PANDUAN TEKNIS PEMILIHAN KETUA DPK PPNI UPT RSUD LEMBANG Pemilihan Ketua : Syarat : a. b. c. d. e. f. g.
Bertaqwa kepada tuhan YME Warga Negara Indonesia Menjunjung tinggi nilai & norma pancasila Berprofesi sebagai perawat Bekerja di lingkungan UPT RSUD Lembang Tidak menjabat sebagai ketua / himpunan di organisasi instansi Mampu mengembangkan organisasi lebih luas
Tata Cara Pengajuan Balon Ketua : a. b. c. d. e. f. g.
Mengajukan secara personal kepada panitia pemilihan umum Diajukan oleh unit terkait sesuai kesepakatan bersama Rekomendasi dari kepala unit sesuai kinerja yang telah dinilai Balon wajib melampirkan biodata diri / CV & pas photo terbaru Balon wajib memberikan Visi & Misi terkait organisasi profesi Visi & Misi di jabarkan bersamaan dengan surat edaran oleh panitia pemilihan Surat suara akan di sebar ke masing-masing unit terkait berdasarkan jumlah perawat yang ada sesuai SKEP dari Direktur. h. Pemilihan ini dilaksanakan selama 2 hari kerja, berkenaan dengan jadwal shift yang berbeda. i. Panitia pemilihan akan mendatangi unit terkait yang sudah diberikan surat suara kepada setiap perawat.
FORM BIODATA BAKAL CALON
Nama Lengkap Umur TTL Alamat
: : : :
Pendidikan Terakhir : 1. 2. 3. 4. 5. 6.
............................................................................................................................................. ............................................................................................................................................. ............................................................................................................................................. ............................................................................................................................................. ............................................................................................................................................. .............................................................................................................................................
Pelatihan / Training 1. 2. 3. 4. 5. 6. 7. 8.
............................................................................................................................................. ............................................................................................................................................. ............................................................................................................................................. ............................................................................................................................................. ............................................................................................................................................. ............................................................................................................................................. ............................................................................................................................................. .............................................................................................................................................
Pengalaman Organisasi : 1. 2. 3. 4. 5. 6. 7.
............................................................................................................................................. ............................................................................................................................................. ............................................................................................................................................. ............................................................................................................................................. ............................................................................................................................................. ............................................................................................................................................. .............................................................................................................................................
Visi : ............................................................................................................................................. ............................................................................................................................................. ............................................................................................................................................. Misi : ............................................................................................................................................. ............................................................................................................................................. .............................................................................................................................................
Lembang, .................................. 2017 PHOTO UKURAN
Yang Menyatakan,
4X6
(...........................................)