bemftuny.orgbemftuny.org/.../uploads/2016/01/FORMULIR-PENDAFTARAN-B… · Web viewUNIVERSITAS...
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UNIVERSITAS NEGERI YOGYAKARTA FAKULTAS TEKNIK BADAN EKSEKUTIF MAHASISWA Sekretariat: Gedung PKM FT UNY lantai 1 Sayap Timur, Kampus Karangmalang, Yogyakarta, 55281 FORMULIR PENDAFTARAN BEM FT UNY 2016 Nama Lengkap :.............................................. Nama Panggilan : ............................................. Tempat, Tanggal lahir..........................................: Alamat asal : ............................................. Alamat di Yogyakarta...........................................: Agama/Gol. Darah...............................................: Jurusan/Prodi : ............................................. NIM : ............................................. IPK terakhir : ............................................. No. HP : ............................................. Email (aktif) : ............................................. Nama Akun FB/Twitter............................................ : Hobi : ............................................. Motto : ............................................. Cita-cita : ............................................. Riwayat sakit : ............................................. Tinggi/berat badan.............................................: Anak ke/dari : ............................................. Amanah di Organisasi Lain..................................................: ............................................... Riwayat Pendidikan : No Pendidikan Tempat Tahun Lulus 1 2 3 4 Foto 3 x 4
Transcript of bemftuny.orgbemftuny.org/.../uploads/2016/01/FORMULIR-PENDAFTARAN-B… · Web viewUNIVERSITAS...
UNIVERSITAS NEGERI YOGYAKARTAFAKULTAS TEKNIK
BADAN EKSEKUTIF MAHASISWASekretariat: Gedung PKM FT UNY lantai 1 Sayap Timur, Kampus Karangmalang, Yogyakarta, 55281
FORMULIR PENDAFTARAN BEM FT UNY 2016
Nama Lengkap :................................................................................................................Nama Panggilan : ...............................................................................................................Tempat, Tanggal lahir : ...............................................................................................................Alamat asal : ...............................................................................................................Alamat di Yogyakarta : ...............................................................................................................Agama/Gol. Darah : ...............................................................................................................Jurusan/Prodi : ...............................................................................................................NIM : ...............................................................................................................IPK terakhir : ...............................................................................................................No. HP : ...............................................................................................................Email (aktif) : ...............................................................................................................Nama Akun FB/Twitter : ...............................................................................................................Hobi : ...............................................................................................................Motto : ...............................................................................................................Cita-cita : ...............................................................................................................Riwayat sakit : ...............................................................................................................Tinggi/berat badan : ...............................................................................................................Anak ke/dari : ...............................................................................................................Amanah di Organisasi Lain :................................................................................................................
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Riwayat Pendidikan :No Pendidikan Tempat Tahun Lulus1234
Riwayat Organisasi : No NamaOrganisasi Jabatan Periode1234
Foto 3 x 4
UNIVERSITAS NEGERI YOGYAKARTAFAKULTAS TEKNIK
BADAN EKSEKUTIF MAHASISWASekretariat: Gedung PKM FT UNY lantai 1 Sayap Timur, Kampus Karangmalang, Yogyakarta, 55281
Keahlian yang dimiliki (diberi Centang) :
BelaDiri Olah Raga SeniTaekwondo Bulu Tangkis KaligrafiKarate Volley MusikKungfu Sepak Bola TariSilat Tenis Lapangan LukisTinju Tenis Meja Fotografi
Mengemudi Menulis TeknikMobil Karya Tulis Ilmiah ListrikMotor Non Fiksi Elektronika
Terjemahan Jaringan InternetNovel OtomotifPuisi Memasak
MenjahitSipil
BahasaAsing& Daerah Komunikasi InternetInggris Retorika Mengelola WebsiteArab Public Relation Mengelola BlogJepang Wacana JaringanMandarin HumasJawa ImprovisasiSunda
Prestasi yang pernah diraih
Prestasi Tingkat/ tahun Tempat
Pilihan Departemen dan Biro dalam BEM FT UNY*
Departemen Prioritas** AlasanPengembangan Sumber Daya Mahasiswa (PSDM)Pelayanan Publik(PELPU)Pendidikan dan Keilmuan
UNIVERSITAS NEGERI YOGYAKARTAFAKULTAS TEKNIK
BADAN EKSEKUTIF MAHASISWASekretariat: Gedung PKM FT UNY lantai 1 Sayap Timur, Kampus Karangmalang, Yogyakarta, 55281
(P&K)Hubungan Masyarakat (HUMAS)Sosial Masyarakat (SOSMAS)Kajian dan Riset Politik (KARISPOL)Kerumahtanggaan(KRT)Media dan Informasi(MEDINFO)PERSONALIA
*) Departemen adalah departemen dan Biro BEM FT UNY 2015, mungkin akan ada perubahan.**) Kolom prioritas diisi prioritas ke: 1, 2, dan 3
Apa motivasi Kamu menjadi pengurus BEM FT UNY 2016?..............................................................................................................................................................................................................................................................................................................Keinginan apa yang diinginkan (diharapkan) dengan menjadi pengurus BEM FT UNY 2016?..............................................................................................................................................................................................................................................................................................................Apa yang akan Kamu berikan (lakukan) untuk BEM FT UNY 2016?..............................................................................................................................................................................................................................................................................................................Target yang akan diusahakan dalam membangun BEM FT UNY 2016 melalui departemen yang dipilih (prioritas 1)?
a. 1 semester ke depan..................................................................................................................................................................................................................................................................................
b. 1 tahun ke depan..................................................................................................................................................................................................................................................................................
Analisis, ancaman dan hambatan terbesar apa yang akan menghalangi kesuksesan BEM FT UNY 2016? Dan bagaimana cara mengatasinya?..............................................................................................................................................................................................................................................................................................................Bagaimana cara Kamu menunjukkan kinerja profesional menjadi pengurus BEM FT UNY 2016?
UNIVERSITAS NEGERI YOGYAKARTAFAKULTAS TEKNIK
BADAN EKSEKUTIF MAHASISWASekretariat: Gedung PKM FT UNY lantai 1 Sayap Timur, Kampus Karangmalang, Yogyakarta, 55281
.......................................................................................................................................................
.......................................................................................................................................................Siap menerima dan menjadi bagian UTUH keluarga pengurus BEM FT UNY 2016?.......................................................................................................................................................
Mengetahui,Ketua BEM FT UNY 2016
Ahmad NurArifinNIM. 13503241035
Yogyakarta, ….........Januari 2016
Saya yang bersungguh-sungguh,
( _______________________ )NIM.
