National Young Leader Award Forms
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Are you applying for the award? *

     
 
2018 Award Application Form

Please note that you are unable to save a draft on this form and might lose your answers if the page encounters an error. We advise to have prepare your answers on a separate platform first.

In order to complete this, please have your video submission ready. Acceptable formats are .mp4, .mov, .avi. Files must be less than 100mb in size.

Upload the video file to a repository service – like Dropbox or Google Drive – and copy the link for submission.
 
Basic Information

 
First Name *

 
Full Name (As shown in IC) *

 
School / Organisation you are representing *

At least 1 adult referee will need to be from the named school or organisation.
 
NRIC / Passport Number *

 
Age as of 2018 *

As of 1/1/18, you must be aged 15 to 19 to be eligible for the award.

 
Nationality *


 
Gender *


 
Contact Information

 
Handphone number *

Maximum of 8 numbers
 
Current Address *

 
Postal Code *

 
About You

 
What does leadership mean to you? *

(Maximum of 1,200 characters, about 175 words)
 
Who is 1 person you admire and why? *

(Maximum of 1,200 characters, about 175 words)
 
Share your most challenging moment and how you overcame it. *

(Maximum of 1,200 characters, about 175 words)
 
Share an incident that changed your perspective and explain why. *

(Maximum of 1,200 characters, about 175 words)
 
Tell us more about your involvements inside/outside of school. *

(Maximum of 1,200 characters, about 175 words)
 
How have you brought others to a cause in order to create change? *

(Maximum of 1,500 characters, about 225 words)
 
What is one cause you are passionate about? Why? *

(Maximum of 1,500 characters, about 225 words)
 
What are some ways you have been advocating for a cause that you believe in? *

(Maximum of 1,500 characters, about 225 words)
 
If you could have any resources to aid your cause, what would you ask for and what how will you use them? *

(Maximum of 1,500 characters, about 225 words)
 
Make a 60 second video that shows us who you are as a person. *

The video is to better get to know you. You will not be judged by the production value of your submission.

Acceptable formats are .mp4, .mov, .avi. Files must be less than 100mb in size.

Upload the file to a repository service – like Dropbox or Google Drive – and paste the link below.
 
If you are unable to submit a video, please explain why here.

 
Please verify that the information is correct.

 
Basic Information

Full Name: {{answer_PRcfmXHNC303}}
School / Organisation: {{answer_dYf70ZdDBIAs}}
Age: {{answer_DH0Q7MPJLFMp}}
Nationality: {{answer_hFpVGDiTt8L3}}
NRIC / Passport Number: {{answer_iThN3OqXFZKC}}
Gender: {{answer_fUzRTQDAfWgF}}

Contact Details
Email: {{answer_wP4FkII87yjG}}
Handphone Number: {{answer_brqsi7B2fAp1}}
Current Address: {{answer_NBMXGDz1l6PR}}
Singapore {{answer_UiyALOEbyHnT}}
 
How many adult referees will be supporting your application? *


 
Please fill in your referee's details

Please provide the name and contact information for 1 adult referee who is familiar with you. We are looking for individuals who can speak to what you’ve included in the submission above.
 
1st Adult Referee: Full Name *

 
1st Adult Referee: Contact Number *

 
Please fill in your 2 Referees' details

Please provide the names and contact information for the 2 adult referees who are familiar with you. We are looking for individuals who can speak to what you’ve included in the submission above.
 
1st Adult Referee: Full Name *

 
1st Adult Referee: Contact Number *

 
2nd Adult Referee: Full Name *

 
2nd Adult Referee: Contact Number *

 
Supporting Referrals
Number of Testimonials: {{answer_uel0FbfqSHQ8}}

1st Referee's Contact
Full Name: {{answer_QK13ZNNhQeX4}}
Email: {{answer_BreO4mq2Ga1t}}
Contact Number: {{answer_YXfX4XBTqmlX}}

2nd Referee's Contact
Full Name: {{answer_QK13ZNNhQeX4}}
Email: {{answer_XJ0DvZ8pdAE2}}
Contact Number: {{answer_ozv9duHauf57}}
 
Please remember to request for your adult referrals to complete their testimonials in support of your application.

Before you go..

 
How did you find out about the award? *


 
As part of Halogen Foundation's mandate behind developing young leaders such as yourself, would you like a seat to attend an exclusive Leadership Masterclass? *

If yes, you will receive an email with the event details.

 
We Respect and Keep Your Data Safe

By supplying your personal details, you give consent to receive updates on future programmes, events and marketing materials by Halogen Foundation Singapore.

Please check box and indicate if you do not allow Halogen Foundation Singapore to use your personal information for the following purposes related to:

 
Submission of Referrals

**Please note that you are unable to save a draft on this form and might lose your answers if the page encounters an error. We advise to prepare your referrals on a separate platform first.

We are looking for referees who are familiar with the applicant. It would be preferred if you know and work with them on a regular basis.

The referral can only be done by a working adult.

 
First Name *

 
Last Name *

 
School or Organisation you represent *

 
Designation *

 
Contact Number *

You may be contacted to verify the applicant's submission.
 
Applicant's Information

Please fill the applicant's details below for our matching purposes.
 
Full Name of Student Applicant *

 
NRIC *

 
School / Organisation *

 
Affiliation with applicant *

e.g Form teacher, CCA teacher
 
Referral *

(Maximum of 2000 characters, about 300 words)
 
Please confirm the following details.

Your details:
Name: {{answer_rYVEis2HfFp0}} {{answer_Q4shzxUUCao9}} {{answer_aqDjjslfFivq}}
School/Org, Designation: {{answer_KyZLU4EDtE7A}}, {{answer_foG6KRPrC7Qy}}
Email: {{answer_E8r2aiLS913W}}
Phone: {{answer_g6r9ZEButAzX}}
Your Affiliation with applicant: {{answer_iOKrtXR5rtUs}}

Student applicant details:
Name: {{answer_Hd9ak8MBl2d4}}
NRIC: {{answer_hzWdTYc4OmVX}}
School / Org: {{answer_NQqiv2a8TZgb}}
 
Thank you {{answer_rYVEis2HfFp0}} {{answer_Q4shzxUUCao9}}!
Before you go...

 
How did you find out about the award? *


 
Would you like to have a free consultation to find out more about our programmes? *

If yes, you will receive a follow up email from our Leadership Development Consultants.

 
We Respect and Keep Your Data Safe

By supplying your personal details, you give consent to receive updates on future programmes, events and marketing materials by Halogen Foundation Singapore.

Please check box and indicate if you do not allow Halogen Foundation Singapore to use your personal information for the following purposes related to:

Dear {{answer_rYVEis2HfFp0}} {{answer_aqDjjslfFivq}}, thank you for your testimonial.
{{answer_Hd9ak8MBl2d4}} will be contacted by September 2018 if they are shortlisted.

For queries, please call 6509 6700 or email award@halogen.sg
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Dear {{answer_lRwWoGb7tVL4}}, thank you for submitting your application. You will be contacted by September if your application is shortlisted.

Please remember to request for your adult referrals to complete their testimonials in support of your application.

For queries, please call 6509 6700 or email award@halogen.sg
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Powered by Typeform