KEMENTERIAN PENDIDIKAN DAN KEBUDAYAAN UNIVERSITAS NEGERI SURABAYA FAKULTAS EKONOMI JURUSAN PENDIDIKAN EKONOMI HIMPUNAN MAHASISWA Kampus Ketintang, Surabaya 60231, Telepon: +6231- 8285362, Fax: +6231- 8293416 Laman : https://fe.unesa.ac.id, email : [email protected] FORMULIR PENDAFTARAN MNG (MEET AND GREET), CBEES (CHARACTER BUILDING ECONOMIC EDUCATION FOR STUDENTS), GTBI (GEBYAR TAHUN BARU ISLAM 1443H) DAN MENTORING 2021 Yang bertanda tangan dibawah ini: 1. Nama : ......................................................................................................................................... 2. NIM : ......................................................................................................................................... 3. Prodi/ Kelas : ......................................................................................................................................... 4. Tempat, Tanggal, Lahir : ......................................................................................................................................... 5. Jenis Kelamin : ......................................................................................................................................... 6. Agama : ......................................................................................................................................... 7. No.HP/WA : ......................................................................................................................................... 8. Alamat : ......................................................................................................................................... ......................................................................................................................................... 9. Motivasi mengikuti kepanitiaan : ......................................................................................................................................... ......................................................................................................................................... 10. Motto Hidup : ......................................................................................................................................... ......................................................................................................................................... 11. Kelebihan yang dimiliki : ......................................................................................................................................... KEMENTERIAN PENDIDIKAN DAN KEBUDAYAAN UNIVERSITAS NEGERI SURABAYA FAKULTAS EKONOMI JURUSAN PENDIDIKAN EKONOMI HIMPUNAN MAHASISWA Kampus Ketintang, Surabaya 60231, Telepon: +6231- 8285362, Fax: +6231- 8293416 Laman : https://fe.unesa.ac.id, email : [email protected] ......................................................................................................................................... ......................................................................................................................................... ......................................................................................................................................... ......................................................................................................................................... ......................................................................................................................................... 12. Kekurangan yang dimiliki : ......................................................................................................................................... ......................................................................................................................................... ......................................................................................................................................... ......................................................................................................................................... ......................................................................................................................................... ......................................................................................................................................... KEMENTERIAN PENDIDIKAN DAN KEBUDAYAAN UNIVERSITAS NEGERI SURABAYA FAKULTAS EKONOMI JURUSAN PENDIDIKAN EKONOMI HIMPUNAN MAHASISWA Kampus Ketintang, Surabaya 60231, Telepon: +6231- 8285362, Fax: +6231- 8293416 Laman : https://fe.unesa.ac.id, email : [email protected] 13. Pengalaman Organisasi : ......................................................................................................................................... ....................................................................................................... .................................. ....................................................................................................... .................................. ....................................................................................................... .................................. 14. Alasan memilih kepanitiaan : ......................................................................................................................................... ....................................................................................................... .................................. ....................................................................................................... .................................. ....................................................................................................... .................................. 15. Inovasi untuk kegiatan : ......................................................................................................................................... ....................................................................................................... .................................. ....................................................................................................... .................................. ....................................................................................................... .................................. 16. Kepanitiaan yang dipilih : a. MNG (MEET AND GREET) KEMENTERIAN PENDIDIKAN DAN KEBUDAYAAN UNIVERSITAS NEGERI SURABAYA FAKULTAS EKONOMI JURUSAN PENDIDIKAN EKONOMI HIMPUNAN MAHASISWA Kampus Ketintang, Surabaya 60231, Telepon: +6231- 8285362, Fax: +6231- 8293416 Laman : https://fe.unesa.ac.id, email : [email protected] a. Sie Acara d. Sie Pubdekdok b. Sie Kesekretariatan e. Sie Konsumsi c. Sie Perkapman b. CBEES (CHARACTER BUILDING ECONOMIC EDUCATION FOR STUDENTS ) a. Sie Acara d. Sie Humpubdekdok g. Sie Konsumsi b. Sie Pendamping e. Sie Kesekretariatan h. Sie Transman c. Sie Kesehatan f. Sie Perlengkapan I. Sie Pionir c. GTBI (GEBYAR TAHUN BARU ISLAM 1443H) a. Sie Acara d. Sie Perlengkapan g. Sie b. Sie Humas e. Sie Konsumsi h. Sie Pubdekdok c. Sie Kesekretariatan f. Sie Transman Sponsorship d. MENTORING a. Mentor (*) Sie yang dipilih sesuai dengan nomor menunjukkan prioritas yang diinginkan (Misal: Sie acara GTBI) 1. .......................................................................................................................................... ..................................... 2. .......................................................................................................................................... ..................................... Dengan ini saya menyatakan bahwa formulir diisi dengan yang sebenar-benarnya dan siap menerima konsekuensi apabila terdapat ketidaksetiaan. …………., …………… 2021 Foto KEMENTERIAN PENDIDIKAN DAN KEBUDAYAAN UNIVERSITAS NEGERI SURABAYA FAKULTAS EKONOMI JURUSAN PENDIDIKAN EKONOMI HIMPUNAN MAHASISWA Kampus Ketintang, Surabaya 60231, Telepon: +6231- 8285362, Fax: +6231- 8293416 Laman : https://fe.unesa.ac.id, email : [email protected] (…………………………….)
