National youth parliament



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12th NATIONAL YOUTH PARLIAMENT

21-25 October 2018

Davao City


APPLICATION FORM


Recent Passport Size Picture with white background



Province:




Print legibly. Shade appropriate “Ο”.

I. PERSONAL INFORMATION

Name: _______________________________________________________________________________

Family Name Given Name Middle Name



Date of Birth:

dd/mm/yyyy

Age:




Sex:

Ο Male

Ο Female





Permanent Address:




Residential Address:




Contact Details:

(Required)



E-mail Address:




Mobile Number:




CATEGORY OF DELEGATES (Please shade all applicable)

Ο In- School Youth

Ο Out-of-School Youth

Ο Working Youth

Ο Specific Youth Groups / Youth with Special Needs*

Ο Sangguniang Kabataan



Facebook Account URL:




Food Restrictions:




II. EDUCATIONAL BACKGROUND




Name of School / University / College

Inclusive Dates

Highest Education Attainment

Junior High School:










Senior High School:










College:










Vocational:










Post-Graduate:










III. CURRENT ORGANIZATIONAL MEMBERSHIP (Please attach additional sheet if necessary)

Organization**

Inclusive Dates

Position Held






















**If a member or officials of the Sangguniang Kabataan, please indicate position and barangay name.

IV. YOUTH/COMMUNITY PROGRAMS ATTENDED

(Please attach additional sheet if necessary)



Inclusive Dates

Description













youth with disabilities, youth with indigenous background, youth of OFWs, transnational youth, youth coming from LGBTQ groups, victims of any kind of abused, neglected, trafficking, and addiction

V. NYC PROGRAMS OR PROJECTS ATTENDED

Have you been involved in any NYC programs or activities?

Ο Yes Ο No

If yes, please provide the details below. Please attach additional sheet if necessary.

Name of NYC Program or Activity

Inclusive Date / No. of Hours

Involvement/Role






















Have you joined or attended any previous National Youth Parliament?

Ο Yes Ο No

VI. MORAL CHARACTER REFERENCES

NAME

DESIGNATION

CONTACT NUMBER




























VII. COMMITTEE MEMBERSHIP

Please rank from 1 to 9 according to your priority PYDP centers of participation, where 1 is the highest priority




Health




Governance




Education




Active Citizenship




Economic Empowerment




Peace Building and Security




Social Inclusion and Equity




Environment










Global Mobility

Note: Committee is based on your ranking and availability of slots per Center




PARENTAL/GUARDIAN’S CONSENT

(for applicants below 18 years old)


I, ________________________________, mother, father, legal guardian of Ms./Mr.________________________________ do hereby understand and that I have read the information provided above and decided to allow my child to participate.


____________________________

Signature over printed name




CERTIFICATION

I hereby certify upon my honor that all facts and information indicated herein are true and correct to the best of my knowledge. I further declare that any information given by me that is untrue may constitute a ground for expulsion in the 12th National Youth Parliament and prosecution for perjury.


Further, I subscribe and agree that the National Youth Commission has the sole prerogative to select, reclassify and nominate the delegates to the 12th NYP, and its decision is final and executory.
I hereby commit myself to be available from October 21-25, 2018, and to actively participate in the post-parliament activities for the next 2 years.
I expressly authorize the National Youth Commission or its representatives to use, share and process personal information that I have provided, shared or declared in this form/document/site for any lawful purpose.
I am willing to shoulder my transportation/travelling expenses necessary to facilitate my participation to the activity.
IN WITNESS hereof, I am executing and signing this statement voluntarily without compulsion.

__________________________________ ___________________________________



Date accomplished Signature of applicant






12th NATIONAL YOUTH PARLIAMENT

21-25 October 2018



Davao City

Name




Region




List down the committee of your choice




Identify the committies/issues and concerns; Identify the government interventions (laws, policies and programs) to address the issues and concerns; Identify the gaps/shortcomings of the laws, policies and programs implemented by the government? What are your recommendations?







Important: Limit your answer to 150-300 words.

REMINDERS

QUALIFICATIONS OF APPLICANTS

APPLICATION REQUIREMENTS

  1. Must be a Filipino Citizen

  2. Must be 15-30 years old on the day of the Parliament

  3. Of good moral character

  4. Able to read and write

  5. Has not been convicted of any crime involving moral turpitude

  6. Must not have been a previous National Youth Parliament delegate

  1. Accomplished 12th NYP Application Form

  2. Essay: 150 to 300 words

  3. Copy of any Proof of Residence and Age (Any valid IDs or document that indicates address and date of birth):

    1. School ID or Company ID

    2. Any Government Issued IDs: Postal ID, GSIS, PhilHealth, Pag-Ibig, TIN, etc.

    3. Passport

    4. Birth Certificate

  4. Must be willing to shoulder his/her travelling expenses

APPLICATION PROCESS




  1. Applications for the 12th NYP may be hand-carried, mailed or emailed to the National Youth Commission.

  2. The deadline for submission of complete documents is on July 27, 2018 (Friday) at 5:00 PM.

  3. For hand-carried or mailed applications, they may be submitted not later than the set deadline to any of the following NYC Offices:




12th NYP Screening and Selection Committee

National Youth Commission Central Office

3F West Insula Bldg., West Avenue corner EDSA,

Quezon City


National Youth Commission Baguio

Room 3 Lindi Hotel #12 Legarda Road,

Baguio City


National Youth Commission Naga

Ground Floor, Naga City Youth Center Bldg, Taal corner Magsaysay Ave, Naga City



National Youth Commission Cebu

5/F BF Building, N. Escario St. Cebu City



National Youth Commission Iloilo

Ground Floor, ME Bldg, Dungon B. Jaro, Iloilo City



National Youth Commission Cagayan de Oro

2/F, Cebu CFI Community Cooperative Bldg, Tiano Bros. cor. Mabini Sts.,

Cagayan De Oro CityCagayan De Oro City


National Youth Commission Davao

Door 1, Fuentes Bldg Quirino Ave., Davao City



National Youth Commission Zamboanga

3/F VHW Bldg (Landbank) Veterans Ave., Zamboanga City






  1. For submission through mail, the NYP Secretariat/Cluster/Area Offices should receive the requirements post marked on or before the set deadline.

  2. Application documents, together with the scanned requirements may be submitted online to nyp12@nyc.gov.ph on or before the set deadline.

E-mails must contain the following Subject format:



[Region, Province/Highly Urbanized City – Last Name, First Name Middle Initial]

Example: Region I, Ilocos Norte – Dela Cruz, Juan A

Applicants with incomplete requirements by 5:00 pm on the set deadline shall automatically be disqualified.







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