MY SUMMIT Application Form

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APPLICATION FORM

1st Moro Youth (MY) Summit in Corregidor


First name: Middle name:
Sex: Age:

Nickname: Surname:
Birthdate:

2x2 Photo

Cultural or Ethno-linguistic Affiliation: CONTACT DETAILS Mobile 1: Landline: Street/Subdivision Address: Barangay: Province: Email 1: Landline: Facebook Profile Link: Twitter Handle: EDUCATIONAL BACKGROUND Have you ever attended school? What is your highest level of education? Non-formal Elementary Secondary College level College graduate Graduate studies Yes No Municipality: Zip code: Email 2: Telefax: Mobile 2: Telefax:

ORGANIZATIONAL MEMBERSHIPS Organization tion Held and Posi- Inclusive Dates Main Responsibilities

Page 1 MY Summit Application Form

E-mail accomplished form to: anwar_upahm@yahoo.com and mloarmm@yahoo.com

COMMUNITY ACTIVITIES/PROGRAMS ATTENDED Name of Activity Dates and Venue Description and Role Played

SHORT ESSAYS: Please answer the following questions briefly.

1. As a youth leader, what has been your most relevant contribution to your
community? (300 words maximum)

2. Do you consider yourself as a Moro? How do you define Moro? (300 words
maximum for this number)

3. Give your short personal viewpoints on the following: (100 words maximum for
each) a. Bangsamoro History

b. Framework Agreement on the Bangsamoro c. Reforms in ARMM


CHARACTER REFERENCES (Max of 3): Name and Position Office / Company Contact Details

I hereby certify that all information listed herein are true and correct to the best of my knowledge. _______________________ Date Accomplished Applicant ___________________________________ Signature of

Page 2 MY Summit Application Form

E-mail accomplished form to: anwar_upahm@yahoo.com and mloarmm@yahoo.com

Please e-mail the accomplished form to the following e-mail addresses: a. CDO-BYA Executive Director: anwar_upahm@yahoo.com b. Manila Liaison Office: mloarmm@yahoo.com

Page 3 MY Summit Application Form

E-mail accomplished form to: anwar_upahm@yahoo.com and mloarmm@yahoo.com

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