How would you like to be called?
Nickname / Other name
I am applying as:
A youth delegate
An educator (teacher/adviser/adult chaperone)
[For educators only] Name of delegate / school / organization:
Birthday (Month, Day, Year)
Ex. December 31, 2000
Complete mailing (home/office) address
Country of residence
Federal States of Micronesia
Papua New Guinea
This conference is open only to residents of the countries listed below.
Languages fluently spoken
Religious affiliation, if any:
Please include your country/area code if you reside outside the Philippines.
Present occupation and work title / course or track / grade level
Example. Student / STEM track / Grade 12
Present employer / school / university
Educational background: Check all completed degrees
Primary / Elementary Education
Secondary / High School Education
Tertiary / Bachelors Degree
Post-graduate / Masters
List down scholarships, awards, and recognitions received, including the awarding institution and year the award was given
Example: Freedom for Excellence Award / World Youth Alliance Asia Pacific / 2015
What organizations (academic/non-academic) are you currently affiliated with? Include your current position in the organization
Example: World Youth Alliance Asia Pacific / National Committee Coordinator
Do you have any medical/special conditions or need any special support? List them below.
These include allergies, food restrictions, disabilities, and other health conditions
Rate your ability to understand English (audio and written).
1 star: I will need a translator / 5 stars: I can understand and converse confidently in English
If you were to perform a skill or talent in front of an audience, what would that performance (skill/talent) be?
If you had 7 days without school or work, what activities/hobbies would you do to fill all that spare time?
Are you a World Youth Alliance (WYA) Member?
Yes, I am!
No, but I am signing up as a WYA Member through this application form.
I am above 30 years old but would still like to be part of WYA (NOTE: Individuals above 30 who support WYA are called WYA Friends)
Are you a member of an existing WYA Club/Chapter/National Committee? If yes, which one?
Write N/A if you are not.
What WYA events have you attended in the past?
If you could remember the year when you attended this event, please write it down as well (Ex. Emerging Leaders Conference / 2017)
How / Where did you first encounter WYA?
How did you learn about the Emerging Leaders Conference?
I saw a post about it on Facebook
I saw a post about it on Instagram / Twitter
I read an e-mail about it from WYA
My school informed me of the opportunity
My organization informed me of the opportunity
I searched for conferences/youth opportunities on Google search
In 50 words or less, why do you want to join the ELC?
In 100 words or less, write about your understanding of human dignity. What is dignity? Where does dignity start and end?
I hereby certify. (NOTE: Legal guardians must certify on behalf of applicants below 18 years old)
[For legal guardians] Write your name below to certify on behalf of the applicant.
Should be Empty: