Community Portal

Youth Empowerment Programmes Form

First Name

Last Name

Date of Birth

Phone Number

Residential Address

Address Line 1

City

State

Country

State of Origin

L.G.A.

Community

Ward

Your Skill Sets

Current Level of Education

SSCE

OND/HND

B.Sc

M.Sc

Why should you be selected?

IMPORTANT Notice:

Kindly upload the following Documents to admin@valuebasedleaders.ng or valuebasedleaders@gmail.com after submiting this form;

Passport Photograph
Means of Identification
Local Government Identification
Updated CV/ Resumee
Business Plan/Proposal (Mandatory for those applying for grant)

Declaration:

I, the undersigned, hereby declare that; All the information provided in this application, including uploaded documents, is true, complete, and accurate to the best of my knowledge; That I meet the age and residency requirements for this empowerment programme and am a bona fide constituent of the South East region; That Any business plan or project proposal submitted is my original work and does not infringe on the intellectual property of others; That I authorize the Programme Committee to verify any information provided herein with relevant authorities, institutions, or community leaders; That I understand that submission of this form does not guarantee selection, and the decision of the screening committee is final; That I am aware that any false statement or forged document discovered at any stage will lead to immediate disqualification and possible legal action.

YOUTH EMPOWERMENT PROGRAMME FORM

IMPORTANT Notice:

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