WORLDYOUTHDAY2011

INDIVIDUALAPPLICATIONFORMFORMEMBERSHIPTOTHEECY-PHILIPPINES

EPISCOPALCOMMISSIONONYOUTH

CATHOLICBISHOPS’CONFERENCEOFTHEPHILIPPINES

NationalSecretariatfor Youth Apostolate,3/F CBCPBuilding,470GeneralLuna Street,Intramuros,Manila

Telephone:025279567Telefax:025279566EmailAddressforWYD2011:

INSTRUCTIONSINACCOMPLISHINGTHISFORM

• Readandunderstandthe primer“ECYWYD2011” before accomplishingthis form.Theprimer isavailableatthe youthministry offices ofthe diocesesandFNYO-memberorganizations oratthe NSYAoffice.

• Accomplishlegibly,i.e.typewrittenorinblock letters.

• Submitinthree copies togetherwithcompleterequirements(see ECYWYD2011pages6-8)tothe ECY-NSYA.

• Deadline ofSubmissionis on31January2011.ApplicationNo.

-ForECY DelegationSecretariatonly-

A. PASSPORTDETAILS

B. PERSONALINFORMATION

ChecklistofRequirementsforApplication

EAPP,original2photocopies

ELEO,3photocopies

EEND,original2photocopiesEERP,original2photocopiesEFIN1,3authenticated

photocopies

EPSP,3photocopiesofbiopageandallstampedpagesof

currentpassport,validuntil01

March2012orbeyond

10.CivilStatus / 11.EmailAddress / 12.HomePhoneNumber / 13.MobilePhoneNumber

14.HomeAddress

C. CURRENTOCCUPATION(Pleasetickapplicablebox/esandprovidedetailsinthe appropriatecolumn/s.)

EEmployed/Self-EmployedEStudent

1.1NameofEmployer/Business2.1NameofSchool

1.2 AddressofEmployer/Business2.2 AddressofSchool

1.3YourCurrentPosition2.3CurrentCourse

1.4Periodof Employment(DateStarted–Current)2.4YearLevel

1.5CharacterReference–Work2.5CharacterReference–School

1.6CharacterReference’sPosition2.6CharacterReference’sPosition

1.7CharacterReference’sContactNo.2.7CharacterReference’sContactNo.

D. CHURCHMINISTRY

EPriest ENunEYouthMinisterECatechist ECampusMinisterEOthers:___

1. YouthMinistryInvolvement

2.NameofChurch,Institution,Community,Organization / 3. PeriodofInvolvement(DateStarted–Current/DateEnded)

4.CompleteaddressofChurch,Institution,Community,Organization

EPIX,5copies,recently taken,whitebackground

EFEE,P700.00,OR#__

Receivedby:

______NSYAStaffDate

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DScreening:EA EPS ED

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Date: _

Note: _

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PScreening:EA ED

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Date: _

Note: _

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ChecklistofRequirementsforWYD2011 andVisa

ELOI,original2photocopiesEVIS,original2photocopiesELOA,original2photocopiesEFIN2,3authenticated

photocopies

EMIN,original2photocopiesEBCT,original2photocopiesEOTH,original2photocopiesEWYD Financial Requirement

OR# __

Receivedby:

______NSYAStaffDate

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VisaApplicationDate:______

Status:EA ED

E. WORLDYOUTHDAY DETAILS(Pleasetickapplicablebox/es.)

1.Pleasenarratebrieflythereason/swhyyouwishtojointheWYD2011. Ifspace isnotenough, pleaseuseadditionalsheets.
2.AttendancetopastWorldYouthDay InternationalCelebrations(Providename oftheGroup/Sub-Groupwhichyoujoined.)
EothersbeforeWYD95 E1995Manila E2002Toronto E1997Paris E2005Cologne E2000Rome E2008Sydney
3.WYD2011Itinerary
EChoiceA:IwilljoininboththePre-WYD2011DaysintheDiocese(11-15August2011)andintheWYD2011activities in
Madrid (16-21August2011).
EChoiceB:IwilljoinonlyintheWYD2011 activitiesinMadrid (16-21August2011).
4.WYD2011PreparatorySessions
EIwillattendtheWYD2011PreparatorySessionon
E23-24 July2011(Visayasdelegates) E30-31July2011 (Mindanaodelegates) E06-07August2011(Luzondelegates)
EIwillalsoattendtheGeneralPreparatorySessionforthewholedelegationon08 August2011inManila.
ERegrets,IcannotattendtheWYD2011PreparatorySessionbecause
5.WYD2011Re-EntrySession
EIwillattendtheWYD2011Re-EntrySessioninMadrid on 22August2011.
ERegrets,IcannotattendtheWYD2011Re-EntrySessionbecause
6.FinancialResources:MycostoftraveltoSpainandparticipation intheWYD2011areassuredthrough:
EMypersonalresources
ESponsorshipbyindividualbenefactorsandpersonalfriends: EFund-raising,solicitation,andothersimilaractivities,nameofinstitution: Theperson/sorinstitution/syouhavelistedwillhavetoprovideproofsofabilitytosupportyourtrip.Pleaseuseadditionalsheets ifspaceisnotenough,i.e.
therearemorethan onepersonorinstitutionthatwillhelpyouraisefunds. PleaserefertotheECYWYD2011Primer,FIN1onp.7andFIN2onp.8.

F. FAMILYCOMPOSITION

1. Father’sFullName / 2.CompleteAddress / 3.Age / 4.Occupation
5.Mother’sFullName / 6.CompleteAddress / 7.Age / 8.Occupation
9.Ifmarried,FullnameofSpouse / 10.CompleteAddress / 11.Age / 12.Occupation

Name/sofSibling/s,ifSingle,or Child/ren,ifMarried

Writedownthenamesaccordingtoage.Kindlyuseadditionalsheetsifthespacebelowisnotenough.

FullName / CompleteAddress / CivilStatus / Age / Occupation
1.
2.
3.

G. RELATIVESAND/ORFRIENDS RESIDINGINANYOFTHE SCHENGENSTATES

Listdownthename/sofyourrelative/sand/orfriend/sresidinginanyoftheSchengenStates:Austria,Belgium,Denmark,Finland,France,Germany,Greece,Iceland,

Italy,Luxembourg,Netherlands,Norway,Poland,Portugal,Spain,SwedenandSwitzerland.Providecompleteaddress/esandcontactnumber/s.Useadditionalsheet/sifthespacebelowis notenough.

FullName / CompleteAddress / RelationshiptoYou / ContactNumber/s
1.
2.

a.Doyouplantospendadditionaldays withyourrelative/sand/orfriend/slistedaboveaftertheWYD2011in Madrid? EYes ENo

If Yes,youwillbeaskedtoprovideyourspecificitineraryforthevisaapplication.

b.HaveyouvisitedanyoftheSchengenStates?EYes ENo

If Yes,whichSchengenState/sand inwhatyear?______

DECLARATION

IherebyexpressmysincereintentiontojointheWYD2011throughtheECY-Philippines. ShouldIbefortunatetobeacceptedasamemberofthesaiddelegation,Ipromisetofaithfullyfollowits itineraryandcomplywithall therequirementssetby theECY.

Ifurtherstatethatallinformationcontainedherearetrue,correctandcomplete.IalsoallowtheECY tousethesedata fortransmission,

asneeded,toallentitiesinvolvedintheorganizationofWYD2011.

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