modelo de aplicación conal

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    DELEGATE APPLICATIONCongreso NAcionaL

    AIESEC in Venezuela

    Recovering our Way in AIESEC24th-2th!ul"# 2$$%

    Please &ill out the &ollo'ing a((lication in English)

    PE*SONAL IN+O*,ATION+ull Nae)

    E-ail)S."(e)

    ,essenger)aiesec/net)0oe nu1er)

    Cell-(hone nu1er)

    AIESEC IN+O*,ATIONLocal Coittee)

    Current +unctional Area)

    Status)*ole 'ithin LC)

    LC Phone nu1er)e1 Page)

    E,E*GENC3 IN+O*,ATION+ull Nae)

    0oe nu1er)Cell-(hone nu1er)

    T*AINING IN+O*,ATIONLast eent atten5e5)

    Place)

    Date)

    English Leel6)

    1N-Native A-Excellent B-Good C-Basic

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    SPECI+IC IN+O*,ATION

    Allergies)

    ,e5icines ta.en)S(eci&ic &oo5 re7uireents)

    !O8 DESC*IPTION

    Please s(eci&" &or 'hat t"(e o& role "ou are a((l"ing &or/ To select

    one (ossi1ilit"# please double-click in the box and mark the

    checked option)

    +aci-Su((ort2

    Delegate

    E9(ositor in Glo1al Village:

    Connection Tie4

    SPECI+IC ;Per&orance Ealuation Tool?

    an5 the &ocus areas selecte5 in NS, 2$$%/:/ Please 5escri1e in 5etail "our PGS >Personal Goal Setting? &or the

    ne9t 2 "ears an5 ho' this con&erence a" contri1ute to achieeone or seeral o& "our goals= Attach "our (ersonal tie-line &or

    this tie (erio5/

    4/ Please 5escri1e in 5etail the strengths an5 'ea.nesses "ou can

    i5enti&" &ro "our LC an5 the ,C/

    I& there are an" 7uestions regar5ing the 5ocuents entione5

    a1oe# (lease contact "our LCP or VPT,/

    LOGISTIC ;

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    s(eci&" 'h" so the OC tea can hel( "ou get a (ossi1le solution

    or ri5e/

    / hen are "ou (lanning to arrie to the con&erence= Please 1e ass(eci&ic as "ou can regar5 5ate an5 tie/

    %/ Do "ou hae an" (ro1le on sharing a rooB1athroo 'ith(eo(le &ro the o((osite se9=

    / oul5 "ou hae an" 7uestion# coent or &ee51ac. regar5ing

    the eent 5eelo(ent until no'# agen5a or this 5elegatea((lication= Please 5etail/

    DEADLINES

    A((lication) 62th!ul"# 2$$%

    Pa"ent) 6@th!ul"# 2$$%

    Than. "ou &or a((l"ing

    Please sen5 "our a((lication to "u(longail/co# Cc)1etzh"cartergail/co# legna(rietogail/co/ A((lications sent

    a&ter the 5ea5line 'oul5 1e acce(te5 'ith a @$F charge in the &ee

    o& the eent/ Incomplete or late applications would not be

    accepted/

    mailto:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]