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National Youth Commission International Program Application Form
National Youth Commission International Program Application Form
APPLICATION FORM
19. Years in the Present Work: __________________ 20. Civil Status: _______________________
35. Are you a member of a (NYC Youth Organization Registration Program) YORP-registered organization? [ ] No [ ] Yes
37. Are you currently an appointed Local Youth Development Officer? [ ] No [ ] Yes
42. Title of Seminar/Training Course Attended Inclusive Dates No. of Hours Conducted by
44. Character References: [not related to you within the third degree of consanguinity]
All facts and data given in this information sheet will be treated with utmost confidentiality
45. Have you previously applied for any NYC International Exchange Program? □ No □ Yes How many times? ________________
46. Have you been a participant of any NYC International Exchange Program? □ No □ Yes How many times? _______________
If yes, have you completed the 40-hour volunteer work requirement? [ ] No [ ] Yes
48. Have you availed of any program or scholarship grant offered by any foreign government? [ ] No [ ] Yes
49. Have you attended any seminar, conference or trainings abroad? [ ] No [ ] Yes
50. Have you been involved with any NYC local program or activity? [ ] No [ ] Yes
51. Have you ever been convicted of any crime involving moral turpitude? [ ] No [ ] Yes
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 disqualification to any NYC programs.
The undersigned expressly authorizes the National Youth Commission or its representatives to use, share, and process my personal information I
have provided, shared, or declared in this form for any lawful purpose.
Further, I subscribe and agree that the National Youth Commission has the sole prerogative to select and nominate the delegates to any
International Program, and its decision is final and executory.
IN WITNESS hereof, I am executing and signing this statement voluntarily without compulsion.
_____________________________
Signature
______________________________
Printed Name
NOTE:
▪ The National Youth Commission reserves the right and prerogative to exclude applicants who will not meet the minimum requirements of the
Program. Lack or non-compliance of any of the above stated requirements will mean automatic disqualification without notice.
▪ Mail or hand carry your application to the International Programs Unit, National Youth Commission, 3 rd Floor, West Insula Building, 135 West
Avenue, Quezon City. Tel No. 4268733.
Please fill out the form legibly