2024 CSO/SE Application Form - eMpowering Youth Across ASEAN (EYAA) Programme: Cohort 4

Application Form

Civil Society Organisation (CSO) and Social Enterprise (SE)
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 Civil Society Organisation and Social Enterprise.
2. 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.
3. Note that ASEAN Foundation and Maybank Foundation reserve an absolute right to approve or reject any application. Completing this form does not guarantee participation.
4. For inquiries, please email us at aseanempoweringyouth@aseanfoundation.org.

Part 1: CSO/SE Details
Registered Organisation Name*
Registered Address in Host Country*

Street Address

Street Address Line 2

CityState / Province

Postal/Zip CodeCountry
Nature of Business*
Please use comma to separate more than one item
Organisation Background (A maximum of 150 words)*

0/150
Year of Establishment*
e.g., 2023
Awards (if any)
Put a comma to separate more than one award
Country of Operations*
Founder's Prefix*
Founder's Name*
Director's Prefix*
Director's Name*

First NameLast Name
Identification Document of Director (e.g., Passport)*

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Official Website of Organisation*
e.g., aseanfoundation.org

Part 2: Contact Person Details
Contact Person's Prefix*
Contact Person's Name*

First NameLast Name
Designation/Position at Organisation*
Contact Person's Phone Number (Normal Voice Call)*

Country Code (e.g., +62)Phone Number
Contact Person's Phone Number (WhatsApp)*

Country Code (e.g., +62)if you don't have WhatsApp, you may insert your current active number
Primary Email Address*
example@example.com
Secondary Email Address
example@example.com

Part 3: CSO/SE Experiences
Please provide a summary of a recent project undertaken by the CSO/SE relevant to community building, youth volunteerism, and social innovation (150 words)*

0/150
Upload the project report mentioned in the above answer supported with photographs*

*.pdf, *.doc, *.docx
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Describe the CSO/SE's experience in working with youth volunteers from diverse backgrounds (i.e., mixed nationalities). If the CSO/SE has not worked with such a group of volunteers, kindly describe the anticipated difficulties and propose solutions to overcome them (150 words)*

0/150

Part 4: Proposed Project
Project Theme*

Community EmpowermentArts & CultureEnvironmental DiversityEducation
Download the Project Proposal Template and the Budget Plan Template here.
Project Proposal*

*.docx
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Budget Plan*

*.xlsx
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Part 5: Annexes (i.e., Required Documents)
Legal Document of Organisation Establishment in Host Country (e.g., Registration Certificate, or any relevant document)*

*.pdf
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Constitution/Set of Rules/Standard Operating Procedure (SOP)*

*.pdf
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Tax Identification Document in Host Country, if any (e.g., NPWP in Indonesia, or any relevant document)

*.jpg, *.jpeg, *.png, *.pdf
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Organisation's Logo, a minimum of 1,000x1,000 pixels*

*.jpg, *.jpeg, *.png
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Organisation's Structure*

*.pdf
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CV/Resume of Involved Personnel*

Please merge multiple CV/Resume into one *.pdf file before uploading
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Latest Audit and/or Financial Report*

*.pdf, *.doc, *.docx, *.xls, *.xlsx
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Part 7: Declaration
Declaration*

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.
Disclosure*

I understand that all personal/organisational data provided in this submission is held strictly confidential will be used solely for eMpowering Youths Across ASEAN Programme purposes.
Disclosure

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.
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