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ASEAN YOUTH VOLUNTEER PROGRAMME (AYVP)Inaugural Programme for the Development of ASEAN Youth Eco-LeadersthroughVolunteerism & Community Engagement| | Application Form
1.0 PERSONAL DETAILS
Name| |
Date of birth| |
Age| |
Nationality | |
Identification /No. Passport| |
Occupation| |
Address| |
| |
| |
Gender| |
Religion | |
Telephone Number | Home : H/P : Office : Fax : | Email | |
Institution /Organization| |

2.0 NEXT OF KIN & MEDICAL HISTORY

2.1 WHO SHOULD WE CONTACT IF YOU ARE TAKEN ILL WHILST VOLUNTEERING? * Name| |
Relationship (*Mother/Father/Guardian/Spouse)| |
Telephone Number | Home : H/P : Office : Fax :| Email Address | |

2.2 TO HELP US ENSURE YOUR SAFETY AND ASSIGN YOU TO A SAFE AND APPROPRIATE TASK, PLEASE PROVIDE THE INFORMATION BELOW (IF RELEVANT):
• Medication that you are taking that a First Aider or Doctor would need to be aware of? • Activity you may find difficult to carry out for health or other reasons? • Other information we may need to know to ensure your safety e.g. hearing or vision difficulties, ability to communicate or understand instructions etc.

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3.0 ACADEMIC QUALIFICATIONS
Highest academic qualification achieved (*Please include copy of each certificate obtained.) Qualification| Year| Certificate|
| | |
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| | |

4.0 ENGLISH LANGUAGE QUALIFICATION(S)
4.1 Is English your first language?YES NO

4.2 Please provide details of your English language qualifications with results obtained and the date you took the test or will be taking the test below. You must provide a copy of your English Language test score report with your application.

| Score| Date obtained |
IELTS| | |
TOEFL| | |
MUET (For Malaysians)| | |
O Level or GSCE| | |
Others (Please specify) : | | |

For Questions 5.1 and 5.2: The combination of BOTH the write-ups above should NOT be more than 500 words.

For Questions 5.1 and 5.2: The combination of BOTH the write-ups above should NOT be more than 500 words.

5.0 INFORMATION FOR SELECTION
5.1 Please provide reasons why we should select you to become an ASEAN Eco-Leader.

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5.2 Please share your ideas on how you would lead an environmental project in your community after this programme.

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7.0 EXPERIENCE AND SKILLS
7.1 Please describe briefly your previous volunteer experience, if any. (If there is any proof to support the below, please include a copy)

Name of Project and Location| Job Description and Duties| Period| Reference: (Name/Contacts details/Designation)| | | | |

7.2 Please indicate your additional skills/qualification/ experience / education if any (If there is any proof to support the below, please include a copy)

Qualifications, Skills, Experience or Education. Tick (√) where applicable | | Teaching| | Photography|
| Writing| | Driver’s License|
| Translation| | Boat Operation|
| Public Speaking| | First Aid Certification|
| Computer Skills/Software| | Business Management|
| Internet/ Information Search| | Community Survey|
| Graphic Design| | Camping/ Survival skills|
| Painting/ Carving/ Handicraft skills | | Martial Arts|

Others/ _____________________________________________________________________

8.0 VALIDATION
For students and working young professionals, please include proof of validation and release from your current learning institution/organization or company to...
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