UX: Ideas Youth Camp for UNESCO

December 8-11, 2017

Angeles City, Pampanga
Organized by the National Association of UNESCO Clubs in the Philippines

APPLICATION FORM

I. CLUB REPRESENTATIVE
(Surname) (Given Name) (M.I.)
Mr. X Ms. Tuazon Elijah Mae
Position Title President
Mobile Number
Email Address
Facebook Account

II. CLUB DETAILS

Name of club Mga KaSocSci UNESCO

UNESCO Club since
(yyyy)
No.
Street Don Manuel Banzon Avenue
Barangay Poblacion
Address City / Municipality Balanga
Province Bataan
Region III
Postal Code 2100
(Area code) (Telephone)
Telephone 237 - 9315
047

Email Address

Website

Social media Ex)The URL of the club on any social network, like Facebook
of the club
UX: Ideas Youth Camp for UNESCO
December 8-11, 2017
Angeles City, Pampanga
Organized by the National Association of UNESCO Clubs in the Philippines

III. PROJECT PROPOSAL

Title of the Project / Project LET US SOAR (Leading, Empowering Transforming and
Program Uniting Societies for SDGs On the Attainable Road)
Sustainable
Development goal and
specific target
(please choose only 1)
Policy formulation / review
Main Type of
Capacity Development
Intervention
Youth-led Action
(check only one)
others, please specify
Social Inclusion
Civic Engagement & Participation
Value Intercultural Dialogue
(check only one) Social Entrepreneurship & Innovation
Skills Development
others, please specify
Write the rationale why this project is timely and significant, and provide the abstract as a
summary of what the project is all about.maximum of 300 words.

Background Summary

Objective(s) and
Project Justification

Implementation
Strategy
UX: Ideas Youth Camp for UNESCO
December 8-11, 2017
Angeles City, Pampanga
Organized by the National Association of UNESCO Clubs in the Philippines

Beneficiaries

Implementing
Organization(s)

Institutional Partners
(Name & Address)

Duration (months) &

Timeframe

Overall Budget and

Budget Breakdown
(estimated expenses)

Monitoring and
Reporting Modalities
UX: Ideas Youth Camp for UNESCO
December 8-11, 2017
Angeles City, Pampanga
Organized by the National Association of UNESCO Clubs in the Philippines

Confirmation of Undertaking:

I understand that as part of my commitment if selected as an official participant of UX, I shall re-
echo my learning to my Club and/or other organizations, and submit necessary proof or
documentation to NAUCP on or before August 31, 2018. If I fail to do so, I will pay NAUCP
50% of the budgeted expenses for one participant.

Signed:
Name of Club Representative
Signature
Endorsed by:
Name of Club Head
Position Title
Mobile Number
Email Address

Please send completed application form to: naucp@unescoclubsph.org AND to

jonathanjaime.guerrero@yahoo.com with the email heading:

SURNAME_UX APPLICATION_NAME OF UNESCO CLUB

Example: GUERRERO_UX APPLICATION_BU UNESCO CLUB

Note:
Registration fee amounting to 5,000 pesos will only be collected from successful applicants.
Deadline of Application is on November 9, 2017.