RESPONSIBLE LEADERSHIP CAMP 2019
Welcome, CHANGEMAKERS!

Thank you very much for showing your interest. Before filling out the application form, make sure that you have read the program information and application guideline. https://www.alternative-project.org/alternative-leadership-program-1
Sign in to Google to save your progress. Learn more
Email *
I understand that I need to pay the participation fee scholarship price 2,900,000 IDR for Indonesian /and 390 SGD for others and I am available to fully attend 13-day program * (NOTICE: Only those who pay the participation fee or deposit IDR 1,000,000 or SGD100 within 3 days after being accepted can secure their spot in this program) *
Required
Your Name *
Your mobile phone number *
we will contact you to this number
Your current address *
Your university if you are student, or what you do now.   *
Your major or background *
Gender
Clear selection
Why do you want to join this program? Your motivation and goal you want to achieve from this program. *
min. 200 words
Could you tell us about the activity that you have engaged in or passionate about? *
Can you tell us one thing you love about yourself? Or a funny thing about you. *
How do you know about this program? *
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy