2024 YV Application Form - eMpowering Youth Across ASEAN (EYAA) Programme: Cohort 4

Application Form

Youth Volunteer (YV)
GENERAL INFORMATION

The eMpowering Youths Across ASEAN—launched in conjunction with the ASEAN Day on 8 August 2018—is a collaborative programme by the ASEAN Foundation and Maybank Foundation dedicated to empowering youth and communities across the region. The programme provides youth with an experiential and educative learning platform through social volunteerism. They collaborate with people from diverse backgrounds to implement their ideas and advocate solutions to grounded issues in local communities across ASEAN. They delve into an impactful journey to make a tangible, meaningful change among target communities in Cambodia, Indonesia, Malaysia, the Philippines, Singapore, and Thailand.

INSTRUCTION

Prior to starting an application, please read through the following instructions:
1. Learn about the programme and the eligibility criteria on the Application Information Package for Youth Volunteer.
2. The form will take approximately 20 to 30 minutes to complete, provided that you have all the necessary documents ready. Please be informed that the time estimate does not include the time you need to complete the essays.
3. Once you have entered all required information, review your application for errors. If all information is correct, submit your application. Any wilful suppression or falsification of required information shall render the application null and void.
4. Note that the ASEAN Foundation and Maybank Foundation reserve an absolute right to approve or reject any application. Completing this form does not guarantee participation.
5. For inquiries, please email us at aseanempoweringyouth@aseanfoundation.org

Part 1: Personal Details
Full Name*

First NameLast Name
Nick Name*
Nick Name
Nationality*
Citizen of ASEAN countries only
Date of Birth*

DayMonthYear
Age*
Must be a minimum of 19 years old by 1 January 2024 and a maximum of 35 years old by 31 December 2024
Sex*
Gender*
Home Address in Country of Residence*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry of Residence
Email*
Make sure that you put your personal email instead of work or school email, e.g., example@example.com
Phone Number (Normal Voice Call)*

Country Code (e.g., +62)Phone Number
Phone Number (WhatsApp)*

Country Code (e.g., +62)if you don't have WhatsApp, you may insert your current active number
Applicant's photo*

*.jpg, *.jpeg, *.png. Ensure the photo is in color, visible from head to shoulders, and preferably at least 720 pixels for optimal quality.
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A Scanned Copy of Passport/ID Card. If you submit an ID Card, you are aware that you have to submit your passport 3 (three) weeks after the final announcement if you are selected as a Youth Volunteer*

*.jpg, *.jpeg, *.png, *.pdf
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Number of Passport/ID Card*

Part 2: Emergency Contact Details
These should be the details of the person we will contact in case of an emergency. Please note that they should either be your family members or guardian. Give two contact details.
EMERGENCY CONTACT
Name*

First NameLast Name
Relationship to you*
e.g., father, mother, uncle, aunt, etc.
Phone Number (Normal Voice Call)*

Country Code (e.g., +62)Phone Number
Phone Number (WhatsApp)*

Country Code (e.g., +62)Phone Number
Email*
Make sure that you put your personal email instead of work or school email, e.g., example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Part 3: Education and Relevant Experience
Are you currently enrolled as a full-time student in an institution of higher education?*

YesNo
If you select no to the question above, please explain

Please provide your educational background starting from the latest*

	Institution Name	Degree (e.g., Bachelor, Master, Doctorate)	Period (Year-Year)	Major
1
2
3

Please provide THREE (maximum) major work/volunteering/organisational experiences in the last 10 years*

	Institution Name	Period (Year-Year)	Position	Remarks (i.e., accomplishment or any relevant details)
1
2
3

Please provide THREE (maximum) major accomplishments/awards received in the last 10 years (if any)

	Accomplishments/Awards	Issuing Institution	Year
1
2
3

English Proficiency: Verbal*
English Proficiency: Written*

Part 4: Motivational Essay
Please explain what motivates you to apply for the eMpowering Youths Across ASEAN Programme and how you will use the knowledge and skill you gain from the Programme once you return home. Please write between 300 to 500 words.*

0/500

Part 5: Personal Assessment
Do you have any medical considerations?*

YesNo
If yes, please describe.
Do you have any physical disability or on-going condition? This information is gathered to ensure appropriate measures by the ASEAN Foundation is striving to promote inclusive participation for youth across ASEAN.*

YesNo
If yes, please describe.

Part 7: Declaration
Declaration 1*

I hereby declare that the given information is true at the point of the submission of this application, and that any attempt to withhold or falsify the necessary information would render it null and void. I also understand that the defiant act of withholding true information with regard to the application will subject the organisation I represent, as well as myself (the applicant), to being barred from applying for the fund, ad interim.
Declaration 2*

If I am selected, I understand that I must submit a medical checkup result or a health certification from an approved medical authority (e.g., physician, local clinic, etc.).
Declaration 3*

If I am selected, I understand that I must submit a scanned copy of passport 3 (three) weeks after the final announcement
Declaration 4

I grant consent to the ASEAN Foundation information provided for its use for publication. This includes but is not limited to, sharing on social media and the website.
Confidentiality Agreement*

I understand that all personal data provided in this submission is held strictly confidential will be used solely for eMpowering Youths Across ASEAN Programme purposes. I understand that my personal medical information is treated in the strictest confidence. Information will not be disclosed to a third party without your consent.
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