5th WYAAP ELC

Upgrading Earth: Maximizing Innovation for People and Planet

October 20 to 22, 2016 / University of Asia and the Pacific, Pasig City,
Philippines

APPLICATION FORM
Please check your category:
Delegate
Educator (Teachers, Professors and Organization Advisers)
Please answer using BLOCK LETTERS. Incomplete forms will not be
accepted.
PERSONAL INFORMATION
Last Name: CULANG

First Name: MA. TERESA

Middle Name: RAMOS

Nickname: TERESA

Sex (Male or Female): FEMALE

Country of Residence: PHILIPPINES

Current Address: 1A LANCER ST. CAVALRY HILLS VILLAGE, EAST REMBO, MAKATI
Birthdate (Month/Day/Year): 02/16/2001

City of birth: MAKATI

Age: 15

Telephone number: (02)758.87.93

Mobile number:

Religion: ROMAN CATHOLIC

Nationality: FILIPINO

Language/s spoken: FILIPINO, ENGLISH

Special skills or talents: Photography, Videography, Blogging

Hobbies and interests: Photography, Reading

OCCUPATION (if applicable)

Present Occupation and Designation:
Company:

Website:

Telephone number:

Years/months of employment:

PASSPORT DETAILS

(for foreign delegates only)

Passport number:

Type (Official or General):

Place of Issue:

Date of Issue:

Date of Expiry:

PARENTS AND EMERGENCY CONTACT

Fathers Name: Tadeo Culang Sr.

Occupation: Ret. Police Officer

Mothers Name: Ma. Virginia Ramos-Culang

Occupation: Housewife

Emergency Contact Person: Jerome Ramos

Culang

Relationship: Brother

Mobile number: +639068418548

Telephone number:
(02)7588793

Address: 1A Lancer St. Cavalry Hills Village East Rembo, Makati City

EDUCATIONAL BACKGROUND
Name of School / Institution

Years
Attended
20082014
2014 to
present

Degree Received/
Currently Taking

Elementary

Fort Bonifacio Elem. School

Secondary

Bloomfield Academy / Tibagan

Tertiary

Vocational

Post
Graduate

Others

ORGANIZATONAL AFFILIATION
Name of Organization
I AM SAM
Girl Scout of the Philippines
School Clubs (Filipino, English,
Science, AP, Math)

(maximum of five most recent affiliations)

Designation
Member
Member /
Speaker
Associate
Member

Years
Involved
20132016
20082016
20152016

Awards/Accomplish
ments

GSP Awarded Merits

Competitions / Quiz
Bees

Member /
Volunteer
Trainer /
Member

JRC Foundation
CKT Dynamic Leaders

Scholarship and Awards

20152016
20152016

Plaque of
Recognitions

(maximum of three recent scholarships/awards)

Name of Scholarship/Award

Awarding institution

Year awarded

Trainings or Conferences Attended

(maximum of five most recent

conferences)

Name of Conference

Organizing Institution

AP Teambuilding

Social Studies (AP)

Inclusive
Dates
2015

Global Youth Summit

AIESEC

2015

Medical and Special Conditions

Allergies: none
Food Restrictions: none
Special Medication: none
Disabilities (if any): none

English Language Proficiency

Poor

(place an X in the appropriate column)

Good

Excellent

Speaking

Reading

Writing

WYA INVOLVEMENT
Not yet a
Are you a World Youth Alliance member? If not, do you want to
member but
become a member?
willing to
become one.
Have you participated in any of the past WYAAP Emerging
Haven't
Leaders Conferences?
participated in
If yes, what year/s?
ELC.
Have you been involved in any WYA regional or international project? If yes,
which ones?
Haven't been involved in any WAY regional or international project(s)
How did you know about World Youth Alliance? (please mark with an X)
WYAAP Facebook Page or other WYAAP social media account (please
specify which one/s)
WYAAP Website
WYA Monthly Newsletter
E-mail Blast
WYA Talk / Event
WYA Booth
From your School / Organization / Company
Other (please specify): from my brother
How did you know about the 5th WYAAP Emerging Leaders Conference? (please
mark with an X)
WYAAP Facebook Page or other WYAAP social media account (please
specify which one/s)
WYAAP Website
WYA Monthly Newsletter
E-mail Blast
WYA Talk / Event
WYA Booth
From your School / Organization / Company
Other (please specify)
I hereby certify upon my honor that all facts and information indicated herein are true
and correct to the best of my knowledge. I further declare any information given by me
that is untrue may constitute a disqualification to the conference. I authorize World Youth
Alliance Asia Pacific or its representatives to use, share, and process my personal

information I have provided, shared, or declared in this form for any lawful purposes.
Further, I subscribe and agree that the World Youth Alliance Asia Pacific has the sole
prerogative to select the participants to the conference, and its decision is final and
executory. IN WITNESS hereof, I am executing and signing this statement voluntarily
without compulsion.
__________________________
SIGNATURE ABOVE PRINTED NAME

Please answer the following questions in proper essay format. DO NOT

type in BLOCK letters.
In 100 words or less, why do you want to join the ELC?

Aside from the stories I've had from my brother, I know that ELC can give me a
diffeerent type of experience as a student and an innovator. I know that I will learn a
lot from the conference and even meet new friends from different walks of life. I want
to experience ELC as part of my personal development and to grow on my knowledge
and wisdom to make my self worth and be a person that would help my generation be
molded as game-changers. I knew that such an idea would somehow be very difficult
to achieve but I believe that the purpose by which I am motivated to do, that is to
make a change, is a challenging role as a very young person. But with due hope and
inspiration, and with all the matters I can absorbed from the conference, I am very
hopeful that I can really learn a lot from this conference.
In 300 words or less, describe the relationship between population and the environment.
Explain the importance of the human person in addressing environmental problems.
In the current status quo involving our planet, the relationship between population
and the environment has gained both the pros and cons of all the matters and issues
surrounding it. However, it is clear that everytime there is an increase in the
population, the environment somehow suffers due to the rising demand to the needs
of the growing quantity of people arising together with the environment's capacity
that can be imparted upon both the relationship concerned. This can be observed on
urban places by which crowding has been a problem, and environmental degradation
has been in existence. This scenario usually happenes on areas by which poor urban
development has been the problem. The environmental preservation would somehow
have been neglected. On the contrary, there are areas wherein the more people there
are, the more that the environment has been preserved and guarded well. This
scenario could somehow be more demonstrated on the Province of Batanes by which
due to the high morale, integrity, and good norms of the people living there, as well as
the appropriate rural development established on the area, there was a certain great
development on the environment. This is where the importance of human person has
been well-addressed.

In fact, it is very necesarry that there must be a human factor that would address
problems in terms of the environment. It is in the shoulder of every human person on
how to give worth on it's environment and give life and security to it, since it has been
the greatest contributor on the impression of how the society caters the people whom
are living with its environment. It is more specifically the mirror of the relationship(s)
between the population and the environment, and as part, the mediator of the issues
and matters concerning humanity. There should always be a good relationship
between an individual and in his/her environment, and the comparisons shall always
be transparent and imaginative in order to enforce good solutions towards
unpredictive problems on the matters that may be addressed.
In 100 words or less, what are your expectations from this conference? In what way can
you contribute to the success of the 5th WYAAP ELC?
I really expect to hear more ideas and visions from different speakers, learn new
things from new friends, and after the conference, be part of WYAAP's mission to
protect and defend human dignity. I believe that there are bigger things in life that I
still have to experience, and I expect to have it experienced at the WYAAP ELC. As
part, I am willing to give my full participation and attention to every topic being
discussed and activities to be organized by the WYAAP. In part, I will be a keen
observer in order to really give further suggestions for the development of this
conference and for the many more activitie of WYAAP in the region. I am really looking
forward to be part of this conference.

E-MAIL SUBMISSION*
1. Save your application form in .PDF format with the file name:
5THWYAAPELC_LAST NAME
2. Compose your e-mail with the subject line: APPLICATION_LAST NAME
3. Send your e-mail to wyaap.conference@gmail.com
*You may also submit a printed copy of your application form directly to the
WYAAP Office. Please submit in a properly-labeled brown envelope: 5 TH WYAAP
ELC APPLICATION_LAST NAME

5th WYAAP ELC Essay Writing Competition

In 600 words or less, compose an essay while keeping in mind the criteria listed below.
40%
30%
20%
10%

Content
Relevance to WYA beliefs
Composition & writing style
Grammar

Describe your biggest weakness from your point of view, and describe your
greatest achievement from another persons point of view.

INFORMATION
For Inquiries, please contact us via email at wyaap.conferences@gmail.com or through
phone at +63.2.9215162.
You may also visit our website at www.wya.net/apelc.

APPLICATION DEADLINES
Essay Competition* and Early ELC Application Deadline: August 19, 2016,

Friday (11:50PM GMT +8)

Regular Application Deadline: August 31, 2015, Wednesday (11:50PM

GMT +8)*

Payment Deadline: September 23, 2015 (Friday)

*Only 20 winners will be selected for the 5 th WYAAP ELC Essay Competition
CONFERENCE FEES

Essay Writing
Competition

Regular Application

Deadline: August 31, 2016

Deadline: August 19,

2016

Local Participants

PhP 3,900.00

PhP 4,300.00

International
Participants

USD 115.00

USD 125.00

REMINDERS
-

Delegates below 18 years old are required to be accompanied by an

educator/adult supervisor. Educators/adult supervisors will be paying the
same rate as their students.
All delegate conference fees include conference materials and kit, meals
and snacks during the conference.
All other travel, lodging, visa and tax expenses before, during, and after the
conference will be the sole responsibility of the participant.
Payments made are final and non-refundable.