Youth Nation Summit 2011

Application Form
Dear Candidate,

Thank you for your interest in the Youth Nation Summit 2011, the first in a series of
events organized under “The Power of Y” initiative. Kindly complete the application
form below (either in English or Bahasa Malaysia) and send it to ynsummit@aiesec.my
by 10th May 2011 at 11.59PM (GMT +8).

Upon the conclusion of the application screening, the organizer will contact you via
email or phone (by the middle of May) on the status of your application. Only 500
applicants will be selected* to participate in the Summit. Out of the 500 selected
participants, only 30 will be selected* for training on how to pitch their projects one
week before the Summit. However, only 20 will be selected to pitch their projects for
funding and resources on the third day.

Who can apply?

• Youth leaders aged 17 to 29 years old;

We wish you the best of luck.

*All selection decisions shall be final and cannot be appealed.

 Photo

A PERSONAL DETAILS
Name
NRIC/Passport
Date of Birth
Gender
Address
Mobile Number
E-mail Address
University/College
Course
Expected Year of
Graduation
 PAST EXPERIENCE
B
(any clubs/ societies /associations/ organizations/ projects)
Organization/ project
name
Description of the organization/ project

What have you and/ or your organization achieved so far?

What will you and/ or your organization be working on for the next 12 months?

(If you have more than 1 past experience)

Organization/ project
name
Description of the organization/ project

What have you and/ or your organization achieved so far?

What will you and/ or your organization be working on for the next 12 months?

(If you have more than 2 past experiences)

Organization/ project
name
Description of the organization/ project

What have you and/ or your organization achieved so far?

What will you and/ or your organization be working on for the next 12 months?
C QUESTIONNAIRE
What is your understanding on Youth Leadership?

In your opinion, what are the 3 major current issues today? Please elaborate.

Describe 2 ways on how corporate, government and youth can work together in
addressing the issues mentioned above?

How do you think youth can play a part in contributing to the betterment of the
society?

In your opinion, what are the 3 skills and 3 competencies needed by youth in
contributing to a positive change in the society?

Please briefly comment on the current Corporate Social Responsibility (CSR)

programs run by the corporate sector.

Please elaborate on how to improve corporate CSR programs.

Youth Nation Summit 2011 will select 20 youth leaders to pitch their projects to
corporate representatives on Day 3 of the Summit. Kindly complete Section D
below only if you would like to pitch your project to corporate
representatives for support to grow your project. Training will be provided to the
selected participants one week before the Summit.

D PITCH YOUR PROJECT

Project Name
Project Location
Project Start Date
Project Duration
Who will your project reach, who will benefit from the project and what is the
estimated number of beneficiaries?

Describe briefly the problems faced by your targeted project beneficiaries whom
you are trying to solve and how your project addresses these problems?

Why do you want to reach/help these people and how does this align with your
organization's or personal goals?

What is the expected outcome of this project?

What resources are you committing to this project? e.g. People, funds, expertise,
etc.

Do you have any other partners working on this project with you?

What is the estimated total budget of the project? Have you secured any funding
so far?

What kind of support would you ask for?