8/12/2019 ACP Form (1)

1/4

Active Citizens Program

Application Form

Full Name

Fathers Name

Gender

Date of Birth

Qualification

Profession

Religion

Telephone,

Mobile ,

mail

!N"! number

#pl$ attach photo%state cop& of

!N"!'

District

Postal (ddress

Do &ou ha)e an& disabilit&*Please mention t&pe+

es+ No+

T&pe+

-h& do &ou .ant to /oin

(cti)e !iti$ens Program*

0ist of &our lin1 .ith othernet.or1s, .or1 e2perience*

Please attach

two recent

passport size

photo and

copy of CNIC.

8/12/2019 ACP Form (1)

2/4

3a)e &ou carried out an&social action 4.or1 for

betterment of societ&5*"f, &es please .rite in detail

our a)ailabilit& for (cti)e!iti$ens Program6

0e)el of competence innglish languages6

nglish #please tic1'

(d)ance+ Moderate+ Poor+

our )ision* -here do &ousee &ourself after this acti)eciti$ens program*

Date:__________________ Signature: ____________________

Please send complete dully filled form at the following address:

Active Citizens ProgramSDTS- ead !ffice: A"# "rd$loor Civic Centre %hairpur&

Tel'$a(: )*+"-,,+)*.mail: sewavolunteers/gmail&com

mailto:sewavolunteers@gmail.commailto:sewavolunteers@gmail.com

8/12/2019 ACP Form (1)

3/4

Active Citizens Pakistan Programme 2013-2014

Program Introduction

Active Citizens programme aims to develop leadership skills in young people of Khairpur,

Sukkur and Larkana districts. It facilitates community and political participation amongstyoung people through interaction with local community, organizations and local andnational governments. It also develops an understanding of gloal issues which affect

young people and their communities.

!he programme aims to increase Active Citizens outreach through developingstrengthened partnerships with civil society organizations in the country and engage withcommunities and young people in the Khairpur, Sukkur " Larkana districts.

!he Active Citizenship program aims to e#uip young leaders with skills to help themaddress social issues, access decision making process and contriute to uilding

community cohesion with people of all generations through$

a% Capacity Building: for young people that includes& leadership, communication,

advocacy, citizenship, volunteering, social action program delivery, fund 'raising,entrepreneurship, partnership and network uilding.

b)Developing international network:oth face(to(face and online, enaling youngpeople to share their ideas, knowledge and e)periences to develop new relationships andunderstand their roles as gloal citizens.

c) Developing youth-led social programs$ where young people contriute to

addressing various development issues in their communities y involving localinstitutions and people of all generations to make a positive difference.

d)Facilitating policy dialogue$ to stimulate deate aout active citizenship and youthpolicy and practice at national, local and community levels.

THE PARTICIPANTS

!here will e *++ young participants from Khairpur, Sukkur " Larkana districts, aged -(*+ years. !hese participants will e part of the programme for at least si) months.

Participants Selection Criteria:

1. Aged etween - ( *+.2. Interest to visit other provinces of akistan and uild linkage across provinces.3. /ood communication and listening skills or a willingness to develop these skills

further.4. 0esident of Khairpur, Sukkur " Larkana 1istricts.5. 2illingness to learn and roaden e)perience to a national and gloal perspective.6. 1emonstrale interest in local community development.3. /ood team worker, Confident, 4otivated, 5nthusiastic.

8/12/2019 ACP Form (1)

4/4