Pelengkap S.O.P : 001 I.L.

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Ingenio learning center – it’s not that hard, seriously !

Curriculum Vitae Pre-Audisi Calon Tutor Ingenio

Identitas Diri

Foto 4 x 6

o Nama lengkap : .............................................................................. (dengan gelar)

o Tempat, tanggal lahir : ............................................................................................................
o Status Marital : ............................................................................................................
o Agama : ............................................................................................................
o Kewarganegaraan : ..........................................................................................................
o Alamat asal : ............................................................................................................
o Alamat tinggal sekarang : ............................................................................................................
o Alamat email : ............................................................................................................
o Telp rumah / Hp : ............................................................................................................

Riwayat Pendidikan
o Pendidikan Formal
 SD : ............................................................................................................
 SMP : ............................................................................................................
 SMA : ............................................................................................................
 Program S1 : ...........................................................................................................
 IPK Pre-klinik
 IPK Coass
 Program S2 : ............................................................................................................
o Pendidikan Non-Formal (Kursus, Pelatihan, Seminar, Dll) : Isi Jika ada*
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Lulus UKMPPD batch..... tahun..... (first/ retaker)*coret yg tidak perlu

Nilai CBT (jika ada) :
Nilai OSCE (jika ada) :
Bimbel UKMPPD yang diikuti sebelumnya:

Penelitian dan Karya Ilmiah

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 Pelengkap S.O.P : 001 I.L.C
Ingenio learning center – it’s not that hard, seriously !

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Pengalaman Mengajar
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Pengalaman Kerja : isi jika ada*
o Kerja saat ini (sertakan alamat dan nomor telepon tempat kerja tersebut)
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o Kerja dahulu
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Pengalaman Organisasi : mulai dari SMA sampai sekarang ( isi jika ada, termasuk organisasi
keagamaan dan politik kenegaraan )*
o .............................................................................................................................................................
o .............................................................................................................................................................
o .............................................................................................................................................................
o .............................................................................................................................................................

Prestasi Penghargaan : isi jika ada*

o .............................................................................................................................................................
o .............................................................................................................................................................
o .............................................................................................................................................................
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Keahlian
o Bidang linguistik
 Contoh: Menguasai bahasa mandarin aktif dan pasif, memiliki kemampuan public speaking
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o Bidang logis matematis
 Contoh: menguasai pengolahan data statistik, menguasai pemrograman komputer/IT
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 Pelengkap S.O.P : 001 I.L.C
Ingenio learning center – it’s not that hard, seriously !

o Bidang visual spasial

 Contoh: mampu melakukan design grafis untuk web, memiliki keahlian tata ruang
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o Bidang musikal
 Contoh: menguasai alat musik tertentu (sebutkan), mampu bernyanyi, menggubah lagu
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o Bidang kinestetik
 Contoh: menguasai bidang olah raga tertentu (sebutkan)
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o Bidang interpersonal
 Contoh: memiliki kemampuan persuasi, mendamaikan individu yang berkonflik, peka dan
bisa memberi solusi dalam sebuah hubungan kolaboratif
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o Bidang intrapersonal
 Contoh: memiliki kemampuan stress managemen di atas rata-rata, mampu berefleksi dan
memulihkan diri dengan segera dari suatu masalah
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o Bidang naturalis
 Contoh: kemampuan memelihara tanaman, kemampuan mendaki gunung, mengeksplorasi
laut, dll
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Hal Khusus Tentang Saya

o Motto hidup:
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o Hobby:
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o Saya mengekspresikan bentuk perhatian dan kasih sayang sayang dengan cara: *Pengisian dapat
ditunda, pengisian dilakukan dengan pendampingan langsung Tim Akademik Ingenio
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o Saya tidak suka bila orang lain melakukan hal-hal berikut ini terhadap saya: *Pengisian dapat ditunda,
pengisian dilakukan dengan pendampingan langsung Tim Akademik Ingenio
 ........................................................................................................................................................
 ........................................................................................................................................................
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o Relasi interpersonal terburuk yang pernah/sedang saya alami dan solusi yang telah/sedang saya
lakukan: *Pengisian dapat ditunda, pengisian dilakukan dengan pendampingan langsung Tim Akademik Ingenio
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 Pelengkap S.O.P : 001 I.L.C
Ingenio learning center – it’s not that hard, seriously !

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o Latar belakang ekonomi keluarga saya (pilih salah satu dan ceritakan bila perlu):
o Menengah ke bawah; ....................................................................................................................
o Menengah; ....................................................................................................................................
o Menengah ke atas; ........................................................................................................................
o Jumlah tanggungan keluarga saya (tidak termasuk saya, sebutkan siapa saja):
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o Rerata pengeluaran keluarga saya (atau pengeluaran individu bila belum menikah dan
berkeluarga):
 ........................................................................................................................................................
o Bagaimana Anda menghidupi kehidupan keagamaan Anda (ceritakan hal-hal keagamaan yang
rutin Anda lakukan, kepemimpinan di bidang keagamaan yang Anda lakukan, panutan, peran
dalam organisasi keagamaan yang sedang Anda ikuti)?
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o Bagaimana Anda menghidupi kehidupan politik dan kenegaraan (ceritakan hal-hal politik dan
kenegaraan yang rutin Anda lakukan, kepemimpinan di bidang politik dan kenegaraan yang Anda
lakukan, panutan, peran dalam organisasi politik dan kenegaraan yang sedang Anda ikuti)?
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Hal Khusus Tentang Ingenio

o Informasi tentang Ingenio didapat dari :
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o Mata-Kuliah yang paling disukai dan dikuasai : boleh lebih dari satu (akan diperinci di lampiran)
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o Minat dan bakat sebagai seorang tenaga medis lebih dominan sebagai (pilih salah satu):
o Klinisi murni
o Akademisi
o Administrasi dan managemen klinis
o Rencana ingin mengambil sekolah spesialis dan atau S2 (sebutkan dengan spesifik bidang yang
akan diambil dan universitas tujuan): isi jika ada*
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o Apa pendapat anda tentang Ingenio
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o Ingin bekerja berapa lama anda di Ingenio

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 Pelengkap S.O.P : 001 I.L.C
Ingenio learning center – it’s not that hard, seriously !

 ........................................................................................................................................................
o Apa pendapat anda tentang seorang guru
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o Jika Anda akan internship: rencana akan internship di kota/wilayah apa?

................................................ masuk inship perkiraan bulan:..........
o Jika Anda sedang internship:
Kapan Anda akan selesai internship?
Apakah Anda masih memiliki waktu luang untuk mengajar di sela internship jika ditugaskan
(saat off dinas)? Ya/Tidak
o Jika Anda sudah bekerja (post inship):
Jelaskan secara singkat berapa shift(jam) atau hari dalam 1 minggu Anda bekerja?
..........................................................................................................................................................
Apakah Anda masih memiliki waktu luang untuk mengajar jika ditugaskan (saat off dinas)?
Ya/Tidak

o Apakah Anda bersedia menjadi tutor minimal dalam jangka waktu 2 tahun? Ya / Tidak
o Apakah Anda bersedia menjadi tutor terbang jika dibutuhkan ? Ya / Tidak
o Apakah Anda bersedia dan sanggup menjadi tutor kelas preklinik jika dibutuhkan? Ya/Tidak
o Apakah Anda siap dan bersedia jika ditugaskan untuk menjadi tutor materi yang bukan bidang
peminatan Anda? Ya / Tidak
*(coret yang bukan pilihan Anda)

Saya yang bertanda tangan di bawah ini, menyatakan bahwa data yang saya isikan adalah benar,
saya tulis dengan sadar dan tanpa paksaan, serta mempercayakan kerahasiaannya pada tim
akademik Ingenio untuk dipergunakan sebagaimana mestinya.

....................., ......................... 20....

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(nama lengkap dengan gelar)

Foto KTP Foto NPWP

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Ingenio learning center – it’s not that hard, seriously !

Timeline Kehidupan Saya 10 Tahun Ke Depan

(Tuliskan visi anda pada tiap tahunnya, hal-hal besar apa yang anda impikan/rencanakan)
*Pengisian dapat ditunda, pengisian dilakukan dengan pendampingan langsung Tim Akademik Ingenio, namun mohon mulai direnungkan

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Ingenio learning center – it’s not that hard, seriously !

Minat dan Bakat Keilmuan =

Pilih (boleh lebih dari satu) bidang yang menurut anda sukai dari materi kuliah fakultas kedokteran
dengan BOLD & UNDERLINE pada pilihan berikut.

1. Biokimia
2. Anatomi
3. Fisiologi
4. Parasitologi
5. Mikrobiologi
6. Imunologi
7. Farmakologi
8. Patologi Anatomi
9. Patologi Klinik
10. Musculoskeletal dan Traumatologi
11. Dermatovenereologi
12. IKM-KP
13. Metodologi
14. Patient safety
15. Hematologi
16. Endokrinologi
17. Pre-Hospital & Disaster Management (Emergency Medicine)
18. Neurologi
19. Oftalmologi
20. THT-KL
21. Psikiatri
22. Respirologi
23. Kardiologi
24. Anestesiologi
25. Urologi
26. Reprologi
27. Gastroenterologi
28. Tropik Infeksi
29. Pediatri

Jika sudah diisi dengan lengkap, CV preaudisi dapat dikirimkan ke email:

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Ingenio learning center – it’s not that hard, seriously !

1. Direktur INGENIO Malang

a. direkturingeniomalang@gmail.com
2. Akademik Nasional
a. akad.nasional@gmail.com
3. Regio INGENIO (salah satu berdasarkan kota yang dikehendaki)
a. Jogja & Purwokerto
i. ingeniojogja@gmail.com
b. Jember & Papua
i. ingeniojember@gmail.com
c. Solo & Semarang
i. ingeniosurakarta@gmail.com
d. Sumatera
i. ingenioindonesia.padang@gmail.com

Kelengkapan Email:
Pas foto, Foto KTP, Foto NPWP
CV Preaudisi
Transkrip preklinik dan klinik

Kelengkapan Preaudisi diterima terakhir pada tanggal ............... pukul...........

Bagi kandidat tutor yang lolos akan dihubungi oleh pihak akademik untuk melakukan tes selanjutnya
(audisi mengajar dan wawancara).

Dengan mengisi data di atas calon kandidat tutor bersedia datanya disimpan dan dihubungi oleh
pihak Ingenio Indonesia.