Emergent Indonesia Short Course Program 2012: Program Schedule  Page 1 of 2 

“Emergent Indonesia” Short Course Program 2013 15 July – 26 July 2013 

Program Information 

TIMELINE • Application Deadline: 30 May 2013  • Payment Deadline: 13 June 2013 • Confirmation: A Letter of Acceptance, Payment Receipt and Detail Course Information & Schedule 

will be sent out before 20 June 2013 • Program Duration: 15 July – 26 July 2013 

 QUALIFICATIONS

• Non‐Indonesian citizens 

• 18 years or above with valid raveling documents 

• Able to communicate in English. For students from non‐English speaking countries, please provide evidence of English proficiency such as TOEFL score of 500 min, or similar to this  

• Completed application forms with supporting documents received by 30 May 2013 (please send in application forms and make queries if needed ahead of time) 

• Completed full payment received by 13 June 2013 

APPLICATION SUBMISSION & REQUIREMENTS • Deadline : 30 May 2013 • Applicants should submit following materials for the admission (applications submitted without all 

the required documents will not be considered): 1. Application Form (completed) 2. A certified copy of English or other Language Proficiency Test Result (only for applicants whose 

country of origin (country issuing passport) does not use English as the native language; test result obtained in the last two years) 

3. A recent photograph (3 x 4 cm) (attached in the Application Form) 4. A copy of passport (scanned document) 5. A copy of bank transfer payment slip (scanned document) 

 INVESTMENT

• Investment: USD $1,200 (with minimum number of participant required) 

• Investment including:  2‐week course & course material  Airport pick‐up & drop‐off  Train ticket, pick‐up & drop‐off  Accommodation (twin sharing)  Meals (3 times per day)  Transportation (within program)  Field trip: Jakarta & Jogjakarta  Certificate  Participants T‐Shirt 

 

Emergent Indonesia Short Course Program 2012: Program Schedule  Page 2 of 2 

Welcoming & Farewell Events 

• Investment excluding:  Airfare  Visa, Airport tax  Health & Travel Insurance (travel insurance together with flight ticket purchase is recommended)  

Personal expenses (such as: phone calls, laundry) 

PAYMENT • Deadline : 13 June 2013 • Payment should be made available via telegraphic transfer (transfer to bank account): 

Bank’s name : Bank Central Asia Branch’s name : BINUS University Bank’s address : Jl. Kebon Jeruk Raya no. 27, Jakarta Barat, Indonesia Beneficiary’s account number : 527‐029‐7970 Beneficiary’s name : Universitas Bina Nusantara Swift Code number : CENAIDJA Currency : USD  

REFUND POLICY If you wish to withdraw from the Short Course Program for reasons of your own, the following refund policy will be applied: 

Time Frame

Refund

On or before 13 June 2013

50% refund

On 13 June 2013 or later No refund 

 CREDIT TRANSFER POLICY For applicants who are college/university students, credit transfer from BINUS UNIVERSITY to your home institution is available, however this is finally determined by the home institution. Please consult your college/university about the necessary process.  VISA APPLICATION Accepted applicants may apply  for an appropriate visa via  local embassy or consulate by providing  their Visa  Application  Form  and  Letter  of  Acceptance,  which  will  be  offered  by  BINUS  UNIVERSITY  after applicants’ acceptance.  CONTACTS International Office ‐ BINUS UNIVERSITY Syahdan Campus – 1st floor Jl. KH. Syahdan No. 9, Palmerah, Jakarta Barat 11480 Indonesia T. (+62‐21) 534 5830 ext 2172 F. (+62‐21) 530 1668 E. io@binus.edu W. www.binus.ac.id/io 

 

Emergent Indonesia Short Course Program 2013: Program Schedule  Page 1 of 2 

"The Emergent Indonesia" Short Course Program 2013 15 July – 26 July 2013 

 PROGRAM SCHEDULE 

 Day  Activity 

Sun, 14 July 2013   Arrival         

Mon, 15 July 2013   DAY 1 ‐ Indonesian Language  

09.00‐11.30  Welcoming & Opening Ceremony11.30‐13.00  Lunch13.00‐14.30  Session 1 ‐ Indonesian Language 

        

Tue, 16 July 2013   DAY 2 ‐ Indonesian Culinary & Language 

09.00‐10.30  Session 2 ‐ Indonesian Cuisine: Philosophy of Indonesian Culinary 10.45‐12.15  Session 3 ‐ Cooking Lesson: Indonesian Authentic Cuisine12.15‐13.15  Lunch 13.15‐17.00  Session 4 – Indonesian Language 

        

Wed, 17 July 2013  DAY 3 – Service Learning and Community Development

09.00‐12.00   12.00‐13.00 13.00‐15.30 

Session 5 – HOPE Foundation and BINUS Education : Teaching English/Art & crafs to children age 3‐13(Cilincing-Depok-Panti/Sentul Bogor) Lunch Social: Exchange culture studies‐story telling, dance or songs (Cilincing-Pedongkelan-Tangerang)

      

Thu, 18 July 2013  DAY 4 ‐ Indonesian Arts & Language

09.00‐10.30  Session 6 ‐ Indonesian Language 10.45‐12.15  Session 7 ‐ Indonesian Art: Prehistory ‐ Hindu – Islam, Colonialism Era 12.15‐13.15  Lunch13.15‐17.00  Tour ‐ Art & Cultural Sites: Monas ‐ Cathedral Church ‐ Istiqlal Mosque 

        

Fri, 19 July 2013  DAY 5 – International Relations 

09.00‐10.30  Session 8 ‐ Indonesian Language 10.30‐12.00  Session 9 ‐ Indonesia and ASEAN Community 2015 12.00‐13.30  Lunch13.30‐17.00  Tour ‐ Art & Cultural Sites: Jakarta Old City 

        

Sat, 20 July 2013  DAY 6 – Indonesia Arts & Culture 

08.00‐11.00 11.00‐12.00 13.00–18.00 

Tour ‐ Taman Mini Indonesia Indah (Indonesia Miniature Park) Lunch Tour  continue ‐ Taman Mini Indonesia Indah (Indonesia Miniature Park) 

        

Sun, 21 July 2013  DAY 7 ‐ Free Day         

Mon, 22 July 2013  DAY 8 ‐ Trip to Yogyakarta  09.00‐10.00             Depart to Jogjakarta by Lion air 10‐00‐12.00             Stay in Brayut tourism village located in Pendowoharjo, Sleman, Jogjakarta 12.00‐13.00  Lunch 13.00‐19.00  Gathering with local people 

        

Tue, 23 July 2013   DAY 9 ‐ Ethnic Tourism in Yogyakarta  09.00‐12.00           Trip to Prambanan temple   12.00‐13.00           Lunch   13.00‐18.00           Batik workshop, Ramayana cultural exhibition 18.00‐19.00            Going back to Brayut village 

        

Wed, 24 July 2013  DAY 10 –Service Learning and Community Development in Yogyakarta09.00‐12.00             Session 10 – HOPE Foundation and BINUS 

 

Emergent Indonesia Short Course Program 2013: Program Schedule  Page 2 of 2 

                   Education: Teaching English/Art & crafs to children age 3‐13 (Bantul, Jogjakarta) 12.00‐13.00             Lunch 13.00‐15.30             Social & Community: Exchange culture studies‐story telling, dance or songs (Bantul,                                       Jogjakarta) 15.30‐17.00             Going back to Brayut village 

        

Thu, 25 July 2013  DAY 11 ‐ Ethnic Tourism I Yogyakarta & Closing Ceremony 09.00‐12.00           Trip to Keraton Jogjakarta (Sultan palace), Taman Sari, Wayang workshop   12.00‐13.00          Lunch at Kota Gede  13.00‐18.00          Visit Pawon temple, Mendut temple and Borobudur temple 18.00‐19.00           Going back to Brayut village 19.00‐21.00           Closing ceremony/farewell 

        

Fri, 26 July 2013   Trip Back to Jakarta 08.00‐10.00             Depart to Jakarta by train 10.00 ‐18.30            Arrive in Jakarta & travel to Binus Square 18.30‐19.30             Arrive in BINUS Square             

        

Sat, 27 July 2013  Depart to home country 

*detail activities are subject to change  Program Cost: $1,200 (with minimum number of participant required) 

• Including:  2‐week course & course material  Airport pick‐up & drop‐off  Train ticket,  pick‐up & drop‐off  Accommodation (twin sharing)  Meals (3 times per day)  Transportation (within program)  Field trip: Jakarta & Jogjakarta  Certificate  Participants T‐Shirt  Welcoming & Farewell Events 

• Excluding:  Airfare  Visa, Airport tax  Health & Travel Insurance (travel insurance together with flight ticket purchase is recommended)  

Personal expenses (such as: phone calls, laundry) 

 

| International Office

Short Course BINUS Application Form – International Student page 1 of 3 Updated on 28 February 2013

SHORT COURSE BINUS – APPLICATION FORM

Instructions 1. Please answer all questions. All relevant sections of the form must be completed. 2. The application form must be completed in English. 3. Please use font Arial, size 10 to fill out the application. Handwritten application is

applicable as long as it is literate. 4. Application form submitted without all required documents and/or signatures using

picture inserted, will NOT be considered. 5. Application form must be received by BINUS International Office no longer than the

closing date announced. Please send to io@binus.edu; and/or to: International Office - BINUS UNIVERSITY Jl. KH. Syahdan No. 9, Palmerah, Jakarta Barat 11480, Indonesia

Attach a recent photo 3 x 4 cm

I’m applying for:

Short Course Program : “Emergent Indonesia” Short Course 2013

Application Deadline : 30 May 2013

APPLICANT DETAILS

Gender : Male Female (please put “X” in your selected box)

Given Name : (as shown in Birth Certificate/Passport)

Family Name : (as shown in Birth Certificate/Passport)

Birth Information : (place of birth, day/month/year, as shown in Birth Certificate/Passport)

Citizenship : (as shown in your travel document)

Passport No : Expired Date (day/month/year) :

Occupation :

Address : (currently residing; house number, street, city, postcode/ zip, country)

Telephone : Mobile Phone: (country code – area code – number) (country code – number)

Email :

Emergency Contact (the person to contact in case of an emergency)

Name : Mr. / Mrs. / Ms.

Relationship :

Address : (house number, street, city, postcode/ zip, country)

Telephone : Mobile Phone: (country code – area code – number) (country code – number)

Email :

| International Office

Short Course BINUS Application Form – International Student page 2 of 3 Updated on 28 February 2013

Home Institution Contact Person

Home Institution : (name of home institution currently in)

Address : (building number, street, city, postcode/ zip, country)

Name : Mr. / Mrs. / Ms.

Position :

Telephone : Mobile Phone: (country code – area code – number) (country code – number)

Email :

Academic Information

Major :

Semester : (current semester – if you are a student)

Is English your first language? Yes No

If ‘No’, please provide information on your English Language Proficiency Score (test must be within the last two years):

IELTS Score: Test Date:

TOEFL Score: Test Date:

Other: Score: Test Date: (day/month/year)

MEDICAL INFORMATION

Please answer following questions:

1. Any disabilities and/or medical condition that BINUS UNIVERSITY should be aware of? Yes No If ‘Yes’, please explain.

2. Do you have any allergies? Yes No If ‘Yes’, please list them.

3. Do you have any special dietary requirements (e.g. vegetarian, halal food only)? Yes No If ‘Yes’, please explain in detail.

| International Office

Short Course BINUS Application Form – International Student page 3 of 3 Updated on 28 February 2013

Further Information

4. Have you ever been convicted of a criminal offense? Yes No If ‘Yes’, please explain.

5. Do you foresee any other difficulty that may affect the completion of your course? Yes No If ‘Yes’, please explain.

CHECKLIST

Have you completed the following documents? (Applications submitted without all the required documents will not be considered)

Application Form (completed)

A certified copy of English Language Proficiency Test Result (only for applicants whose country of origin (country issuing passport) does not use English as the native language; test result obtained in the last two years)

A recent photograph (3 x 4 cm) (attached in the Application Form)

A copy of passport

A copy of bank transfer payment slip

APPLICANT’S DECLARATION

I certify that the statements made by me in Short Course BINUS – Application Form are true, complete and correct to the best of my knowledge. I fully understand if I am to join the course, I agree to:

1. follow the course of study and abide by the rules of institutions in which I undertake to study; 2. act in such a manner that will not bring disrepute to myself, BINUS UNIVERSITY, home-institution or my

country of citizenship during my study abroad program; 3. abide by the rules and regulations governing my visa; 4. release information contained in this application form to relevant authorities; 5. disburse any additional personal expenses not included in the cost of this short course program that

might be incurred during the program; 6. that BINUS UNIVERSITY is not responsible for any aspects of my action during the period of program; 7. the use of photographs of myself which related to this program, taken by BINUS UNIVERSITY or shared

by me — the likely uses include but not limited to promotional materials (e.g. brochures, posters, newspaper articles, website, communication with educational agents, and advertising).

Also, I am aware of any medical condition (disability, illness or pregnancy) which might prevent me from completing my study program within the time allowed for the program offered.

If applicant is under 21 years old, this application should be acknowledged by parents/guardians

Date: Date: (day/month/year) (day/month/year)

(Applicant’s Full Name & Signature) (Parent/Guardian’s Full Name & Signature)