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APPLICATION FORM WORLD YOUTH ALLIANCE ASIA PACIFIC SUMMER CAMP 2013

DEADLINES: Submission of Application Forms: April 5, 2013 USD Payment Deadline: April 25, 2013 REGISTRATION FEES: International Rate: 170.00 Local Rate: 6,000.00 PHD

For Further Inquiries: Please contact us via email wyaap.summercamp@gmail.com or through telefax +63 2 9215162. Interested in becoming a member of WYA? Just sign the charter below and send the form back to us, or check out our website and sign online! Want to know more about WYA? Log on to www.wya.net or you can email us at asiapacific@wya.net. Thank you and we look forward to receiving your application soon! PERSONAL INFORMATION Name: Address: Religious Affiliation (if any): Phone: Fax: Current Occupation: Passport No (For International Participants): T-shirt Size (For Summer Camp Shirt): Languages Spoken: Mobile: Email Address:

Date of Birth:

EDUCATIONAL BACKGROUND School/University Elementary Years Attended/Degree Received

Secondary Tertiary Other Non-Degree

ORGANIZATIONAL AFFILIATION Name of Organization

Position

Year/s of Membership

MEDICAL INFORMATION Do you have any allergies? If yes, please indicate. Do you require any medication? ADDITIONAL INFORMATION What are your expectations from the Summer Camp 2013?

What skills/knowledge can you share with your fellow participants to make the activity more successful?

What are your current hobbies and interests?

ESSAY In 250 words, discuss what you believe to be the nature of human freedom. Afterwards, tell us how human freedom can be linked to sustainable development.

HOW TO SUBMIT: You can send your application through: OFFICE: 303 Xanland Place 323 Katipunan Avenue Loyola Heights, Quezon City 1108 Philippines EMAIL:

wyaap.summercamp@gmail.com

____________________________________________________________________________________________

WAIVER I, ____________________________________________, am fully aware of my responsibilities as a participant in World Youth Alliance Asia Pacifics Summer Camp 2013 from May 20-24, 2013. I will follow the guidelines given for this activity and will not hold the facilitators or the organization responsible for any untoward incident that I have caused or incurred.

__________________________ Signature above complete name

___ Yes, I have read and agreed to the World Youth Alliance Charter below. World Youth Alliance Charter The World Youth Alliance is composed of young women and men from every part of the world. In cooperation with other organs of the international community, primarily the United Nations and the European Union, the World Youth Alliance is committed to building free and just societies through a culture of life. That culture affirms the inalienable dignity of the person, defends the intrinsic right to life, nurtures the family, and fosters a social climate favorable to integral development, solidarity, and mutual respect. We recognize that the intrinsic dignity of the person is the foundation of every human right. We believe this dignity is independent of any individual condition and that no human community can grant or rescind that dignity. We are convinced that the intrinsic dignity possessed by every human being from conception to natural death is the foundation of everyones right to life. We believe that this inalienable right to life is the basis of a free and just society and we believe that society through law and culture has an obligation to protect the dignity of the person and thus protect the right to life. We affirm that the fundamental unit of human society is the family, where women and men learn to live in genuine freedom and solidarity, and where individuals are equipped to fulfill their social obligations. We believe that the political community at the local, national and international level is obliged to protect and nurture the family. We believe that the authentic development of society can occur only in a culture that fosters integral human development characterized by physical, spiritual, mental, and emotional growth, in a climate of respect for the human person and the family. We invite all those who share these convictions to join us in affirming them and give them effect in public life at all levels. I hereby certify that the above information is correct. Name Signature _________________________________________________ _________________________________________________

Date (Month/Day/Year)_________________________________________________

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