LWUA Complex, Training Center Building

Katipunan Ave., Balara, Quezon City

NATIONAL ANTI-POVERTY COMMISSION
CHILDREN SECTORAL ASSEMBLY
APPLICATION KIT

Dear applicant-organizations,

Thank you for your interest in applying for the National Anti-Poverty Commission Children Sectoral
Assembly (NAPC-NCSA). Please be reminded of the following

Each applicant-organization must submit:
LETTER OF INTENT to apply for the NCSA addressed to:
MS. NORISA SABIRIN
Sectoral Representative for the Children
National Anti-Poverty Commission
Filled-out ORGANIZATIONAL PROFILE SHEET
Filled-out REPRESENTATIVE PROFILE SHEET
PROOF OF LEGAL EXISTENCE from any credible institution such as Securities and
Exchance Commission (SEC) registration or LGU or NGA Accreditation (e.g. DSWD, CWC,
NYC, NAPC) stating at least one (1) year of existence AND a good track record; and
BOARD RESOLUTION or CERTIFICATION that the participant is the duly authorized
representative of the organization
Approved PARENTS CONSENT FORM for the child representative

The deadline of all applications is on August 20, 2014. Applications must be sent to one of the
following:
1. E-MAIL APPLICATION: Download APPLICATION KIT, fill out all forms and send to
<napc.childrep@gmail.com> with the header NCSA APPLICATION <Name of Organization>.
2. BY-MAIL APPLICATION: Download APPLICATION KIT, print and fill-out all forms. Mail
forms with necessary requirements to:
MS. NORISA SABIRIN
National Anti-Poverty Commission
Water Systems Training Center
MWSS-LWUA Complex, Katipunan Avenue
Quezon City 1105

Incomplete applications will not be entertained. Please do not send in multiple forms.

Sincerely,

The Technical Working Committee
NCSA 2014





LWUA Complex, Training Center Building
Katipunan Ave., Balara, Quezon City

ORGANIZATIONAL PROFILE SHEET

Name of Organization:


Acronym:


Office Address:



Contact Details:
Telephone No./Mobile No.: Email Address:
Organizations
Website/Blog
Site/Facebook Page

Nature of Organization
1
:



Geographical Presence
2
: 1.

2. 3.
Region:
Month and Year
Established
3
:

Number of Members: Female:

Male:
Current or Past
Involvement in NAPC
Programs and Activities
4

1.

2.

3.


1
Classifications are one of the following: Barangay-Wide/ City/Municipal-Wide (presence in at least three barangays in a
city/municipality; Province-Wide (presence in at least three cities/municipalities in a province); Region-Wide (presence in
at least three provinces in a region); and Nationwide (presence in each of the island-regions of Luzon, Visayas and
Mindanao)
2
For Barangay-Wide Organizations, please state barangay; For City/Municipality-Wide Organizations, please list three (3)
of the cities/municipalities the organization is present in; For Region-Wide Organizations, please list the three (3) provinces
the organization is present in; and For Nationwide Organizations, please list the three (3) regions the organization is present
in.
3
Please note that only organizations that have been established at least one (1) year prior to October 1, 2014 will be
accepted.
4
Please list the specific NAPC programs/activities, and if possible the year, the organization participated in.





LWUA Complex, Training Center Building
Katipunan Ave., Balara, Quezon City
Top Three (3) Children
Issues or Concerns the
Organization is Involved
In
Children Issue/s Organization Stand
1.


2.


3.


Current Programs/Projects
of the Organization:
1.

2.

3.

Affiliation/s


































LWUA Complex, Training Center Building
Katipunan Ave., Balara, Quezon City

REPRESENTATIVES PROFILE SHEET

Full Name


Nickname
Mailing Address with
Postal Code:

Contact Details:
Telephone No./Mobile No.: Email Address:

Gender:

Age
5
: Date of Birth:
Position in the
Organization

Duration of Term: Since:

Until:























5
Official representatives must be between ten (10) to fourteen (14) years old by October 1, 2014.





LWUA Complex, Training Center Building
Katipunan Ave., Balara, Quezon City

SAMPLE PARENTAL CONSENT FORM

PARENTAL CONSENT FORM

to be completed and attached to the application kit by the parent and/or legal guardian
of the child representative taking part in the application to the
National Children Sectoral Assembly (NCSA)

Organization: _________________________________________________________________________
Name of Child Representative: __________________________________________________________
Region: _________________

I. Details of the National Children Sectoral Assembly

The National Children Sectoral Assembly (NCSA) facilitates the formation of the National Children
Sectoral Council (NCSC) and the selection of nominees for the position of National Children Sectoral
Representative (NCSR). The NCSA will be conducted this October 2014.

I, ___________________________, agree to my son/daughter, _________________________, _____,
(name of parent/legal guardian) (name of child representative) (age)
participating in the National Children Sectoral Assembly (NCSA) this October 2014 in Metro Manila
and agree to him/her taking part in all the activities during the assembly and in future activities of the
NCSA as may be deemed necessary.

II. Signature of Parent/Legal Guardian and Child Representative

Name and Signature of Parent/Legal Guardian: _____________________________________________
Name and Signature of Child Representative: ______________________________________________
Date: ____________________

Note: Other forms/templates of the parental consent form that is presently used by the organization shall be
accepted.



-END OF APPLICATION KIT-

Note: Please do not forget to attach the following to this application kit:
Organizations PROOF OF LEGAL EXISTENCE; and
BOARD RESOLUTION or CERTIFICATION that the participant is the duly authorized
representative of the organization
Approved PARENTS CONSENT FORM for the child representative