asc application for submitting paper competition 2013

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THE ARY SUTA CENTER JOURNAL/PAPER COMPETITION 2013 THE A RY S UTA C ENTER FO R LEAD ERSH IP, ST RA T EG Y AN D C RIT IC A L T H INKIN G THE A RY S UTA C ENTER FO R LEAD ERSH IP, ST RA T EG Y AN D C RIT IC A L T H INKIN G APPLICATION FOR SUBMITTING JOURNAL/PAPER COMPETITION Please answer all questions. Application must be fully completed and signed before review by the Admissions Committee. Please type legibly. GENERAL INFORMATION NAME: - - Last (family) First Middle Initial Prefix (Mr., Ms.) Suffix (Jr., II) NICKNAME/FAMILIAR NAME FOR BADGE: GENDER: MALE FEMALE WORK STATUS: STUDENT EMPLOYED SCHOOL/UNIVERSITY/COMPANY NAME: SCHOOL/UNIVERSITY/COMPANY ADDRESS: Street City State/Country Zip Code/Postal Code UNIVERSITY/COMPANY TELEPHONE: FAX: YOUR HOME ADDRESS: Street City State/Country Zip Code/Postal Code YOUR HOME TELEPHONE: - FAX: - MOBILE PHONE:

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Page 1: Asc Application for Submitting Paper Competition 2013

THE ARY SUTA CENTERJOURNAL/PAPER COMPETITION 2013

THE ARY SUTA CENTERFOR LEADERSHIP, STRATEGY AND CRITICAL THINKING

THE ARY SUTA CENTERFOR LEADERSHIP, STRATEGY AND CRITICAL THINKING

APPLICATION FOR SUBMITTING JOURNAL/PAPER COMPETITION

Please answer all questions. Application must be fully completed and signed before review by the Admissions Committee.Please type legibly.

GENERAL INFORMATION

NAME: - - Last (family) First Middle Initial Prefix (Mr., Ms.) Suffix (Jr., II)

NICKNAME/FAMILIAR NAME FOR BADGE: GENDER: MALE FEMALE

WORK STATUS: STUDENT EMPLOYED

SCHOOL/UNIVERSITY/COMPANY NAME:

SCHOOL/UNIVERSITY/COMPANY ADDRESS: Street

City State/Country Zip Code/Postal Code

UNIVERSITY/COMPANY TELEPHONE: FAX:

YOUR HOME ADDRESS: Street

City State/Country Zip Code/Postal Code

YOUR HOME TELEPHONE: - FAX: - MOBILE PHONE:

Page 2: Asc Application for Submitting Paper Competition 2013

THE ARY SUTA CENTERJOURNAL/PAPER COMPETITION 2013

THE ARY SUTA CENTERFOR LEADERSHIP, STRATEGY AND CRITICAL THINKING

THE ARY SUTA CENTERFOR LEADERSHIP, STRATEGY AND CRITICAL THINKING

PLEASE CHECK YOUR EDUCATIONAL BACKGROUND, (for Students, check one only)

Anthropology Economics PhilosophyArt Engineering Physical EducationAstronomy English or Foreign Language PhysicsBiochemistry Geography Political ScienceBiology Government Psychology

Business Health Education ReligionChemistry History SociologyComputer Technology Mathematics Others,Drama/Theater Arts Medicine / Nursing    Specify: Agricultural

Engineering Earth Science Music

WHAT FUNCTION BEST DESCRIBES YOUR POSITION (for Employee, check one

only)

Accounting/Control MedicineEngineering PlanningFinance Product DevelopmentFundraising Project ManagementGeneral Management Public RelationsHuman Resources PurchasingInformation Services ReligionLaw Research & DevelopmentLogistics SalesManufacturing TeachingMarketing Other

Specify:

WORK EXPERIENCE

Page 3: Asc Application for Submitting Paper Competition 2013

THE ARY SUTA CENTERJOURNAL/PAPER COMPETITION 2013

THE ARY SUTA CENTERFOR LEADERSHIP, STRATEGY AND CRITICAL THINKING

THE ARY SUTA CENTERFOR LEADERSHIP, STRATEGY AND CRITICAL THINKING

Please list your positions in reverse chronological order, starting with your current one. If all positions are in the same company please give the major Promotional sequence.

NAME OF COMPANY LINE OF BUSINESS TITLE OR POSITION FROM Month/Year TO Month/Year

PLEASE ESTIMATE TOTAL NUMBER OF YEARS OF PROFFESIONAL EXPERIENCE:PLEASE DESCRIBE YOUR ORGANIZATION:

PLEASE DESCRIBE YOUR CURRENT RESPONSIBILITIES, INCLUDING YOUR LEVEL IN THE ORGANIZATION:

         

PLEASE EXPLAIN YOUR OBJECTIVE AND GOALS TO PARTICIPATE IN THIS COMPETITION

Page 4: Asc Application for Submitting Paper Competition 2013

THE ARY SUTA CENTERJOURNAL/PAPER COMPETITION 2013

THE ARY SUTA CENTERFOR LEADERSHIP, STRATEGY AND CRITICAL THINKING

THE ARY SUTA CENTERFOR LEADERSHIP, STRATEGY AND CRITICAL THINKING

EDUCATION DEGREE (check only highest level attained)

High-School MBA Foreign Diploma Two-Year College JD/Law Other BS/BA PhD Specify: MS/MA MD

WHERE DO YOU KNOW ABOUT THIS COMPETITION?

Newspaper Magazine Radio Website

PLEASE RETURN THIS APPLICATION WITH YOUR PAPER TO:

By Post Mail: or By E-mail:The Ary Suta Center [email protected] Prapanca III No. 11Jakarta 12610

ALL WORKS THAT SUBMITTED BECOME THE PROPERTY OF THE ARY SUTA CENTER