RESPONSIBLE LEADERSHIP CAMP 2019
Welcome, CHANGEMAKERS!
Thank you very much for showing your interest. Before filling out the application form, make sure that you have read the program information and application guideline.
https://www.alternative-project.org/alternative-leadership-program-1
* Required
Email address
*
Your email
I understand that I need to pay the participation fee scholarship price 2,900,000 IDR for Indonesian /and 390 SGD for others and I am available to fully attend 13-day program * (NOTICE: Only those who pay the participation fee or deposit IDR 1,000,000 or SGD100 within 3 days after being accepted can secure their spot in this program)
*
YES
Required
Your Name
*
Your answer
Your mobile phone number
*
we will contact you to this number
Your answer
Your current address
*
Your answer
Your university if you are student, or what you do now.
*
Your answer
Your major or background
*
Your answer
Gender
Male
Female
Other:
Clear selection
Why do you want to join this program? Your motivation and goal you want to achieve from this program.
*
min. 200 words
Your answer
Could you tell us about the activity that you have engaged in or passionate about?
*
Your answer
Can you tell us one thing you love about yourself? Or a funny thing about you.
*
Your answer
How do you know about this program?
*
Previous Participant
Friends
Instagram
Facebook
Line
Twitter
University
Other:
Send me a copy of my responses.
Submit
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
