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<!DOCTYPE html>
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<head>
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<meta name="viewport" content="width=device-width, initial-scale=1.0, shrink-to-fit=no">
<title>FYLP | Apply as a Mentor</title>
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<meta name="twitter:description" content="The Filipino Youth Leadership Program (FYLP) is a month-long leadership development experience designed to offer a unique opportunity to be trained, formed, and inspired by the nation’s key storytellers, esteemed lecturers, and young-driven mentors, anchored from a place of great love for the country. In its pursuit for a deep-rooted and transformative leadership encounter, FYLP selects thirty sterling student leaders from across Mindanao.">
<meta name="twitter:card" content="summary_large_image">
<meta name="description" content="The Filipino Youth Leadership Program (FYLP) is a month-long leadership development experience designed to offer a unique opportunity to be trained, formed, and inspired by the nation’s key storytellers, esteemed lecturers, and young-driven mentors, anchored from a place of great love for the country. In its pursuit for a deep-rooted and transformative leadership encounter, FYLP selects thirty sterling student leaders from across Mindanao.">
<meta name="twitter:title" content="The Filipino Youth Leadership Program">
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<form style="background: #ffffff;border-radius: 25px;" data-bss-subject="Appication | Mentor" data-netlify="true" data-bss-recipient="4944904d8abbeec29e5244e5469833e4">
<h2 class="text-center">Mentor Application Form</h2>
<p style="font-family: 'Noto Sans', sans-serif;text-align: center;">The Filipino Youth Leadership Program is now accepting applications from student leaders from across Mindanao who wants to help train, form, and inspire young Filipino students to become a productive force for national transformations. <br><br>Deadline of application will be on <strong>July 26, 2021.</strong><br><br></p>
<div class="mb-3"><label class="form-label" style="font-family: 'Noto Sans', sans-serif;margin-right: 0px;margin-left: 15px;">Name</label><input class="form-control" type="text" name="Name" required="" style="font-family: 'Noto Sans', sans-serif;border-radius: 10px;margin-bottom: 16px;" placeholder="Surname, Given Name, M.I."><label class="form-label" style="font-family: 'Noto Sans', sans-serif;margin-right: 0px;margin-left: 15px;">Age</label><input class="form-control" type="text" name="Age" required="" style="font-family: 'Noto Sans', sans-serif;border-radius: 10px;margin-bottom: 16px;" minlength="2" maxlength="2" inputmode="numeric"><label class="form-label" style="font-family: 'Noto Sans', sans-serif;margin-right: 0px;margin-left: 15px;">Birthdate</label><input class="form-control" type="date" style="margin-bottom: 16px;font-family: 'Noto Sans', sans-serif;border-radius: 10px;height: 42px;" name="Birthdate" required="" title="Birthdate"><label class="form-label" style="font-family: 'Noto Sans', sans-serif;margin-right: 0px;margin-left: 15px;">Full Address</label><input class="form-control" type="text" name="Full Address" required="" style="font-family: 'Noto Sans', sans-serif;border-radius: 10px;margin-bottom: 16px;"><label class="form-label" style="font-family: 'Noto Sans', sans-serif;margin-right: 0px;margin-left: 15px;">Email Address</label><input class="form-control" type="text" name="Email Address" required="" style="font-family: 'Noto Sans', sans-serif;border-radius: 10px;margin-bottom: 16px;" inputmode="email" autocomplete="on"><label class="form-label" style="font-family: 'Noto Sans', sans-serif;margin-right: 0px;margin-left: 15px;">Contact Number</label><input class="form-control" type="text" name="Contact Number" required="" style="font-family: 'Noto Sans', sans-serif;border-radius: 10px;margin-bottom: 16px;" inputmode="numeric" autocomplete="on" minlength="11" maxlength="11"><label class="form-label" style="font-family: 'Noto Sans', sans-serif;margin-right: 0px;margin-left: 15px;">School Attended</label><input class="form-control" type="text" name="School Attended" required="" style="font-family: 'Noto Sans', sans-serif;border-radius: 10px;margin-bottom: 16px;" inputmode="email" autocomplete="on"><label class="form-label" style="font-family: 'Noto Sans', sans-serif;margin-right: 0px;margin-left: 15px;">Course</label><input class="form-control" type="text" name="Course" required="" style="font-family: 'Noto Sans', sans-serif;border-radius: 10px;margin-bottom: 16px;"></div><label class="form-label" style="font-family: 'Noto Sans', sans-serif;margin-right: 0px;margin-left: 15px;">Leadership Experience and Affiliations</label><textarea class="form-control" name="Leadership Experience and Affiliations" rows="14" style="font-family: 'Noto Sans', sans-serif;border-radius: 10px;margin-bottom: 16px;" placeholder="Maximum of (3) entries for leadership positions, (3) entries for impactful projects, and (3) entries for awards and distinctions."></textarea><label class="form-label" style="font-family: 'Noto Sans', sans-serif;margin-right: 0px;margin-left: 15px;">Why do you want to be a mentor for the first Filipino Youth Leadership Program (FYLP)?</label><textarea class="form-control" name="Why do you want to be a mentor for the first Filipino Youth Leadership Program (FYLP)?" rows="14" style="font-family: 'Noto Sans', sans-serif;border-radius: 10px;margin-bottom: 16px;" required="" minlength="30"></textarea><label class="form-label" style="font-family: 'Noto Sans', sans-serif;margin-right: 0px;margin-left: 15px;">What is 'nation-building' for you?<br></label><textarea class="form-control" name="What is 'nation-building' for you?" rows="14" style="font-family: 'Noto Sans', sans-serif;border-radius: 10px;margin-bottom: 16px;" required="" minlength="30"></textarea>
<p style="font-family: 'Noto Sans', sans-serif;text-align: center;"><br>We recognize our responsibilities under the Data Privacy Act of 2012, with respect to the data we collect, record, organize, update, use, or consolidate from the applicants. The personal data obtained from this form is entered and stored within the organization’s authorized information and communications database and will only be accessed by the event’s official technical working group.<br><br></p>
<div class="mb-3"><button class="btn btn-success" type="submit" style="background: #363636;">SUBMIT</button></div>
</form>
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