you interested?) *
(Anda hanya boleh memilih 2 projek di bawah) / (You can choose up to 2 projects)
Sila komen sekiranya ada apa-apa yang perlu kami sedar tentang anda? (Tentang surat pelepasan daripada majikan/ pensyarah, keperluan agama, kebolehan fizikal/kesihatan mental dll) (Please comment if you have special request (Exemption letter to University/ Employer, Religous needs, physical abilities/ mental health)
Your answer
Berkongsi dan menggambarkan idea anda dengan kami./ Share and describe your awesome idea with us. *
(Dalam 100 perkataan/ Within 100 words)
Your answer
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