Name: _______________________________ Performance Output No.

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Grade & Section: ______________________ Date: __________________________
Teacher: ____________________________ Score: _________________________

Fill out the application form for Youth Ambassador.

Youth Ambassador Application Form

Personal Details:

Name:
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First Name Middle Name Last Name

Date of Birth: ______________________________ Age: _______________________

Month Day Year

Address:_________________________________________________________________

Mobile Number: ______________________ E-mail Address: ________________________

Application Details

1. How did you become passionate about ending poverty and injustice in our country? (300 words
max.)
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2. What would you do to raise awareness and lead your peers in fundraising for the peace in
Marawi City? Please refer to any previous and/or relevant experience. In your examples, outline
what you did and how you inspired others to get involved. (250 words max.)
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