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APPLICATION FOR THE YOUTH CORPS SINGAPORE

Application Period: 3 February 28 March 2014

Welcome to your first step in becoming a member of this exciting new initiative!
To join us:

1: Complete the below application form

2: Mail the following documents to The Youth Corps Singapore team, NYC
Academy, 113 Somerset Road, Singapore 238165

a. Printed hard copy of the application form
b. CD/DVD containing a soft copy of the application form (compulsory) & media file (if
applicable)
For more details on the media file submission, please refer to section 6, question 1

3: Receive our email acknowledging your submission and a subsequent email
notification regarding the interview if you have been shortlisted within one month
after the application closing date.

Note:
(i) Only Singapore Citizens / Permanent Residents may apply

SECTION 1 PERSONAL PARTICULARS
Affix recent Passport
size photograph or
attach a softcopy
here
Name as in NRIC/Passport/PR (underline surname)
Dr/ Mr / Mrs / Miss / Mdm



Chinese Characters
(if applicable)



Home Address




Home Tel No


Handphone No.


Name of School/ Employer

Office Tel No.

Medical Condition
(if any)





Designation/Occupation


Email

Highest Education Attained

Country of Birth


Nationality


NRIC/Passport/PR No.

Gender
Male / Female
Date of Birth

Dietary Restrictions







Medications currently
being used






Race



Marital Status




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SECTION 2 INVOLVEMENT IN NOMINATING ORGANISATION [For Applicants nominated by an
Organisation]
Name and Address of Nominating Organisation


Duration of Involvement


Positions Held (in chronological order)



Nominee's main Area(s) of Involvement in Nominating Organisation (not more than 30 words)



SECTION 3 KNOWLEDGE OF LANGUAGES AND DIALECTS
Written & Spoken Written Spoken



SECTION 4 EDUCATIONAL BACKGROUND (in chronological order)
Schools/Institutions and Country Highest Standard Passed Year






Other Professional Qualifications



Type and Duration of Awards/Scholarships Held



SECTION 5 BACKGROUND ACTIVITIES (in chronological order)
Details of Co-Curricular Activities and positions held for the last 24 months. Period of Involvement




Details of membership with positions held in clubs, associations or societies,
including grassroots involvement for the last 24 months.
Period of Involvement




Details of past volunteering experiences for the last 24 months. Period of Involvement




How have your past volunteering experiences impacted you?



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SECTION 6 KNOWING YOU
1. Why do you want to join the Youth Corps Singapore? You may choose to tell us more using other formats
(e.g. drawing, video, etc) as long as they do not exceed 50MB
1
. If you choose to submit a medium other than
in writing, please include a brief write-up on your thought processes behind the final product.
[Min 300, Max 500 words]






2. What do you hope to gain/ learn from participating in the Youth Corps Singapore?
[Max 500 words]







3. What is your preferred area of focus under the Youth Corps Singapore?

Focus Areas Please select up
to 3 focus areas
in order of your
preference
(1 = first choice)

Please share with us your reason(s) for
selecting the focus area(s).
1. Education
(e.g. assistance for children from low
income families, additional support for
students with academic difficulties, etc)





2. Special Needs
(e.g. enhancing lifestyles of people
with physical difficulties, improving
accessibility options, etc)





3. Health Awareness
(e.g. improving quality of life for people
with terminal illnesses, health
awareness, etc)





4. Environment
(e.g. raising awareness on
environmental issues, innovations to
everyday life practices to improve
environmental impact, etc)






5. Culture and Heritage
(e.g. promoting civic mindedness
among Singaporeans, celebrating the
Singaporean identity, etc)





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Reminder: Do remember to save your media file onto the CD/DVD for submission! All submissions will not be
returned.

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4. Share with us your skills, resources and abilities that you think would help you in your Youth Corps Singapore
journey and in growing the Youth Corps Singapore community. Please be as specific as possible.
[Max 500 words]





SECTION 7 CHARACTER REFEREES
(Please provide particulars of two persons who are not related to you. They should be responsible persons who
know you well with regard to your character and history of your voluntary work. PA/NYC may contact the referees
stated.)

Name of Referee (1)


Name of Referee (2)


Address


Address


Email Address


Email Address


Contact No.


Contact No


Occupation



Years Known



Occupation



Years Known



SECTION 8 EMERGENCY CONTACT
Name


Relationship


Contact Number


SECTION 9 MISCELLANEOUS
1. Have you suffered, or are suffering from any medical condition, illness, disease, mental
illness or physical impairment?

Yes / No
2a. Do you have a criminal record in Singapore? Yes / No
2b. Have you ever been convicted of a criminal offence in a court of law in any other
country? (excluding criminal records disclosed above)
Yes / No
3. Have you been charged with any criminal offence in a court of law in any country for
which the outcome is pending?
Yes / No
4. Have you ever been declared a bankrupt? Yes / No
If your answer is Yes to any questions above, please give details in the space below and provide documentary
evidence.












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SECTION 10 AGREEMENT

(1) I give my consent for the Youth Corps Singapore to obtain and verify information from or with any source as it
deems appropriate for the assessment of my application.

(2) I understand that the approval of my application is subject to the consideration and final decision of the Youth
Corps Singapore panel.

(3) I understand that if selected, I am a representative of Youth Corps Singapore and agree to uphold the best
interests of Youth Corps Singapore. I also agree to adhere to all requirements placed on me as a member to
the best of my abilities.

(4) I authorise Youth Corps Singapore to disclose my personal information to its community intermediaries or
service organisations that I may be collaborating with.

(5) I declare that the information in this application and any supporting attachments provided is to the best of my
knowledge and I have not wilfully suppressed any material fact. I accept that if any of the information provided
by me in this application is in any way false or incorrect, my application may be rejected or my membership will
be ceased. I give my consent for the relevant Government authorities to obtain and verify information from or
with any source, as you deem appropriate for the assessment of my volunteer work with National Youth
Council.








PARENTAL CONSENT (for applicants under 21 years old)

Parent / Guardian, please read, sign and date the following:

I hereby certify that the information given by the applicant is true and correct. I agree not to hold the Organisers
liable for any injury, loss or damage that my child may suffer or sustain in the course of or in connection with
his/her participation as a Youth Corps Singapore member.






For more information

Email: Youthcorps_Enquiries@mccy.gov.sg

- Or -

Call: 6734 4233


Signature of Applicant
Date
Signature of Parent
Date