Application Form
GLOBAL HEALTH DIPLOMACY
Jakarta, August 25-30, 2017

REGISTRATION GUIDELINE
  1. Selection process of Global Health Diplomacy will be based on documents completeness, educational background, and quality of your answer. Before filling in the application, we encourage you to read the guidelines here.

  2. Please fill in the application form COMPLETELY. For those who are willing to register for scholarship, please complete SECTION 8: Scholarship.

  3. Please make sure to complete all of supporting documents as required. For those who don't complete the application form and supporting documents will be automatically FAILED in administrative selection process. These are the required supporting documents:

    • Identity Card

      The identity card can be residential identity card, student identity card, driver license, or passport.

    • Photo

      Your photo must be a half body formal photo with clearly seen face. The recommended photo size is 4x6.

    • Recommendation Letter from Institution

      You need to provide official letter from your institution explaining that you have good record in the institution you come from.

    • Curriculum Vitae

      Please concise your curriculum vitae into 5 pages (maximum).

    • English Proficiency Test

      It could be TOEFL, IELTS or TOEIC.

    • Health Certificate

      Health certificate is a result of medical examination to describe condition a person has, such as allergic, sickness, or any special health condition. It can be obtained in hospital or health center.

  4. The Announcement of scholarship will be published on www.indohun.org on July 15, 2017. The selected applicants will be sent a Confirmation Letter that needs to be attached with Permission Letter to attend the training from your Institution. Please send it back to us no more than July 21, 2017, 23:59 (GMT+7). For those who don't send the confirmation letter back will not be considered as participant.

  5. INDOHUN official invitation letter will be sent after participant confirmed his/her attendance through confirmation letter.

IMPORTANT DATES

Application Deadline: June 30, 2017 (GMT+7)

Selected Participant Announcement: July 15, 2017

Confirmation Deadline: July 21, 2017 (GMT+7)

SECTION 1: Personal Information
(please make sure it's reachable)
(please make sure it's valid)

Secondary contact (For in case of emergency or your phone number can’t be reached. You can provide your relatives phone number):

SECTION 2: Health Information*
SECTION 3: Formal Education History

*Please list only your higher education after you finished Senior High School

Level of Education Institution Major Graduate Year or Expected Graduate Year
SECTION 4: Non-Formal Education History
Please list any non-formal education you have attended in last three years, it could be training/workshop/any non-formal course
Non-Formal Education* Year
SECTION 5: Scholastic Distinctions/ Honors/ Awards
*Please list the best 3 (three) scholarship/awards you have obtained
Name of Scholarship or Awards* Years
SECTION 6: Publication

List your writings either published or not published. If the work is in a language other than English, please translate the title into English and include both original and English translation. Do not include the copy of the work along with the application.

*Please list the best 3 (three) publications you have written
Name of Scholarship or Awards* Years Publisher
SECTION 7: Short Answer Question
  1. Please describe your motivation to participate and experiences as well as qualifications you expect to attain in this training. (in 1 paragraph)

  2. Please describe your personal arguments on how important diplomacy in addressing global health issues. (in 1-2 paragraph)

  3. Please explain your diplomacy experiences. (in 1 paragraph)

  4. Please describe your future plan in 5 (five) years. (in 1 paragraph)

  5. Jelaskan apa arti Indonesia bagi Anda? (please answer this question in Bahasa Indonesia)

SECTION 8: Global Health Diplomacy Scholarship

There are 30 scholarships available for “Global Health Diplomacy” participants that will cover accommodation, transportation, and training package. Please tick the box if you are willing to register yourself for scholarship, if not, you will be registered as regular participants.

Scholarship Package
Platinum Transportation, Accommodation, Training Fee, and Training Package.
Gold Accommodation, Training Fee, and Training Package.
SECTION 9: Supporting Documents
There are required documents that needs to be submitted along with this application form. The Applicant who doesn’t submit all these documents will be automatically FAILED in Administrative Selection.
Maximum file size: 2MB The identity card can be residential identity card, student identity card, driver license, or passport.
Maximum file size: 2MB Your photo must be a half body formal photo with white background and clearly seen face. The photo size is 4x6.
Maximum file size: 2MB You need to provide official letter of recommendation from your institution or supervisor explaining that you have good record in the institution you come from and have sufficient knowledge upon health issues and diplomacy.
Maximum file size: 2MB Please concise your curriculum vitae into 5 pages (maximum).
Maximum file size: 2MB All candidates must be sufficiently fluent in English, proved by the evidence of English language proficiency test. The English language proficiency test which are (you can choose one of these tests):
  1. IELTS The requirement for IELTS score is 6.0 overall with at least 6.5 in Speaking component.
  2. TOEFL (iBT) The requirement score is 80 overall, including at least 19 in Listening, 19 in Reading, 21 in Speaking, 21 in Writing.
  3. TOEFL (ITP) The requirement score is 550
  4. TOEIC The requirement score is 800
  5. TOEFL Prediction The requirement score is 650
If you are providing proof of English proficiency based on one of the test scores listed above, please note that the score reports must be official. We would expect English language qualifications to have been achieved within the two years prior to starting.
Maximum file size: 2MB Please attach health certificate from your doctor.

DECLARATION