Young Women's Leadership Connection

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I. Personal Information

Full Name (as in NRIC):
Preferred Name:
NRIC No:
Date of Birth:	Day: Month: Year:
Address:
Blk/Hse No.:		Postal Code:
Unit No. (If applicable):		City:
Street Name:		Country:
Email Address:		Mobile Number:
Residential Telephone Number:
Office Telephone Number:
Preferred Contact Number:
Marital Status:		Occupation:
Ethnicity:		Religion:
PAssion Card Member:	YesNo	PAssion Card Number: (if applicable):

II. Education & Employment

Tertiary (Mandatory)

School:
Qualification:
Status
GPA (or equivalent):	out of
Honours:	If you chose "Others", please specify honours.
Graduation:	Month: Year:

Employment (If applicable)

Name of Employer:
Address of Employer:
Job Title:
Period of Employment:	From: To: I currently work here

III. Voluntary Activities

Activities in Clubs, Societies and Organisations (Mandatory)

Name of Club/Society/Organisation:
Position Held:
Year(s) Active (e.g. 2008 to 2009):
Key Achievements (100 words max):

Community Service (Mandatory)

Name of Community Service Activity:
Position Held:
Year(s) Active (e.g. 2008 to 2009):
Key Achievements (100 words max):

IV. Free Expression (Optional)

Please share with us any information / thoughts you may have that would be useful in assessing your application.

2. Please share briefly your thoughts and ideas on what YWLC can (better) do to build future women leaders.

3. Where do you see yourself in 20 years? Please share briefly on a key aspiration/dream.

4. What are 3 adjectives you would use to describe yourself and why?


Note: At our discretion, YWLC may request for documents to verify the information provided in this application form. YWLC also reserves the right to reject the application or revoke membership if any information provided in the application form is subsequently discovered to be false or inaccurate.