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NATIONAL ANTI-POVERTY COMMISSION YOUTH

AND STUDENTS SECTORAL ASSEMBLY


APPLICATION KIT
Dear applicant-organizations,
Thank you for taking interest in applying for the National Anti-Poverty Commission Youth and
tudents ectoral Assem!ly "NYA#$ Please !e reminded of the follo%ing &
'ach applicant-organization must su!mit(
)'TT'* +, -NT'NT to apply for the NYA addressed to(
.*$ /-00Y /+**'
ectoral *epresentative for the Youth and tudents ector
National Anti-Poverty Commission
,illed-out +*/AN-1AT-+NA) P*+,-)' 2''T3
,illed-out *'P*''NTAT-4'5 P*+,-)' 2''T3
C'*T-,-CAT' +, ACC*'D-TAT-+N AND /++D TAND-N/ from any credi!le
institution stating at least one year of e6istence AND a good track record "NYC, )/7,
'C, D8D, D-)/, etc$#3
0+A*D *'+)7T-+N stating that the representative is duly-authorized3 and
+ne-page +*/AN-1AT-+NA) P+*T,+)-+, primer or flier that highlights the
organization5s successes, activities or programs$
The deadline of all applications is on August 9:, 9:;<$ Applications must !e sent to one of the
follo%ing(
;$ '-.A-) APP)-CAT-+N( Please fill out all forms and send %ith the necessary
re=uirements as attached files to napc$youtham!>gmail$com %ith the header NYA
APP)-CAT-+N ?Name of +rganization@3 +*
9$ 0Y-.A-) APP)-CAT-+N( ,ill-out all forms$ .ail forms %ith necessary
re=uirements to(
.*$ /-00Y /+**'
National Anti-Poverty Commission
8ater ystem Training Center
)ocal 8ater 7tilities Administration
.8-)87A Comple6, Aatipunan Avenue
Buezon City ;;:C
-ncomplete applications %ill not !e entertained$ Please do not send in multiple forms$
incerely,
The Technical 8orking Committee
NYA 9:;<
Water System Training Center, Local Water Utilities Administration
MWSS-LWUA Complex, Katipunan Avenue, Queon City !!"#
(02) 426-50-25; napc.youthamb@gmail.com
9 | P a g e
ORGANIZATIONAL PROFILE SHEET
Name of +rganization
Acronym
+ffice Address
Contact Details )andline Num!er 'mail Address
+rganization5s 8e!siteD
0logsiteD ,ace!ook
Page
Nature of +rganization
;
/eographical Presence
9
;$ 9$ E$
*egion
E
.onth and Year
'sta!lished
<
Num!er of .em!ers F of .ale .em!ers F of ,emale .em!ers
Past or Current
-nvolvement in NAPC
Programs and Activities
"at most <#
Activity/Program Location Date/Year
-s the organization for
or against the
*eproductive 2ealth
)a%G '6plain in at
most E sentences$
-s the organization for
or against the tudents5
*ights and 8elfare
0illG '6plain in at most
E sentences$
;
Classifications are one of the follo%ing( Barangay-Wide3 Municipality/City-Wide "present in at least E !arangays#3
Province-Wide "present in at least E municipalitiesDcities3 Region-Wide "present in at least E provinces#3 or
Nationwide "present in each of the E island-regions )uzon, 4isayas and .indanao#$
9
,or Barangay-Wide organizations, please state name of the !arangay$ ,or Municipality/City-Wide organizations,
please list the E !arangays %here the organization is present$ ,or Province-Wide organizations, please list the E
municipalities or cities %here the organization is present$ ,or Region-Wide organizations, please list the E provinces
%here the organization is present$ ,or Nation%ide organizations, please list the E regions %here the organization is
present$
E
Not applica!le for Nationwide organizations$
<
,or the current National ectoral Assem!ly, NAPC-Y only accepts organizations that have !een esta!lished one
year prior +cto!er ;, 9:;<$
Water System Training Center, Local Water Utilities Administration
MWSS-LWUA Complex, Katipunan Avenue, Queon City !!"#
(02) 426-50-25; napc.youthamb@gmail.com

E | P a g e
-s the organization for
or against the
angguniang Aa!ataan
*eform 0illG '6plain in
at most E sentences$
-s the organization for
or against the ecurity
of Tenure 0illG '6plain
in at most E sentences$
Top E Youth -ssues or
Concerns that the
+rganization is
-nvolved -n
Yout !""ue #rgani$ational
%tand/!nvolvement
+ther +rganizational
Affiliations "at most <#
Name o& Political #rgani$ation/
Coalition/ Networ'
Advocacy !""ue" and Concern"
8hy %ould the
organization like to !e a
mem!er of NAPC-Y
"in at most E
sentences#G
Water System Training Center, Local Water Utilities Administration
MWSS-LWUA Complex, Katipunan Avenue, Queon City !!"#
(02) 426-50-25; napc.youthamb@gmail.com

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REPRESENTATIVES PROFILE SHEET
C
,ull Name
Nickname
.ailing Address
Contact Details .o!ile F 'mail Address
/ender
H
Age
I
Date of 0irth
Position in the
+rganization
Duration of Term ince( 7ntil(
2ave you held
government positions in
the pastG -f yes, kindly
detail$
C
-mportantJ *epresentatives .7T N+T !e an employee "full-time, part-time, or casual# of the national or local
government or of any government !ranch$
H
NAPC-Y upholds progressive gender recognition$ Transgender youth %ill !e classified according to their gender
identity$
I
The official representative must !e at least ;C years old !y +cto!er ; and at most E: years old !y +cto!er E;,
9:;<$
Water System Training Center, Local Water Utilities Administration
MWSS-LWUA Complex, Katipunan Avenue, Queon City !!"#
(02) 426-50-25; napc.youthamb@gmail.com

C | P a g e
SAMPLE CERTIFICATE OF ACCREDITATION
AND GOOD STANDING
8

")etterhead of Accrediting -nstitution#
Kuly E:, 9:;<
MR. GIBBY GORRES
Sect!"# Re$!e%e&t"t'(e )! t*e Y+t* "&, St+,e&t% Sect!
N"t'&"# A&t'-P(e!t- C..'%%'&
Dear .r$ /orres,
.a!uhayJ
This letter is to certify that the "name of organization# %ith office address "address of office# is
an accredited organization of our institution$ 8e attest that the organization is legal and has !een
in e6istence since "organization5s date of esta!lishment#$ The organization also enLoys a good
track record and holds activities and programs in our community$
This certification is for the purpose of the organization5s application to the National Anti-Poverty
Commission Youth and tudents ectoral Assem!ly$
,or =ueries and confirmation, our contact details are affi6ed as(
"contact details of accrediting institution#$
incerely,
NAME OF HEAD OF ACCREDITING INSTITUTION
N".e ) Acc!e,'t'&/ I&%t't+t'&
M
The Certificate of Accreditation may come in varied forms$ 2o%ever, it should signify that the Applicant-
+rganization has a good track record and that it is an accredited organization of the accrediting institution$
Water System Training Center, Local Water Utilities Administration
MWSS-LWUA Complex, Katipunan Avenue, Queon City !!"#
(02) 426-50-25; napc.youthamb@gmail.com

H | P a g e
SAMPLE BOARD RESOLUTION
")etterhead of Applicant-+rganization#
*esolution No$( NNN
*'+)7T-+N APP+-NT-N/ "Name of *epresentative# A +,,-C-A) *'P*''NTAT-4'
+, T2' "Name of Applicant-+rganization# T+ T2' NAT-+NA) ANT--P+4'*TY
C+..--+N Y+7T2 AND T7D'NT 'CT+*A) A'.0)Y
82'*'A, "Name of Applicant-+rganization# is a youth-led organization that for%ards
poverty-alleviation programs for young people3
82'*'A, the organization is seeking to !e a mem!er of the National Anti-Poverty
Commission Youth and tudents ectoral Assem!ly "NYA#3 and
82'*'A, "Name of +fficial *epresentative# is a !ona-fide mem!er of the organization3
T2'*',+*', 0' -T *'+)4'D A -T - 2'*'0Y *'+)4'D, that "Name of +fficial
*epresentative# is appointed as the official representative of the organization to the
NYA3
AND T2AT, once accepted, his or her appointment is valid until the term of the NYA "E
years# e6pires or until a ne% !oard resolution signifies a change in representation$
-/N'D, -N B7+*7., 0Y T2' .'.0'* +, 0+A*D T2- "Date# AT "Address#(
NNNNNNNNNNNNNNNNNNNNNNNNN
"ignature +ver Printed Name#
Chairperson
.em!ers of the 0oard(
NNNNNNNNNNNNNNNNNNNNNNNNN
"ignature +ver Printed Name#
NNNNNNNNNNNNNNNNNNNNNNNNN
"ignature +ver Printed Name#
NNNNNNNNNNNNNNNNNNNNNNNNN
"ignature +ver Printed Name#
NNNNNNNNNNNNNNNNNNNNNNNNN
Water System Training Center, Local Water Utilities Administration
MWSS-LWUA Complex, Katipunan Avenue, Queon City !!"#
(02) 426-50-25; napc.youthamb@gmail.com

I | P a g e
"ignature +ver Printed Name#
-END OF APPLICATION KIT-
Water System Training Center, Local Water Utilities Administration
MWSS-LWUA Complex, Katipunan Avenue, Queon City !!"#
(02) 426-50-25; napc.youthamb@gmail.com

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