HEROES JOURNEY MALAYSIA BOOTCAMP REGISTRATION FORM
Greetings from Heroes Journey Malaysia (HJM)!

This google form is created for the registration of HJM 4-days Bootcamp.

Date: 10-11 April 2021 & 17-18 April 2021(4 days in total)
Time: 8.45am - 1.30pm (subject to change)
Venue: Zoom (link will be provided via email)

This Bootcamp is limited only to 50 participants. Do not miss out and share this Bootcamp with your friends!

Deadline: 31st March 2021

*Only participants that has filled in all the required information will be considered for the final selection.*
*Successful participants are required to pay a deposit of RM20 which is fully refundable with 100% attendance of the 4 days bootcamp.

Warm regards,
HJM Team

#HeroesJourneyMalaysia
#BeTheChangeYouWantToSee
#ChangeMakers
#HJMBootcamp
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Email *
SECTION (A) : PERSONAL PARTICULARS
Name (as per I.C.) *
Designated Name ( How do you want people to address you? ) *
I/C (Format : 000000-00-1234) *
Date Of Birth *
MM
/
DD
/
YYYY
Gender *
Contact No. (Format : +60123456789) *
Nationality *
Race *
Email Address (Personal) *
Country *
State *
Town *
Languages *
Required
SECTION (B) : AFFILIATION
What is your age? *
If you are currently a student, what is your expected year of graduation? *
Current school / university name *
Involvement in school / university (Name of organization / position) *
SECTION (C) : COMMITMENT AND EXPECTATION
Participants are required to answer the questions below. Most importantly, be yourself! (max 50 words)
How many days can you fully commit? (If you cannot fully commit, please indicate which day(s) you are available.) *
Please be noted that the time may be subjected to change
Required
Please state your reason if you cannot fully commit to the 4-days Bootcamp (If available for all 4 days, please put N/A) *
What is your purpose / expectation by joining this Bootcamp? (maximum: 50 words) *
What do you want to learn from this Bootcamp? (maximum: 50 words) *
What is your proudest / funniest moment during this pandemic? (maximum: 50 words) *
(i.e - I woke up earlier than everyone in my family and decided to finish all the chores before they woke up. I watered the plants but accidentally drowned my mom's cactus. Thank God she did not drown me.)
SECTION (D) : SOCIAL MEDIA
Facebook (URL) *
You may retrieve your Facebook URL at the end of your profile setting section.
You may retrieve your Facebook URL at the end of your profile setting section.
Instagram Handle (Username) *
Captionless Image
LinkedIn Link (URL)  [If no, please put N/A] *
You may retrieve your LinkedIn URL at the end of your profile section.
You may retrieve your LinkedIn URL at the end of your profile section.
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