Revised Application Form V3

National Youth Commission
10
th
NYP National Organizing Committee Secretariat
Contact Number: (02) 416-3415 Email Address:nyp10@nyc.gov.ph
Website: www.nyc.gov.ph Facebook: facebook.com/10thNYP

page 1 of 4

Minimum Qualifications:
1. Must be a Filipino Citizen
2. Must be 15-30 years old on the day of the Parliament
3. Must not have been a previous National Youth Parliament delegate
4. Must be willing to shoulder his/her travelling expenses

Submission Requirements:
1. Application letter/letter of intent addressed to:
Commissioner-at-Large JOSE RAFAEL CRUZ
Chairman
National Organizing Committee, 10
th
NYP
2. Accomplished 10
th
NYP Application Form (4 pages)
IMPORTANT: Email application letter and accomplished application forms to nyp10@nyc.gov.ph
with subject line: 10
th
NYP APPLICATION [Last Name, First Name, Middle Initial - Province]
3. Video Resume (see guidelines below)

Guidelines for the Video Resume:
Why a video resume?
The video resume is what the Screening and Selection Committee will use in assessing the applicants
delivery and persuasion skills since both are essential qualities of a would-be delegate to the 10
th
National
Youth Parliament. It is the closest thing to a face-to-face interview which the Committee opted to do away
with for practical reasons.

What do you include in the resume?
Important:
1. Begin the video by SIMPLY stating your NAME, AGE, and PROVINCE.
2. Discuss your position on the following:
SK: Abolish or Reform?
The video should not be shorter than 2 minutes but not more than 3 minutes.

What format do you use for the video?
The video may be recorded using your cellphone video camera, laptop or computer video camera or
any handheld video recorder. Use any of the major video formats supported by youtube.com (e.g. .avi, .mpeg,
etc.)

Where do you send the video?
Email the video as an attachment to d41977vy5h7a@m.youtube.com. You will receive a
confirmation email from www.youtbe.com upon successful receipt of the email
Important: Subject line of the email should follow the following format:
10
th
NYP APPLICATION [Last Name, First Name, Middle Initial Province]

Dates to Remember:
1. March 21, 2014 Deadline of Application
2. March 28, 2014 Release of Notice to Successful and Unsuccessful Applicants

APPLICATION GUIDELINES

10
th

page 2 of 4
I. PERSONAL INFORMATION
Name

Last Name First Name Middle Name

Nickname Religion

Date of Birth

Age

Sex

month/date/year

Permanent Address

Province & Region

Facebook Account www.facebook.com/
E-mail Address
Contact Number

Mobile Landline
Allergy and Dietary Restrictions

Pre-existing Medical Conditions

II. EDUCATIONAL BACKGROUND

Name of School & Address Inclusive Dates Highest Level Attained
High School

College

Vocational

Post-Graduate

III. MEMBERSHIP IN ORGANIZATIONS
Name of Organization & Address Inclusive Dates Position Held

(Use Annex A for additional entries.)
III. INVOLVEMENT IN YOUTH/COMMUNITY RELATED ACTIVITIES
Name of Activity & Brief Description Sponsor Organization Inclusive Dates

IV. RELEVANT TRAININGS AND SEMINARS ATTENDED
Training/Seminar Sponsor Organization Inclusive Dates

V. Rate your familiarity with Parliamentary Procedures:

Poor

Average

Excellent

Has never or rarely participated in
an organizational meeting or
assembly that used Parliamentary
Procedures.
Has participated several times in an
organizational meeting or assembly
that used Parliamentary Procedures.

Regularly participates in an organizational
meeting or assembly that uses
Parliamentary Procedures.
VI. COMMITTEE MEMBERSHIP
Rank the following according to your area of interest, with 1 being the highest and 4 being the lowest.
(Your preference will be considered in identifying your committee assignment during the Parliament.)

Education

Health

Employment

Participation
Insert 2x2 picture

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th

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VII. ESSAY
Identify a SPECIFIC issue affecting the youth in your locality
and provide recommendations that will address said issue.
Important: Limit your answer to 150-300 words.

IX. CHARACTER REFERENCES
Name Profession Contact Number
1.
2.
3.

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th

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PARENTAL CONSENT
(For Applicants Below 18)

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

__________________________________________
SIGNATURE OVER PRINTED NAME

________________________
Date Accomplished

(Signature may be in e-signature format.)

CERTIFICATION

I hereby certify that all facts and information indicated herein are true and correct. I further declare
that any information given by me, which is untrue, may constitute a ground for expulsion in the National
Youth Parliament and prosecution of perjury.

Further, I subscribe and agree that the National Youth Commission has the sole prerogative to select
and nominate delegates to the NYP, and its decision shall be final and irrevocable.

I also certify that no portion of my answers to the essay questions have not been lifted from the works
of other people than myself.

I am willing to shoulder my transportation/travelling expenses necessary to facilitate my
participation to the activity.

__________________________________________
SIGNATURE OVER PRINTED NAME

_______________________
Date Accomplished

(Signature may be in e-signature format.)

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th

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III. MEMBERSHIP IN ORGANIZATIONS
Name of Organization & Address Inclusive Dates Position Held

III. INVOLVEMENT IN YOUTH/COMMUNITY RELATED ACTIVITIES
Name of Activity & Brief Description Sponsor Organization Inclusive Dates

IV. RELEVANT TRAININGS AND SEMINARS ATTENDED
Training/Seminar Sponsor Organization Inclusive Dates

Annex A

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