2nd SEAMEO Youth Leadership Forum

Monday, March 7th to Friday, March 11th 2016

Holiday Inn, Sukhumvit 22, Bangkok, Thailand

APPLICATION FORM
(for open call applicants)

Note: Please review the SELECTION CRITERIA before filling out this form.
Please fill out in BLOCK LETTERS. You may fill out the form electronically or manually.
(1) Last name:
(2) First name(s):
(3) Date of birth (dd/mm/yyyy):

(4) Sex:

(5) Nationality:
(6) Name of school:
(7) Address of school:
(8) University course:
(9) Currently enrolled in an undergraduate program?
Yes (answer questions 10 and 11)
No (answer question 12)
(10) Year level:

(11) Expected graduation date:

(12) Date of graduation:

If currently employed answer questions 13 to 16.
(13) Job position:

(14) Date of employment:

(15) Job responsibilities:

(16) Name and address of office:
(17) If you have other previous professional experiences, please describe them briefly below:

(18) Leadership experience (use a separate page if necessary)

Name of organization(s)
a.

Post(s) held

Period of service

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Accomplishments:
b.

Accomplishments:
c.
Accomplishments:
d.
Accomplishments:
e.
Accomplishments:
(19) Interests:
(20) Special skills:
(21) Languages spoken:
(22) Answer all the questions below in essay form. All essays should be in one MS Word
document and with your name on the first page. Word count for each question should be
about 250 words.
a. What is your envisioned career path?

b. How will you benefit from the 2nd SEAMEO Youth Leadership Forum? What do
you think are the actions or activities you could implement based on what you
will learn from the Forum?

c. Why should you be chosen to participate in the Forum?

Checklist of Required Documents:
1. Filled out application form
2. Essays
3. Letter of recommendation
4. Transcript of records or copy of grades
5. Curriculum vitae (optional)
Note: You may scan all the required documents and email or post them to us.
Submission (DEADLINE: 29 JANUARY 2016)
1. Email to: quincy@seameo-spafa.org ,CC spafa@seameo-spafa.org
2. Or post it to (subject: 2nd SEAMEO Youth Leadership Forum):
SEAMEO SPAFA
81/1 Si Ayutthaya Road, Thewet, Dusit
Bangkok, 10300, Thailand

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For inquiries, contact: Tel: +662-2804022 up to 9; Fax: +662-2804030

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