V o l un t e e r A pp l i c a t i o n F o rm A. PERSONAL DATA 1. GENERAL INFORMATION First Name: A u l i a _ Last Name: Ag u s t in Date of Birth: A u g u s t 1 8 t h , 1 9 9 1 _ Occupation: E n g l i s h T u t o r / U n d e r g r a d u a t e S t u d e n t Citizenship: I n d o n e s ia Passport No: Address: J a l an K e m a n g R T 0 0 9 R W 0 1 1 N o . 2 3 , K al i s a r i , P a s ar R e b o , J a k a r t a T i m u r City: J a k a r t a _ Postal Code 1 3 7 9 0 _ Country: I n d o n e s i a Phone Number; Home: + 6 2 2 1 8 7 2 7 2 3 0 _ Work: _ Fax: Mobile: + 6 2 8 9 6 5 2 4 7 4 5 4 8 Email: a u l i a .a g u s t i n @ s a m p o e r n a e d u c a t i o n . n et Religious Affiliation (optional) Is lam 2. SPECIALIST English Language Teaching Handicrafting (Crochet Stiches) Choir Singer (Soprano) Movie Making (Windows Movie Maker) Indonesian Traditional Dancing (Sirih Kuning dance) Drama (listed as the best drama actress in Drama Festival in SSE) 3. LIST OF QUALIFICATION (S) OBTAINED Qualifications Year Obtained Institution Senior High School 2009 SMAN 39 Jakarta Higher Intermediate English 2009 Lembaga Indonesia - Amerika Differentiated Instruction 2011 Sampoerna School of Education International Facilitator and Interpreter 2009-recent Educational Conference Volunteer for marginal children 2011 Jambore Sahabat Anak
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Vo lunte er Appl ic ation Fo rm
A. PERSONAL DATA
1. GENERAL INFORMATION
First Name: Au li a _ Last Name: Agu s t in
Date of Birth: Au gu s t 1 8 t h , 1 9 9 1 _ Occupation: E n gl is h T u t o r / U n d er gr a du at e S t u d en t
Citizenship: I n do n es ia Passport No:
Address: J al an K e m an g R T 0 0 9 R W 0 1 1 N o . 2 3 , K ali s ar i , P as ar R eb o , J a k ar t a T im u r
City: J ak ar t a _ Postal Code 1 3 7 9 0 _ Country: I n d o n e s i a
Mobile: +6 2 8 9 6 5 2 4 7 4 5 4 8 Email: au li a.a gu s t in @ s am po er n ae du c at io n .n et
Religious Affiliation (optional) Is lam
2. SPECIALIST
English Language TeachingHandicrafting (Crochet Stiches)Choir Singer (Soprano)Movie Making (Windows Movie Maker)Indonesian Traditional Dancing (Sirih Kuning dance)Drama (listed as the best drama actress in Drama Festival in SSE)
3. LIST OF QUALIFICATION (S) OBTAINED
Qualifications Year Obtained InstitutionSenior High School 2009 SMAN 39 JakartaHigher Intermediate English 2009 Lembaga Indonesia - AmerikaDifferentiated Instruction 2011 Sampoerna School of
EducationInternational Facilitator and Interpreter
2009-recent Educational ConferenceVolunteer for marginal children 2011 Jambore Sahabat Anak
4. How did you learn about the Camillian Social Center Chiangrai?
I found the website from a search engine (Google), then I learned and spread this information to my colleagues
5. Reason for volunteering?I am an English Language Teacher candidate, but I am really interested to know more about the special need education. I get in touch with children intensively since I am also an English tutor for primary school students. Later on when I finish college, and I will work professionally as an English teacher, thus I may find disabled children cases in my class. For that, I really need to prepare myself for these cases I would face in the real situation. I am willing to learn from this kind of volunteerism. Besides that, I love children and I like to help them with my own way.
6. Please reconfirm your area of interest and talent.
My passion is to teach English to other people. Moreover, I am really interested in teaching English to children with special need cases. I like also to help others learn arts, such as: singing, Indonesian traditional dancing, and role playing. My skills and talent would be very beneficial for people out there.
7. Please fill the period of your volunteer availability: