Application Form
GLOBAL HEALTH TRUE LEADERS 2.0
Surakarta, July 24-30, 2017

REGISTRATION GUIDELINE
  1. Selection process of GHTL 2.0 will be based on documents completeness, background information, English proficiency test, 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 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.

    • 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 June 30, 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 7, 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 16, 2017 (GMT+7)

Selected Participant Announcement: June 30, 2017

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

SECTION 1: Personal Information
(please make sure it's reachable)
(please make sure it's valid)
SECTION 2: Health Information*
SECTION 3: Formal Education History

Please list your formal education since Senior High School Only

Level of Education Institution* Major GPA 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: Scholarship and Award
Name of Scholarship or Awards* Years
*Please list the best 3 (three) scholarship/awards you have obtained
SECTION 6: Leadership Experience

Please detail any leadership experience you have.

Name of Institution or Organization Position Responsibilities Years
SECTION 7: Short Answer Question
  1. Please describe your motivation to participate and experiences you hope to gain in this training. (in 1 paragraph)

  2. Please describe your personal definition of Leadership and qualities to be a good leader. (in 1-2 paragraph)

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

  4. Please describe your action plan plan after joining this training (min 1 paragraph)

SECTION 8: GHTL Scholarship

There are 50 scholarships available for "GHTL 2.0" 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.
Maximum file size: 2MB All candidates must be sufficiently fluent in English, proved by the evidence of English language proficiency test. Minimum required score of 500 for TOEFL ITP (or equivalent for IELTS, TOEFL iBT, TOEIC). 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.

CONFIRMATION