First Schedule, The National Youth Service Act, 2016

NATIONAL YOUTH SERVICE APPLICATION FORM (to be completed in capital letters) PART 1 (A) PERSONAL BIO DATA 1. Name…................................................................................................................. 2. PLACE OF BIRTH: TOWN................................ DISTRICT.........................REGION........................ 3. DATE OF BIRTH: DAY...............MONTH.................. YEAR…...............…...… 4. MARITAL STATUS: MARRIED SINGLE 5. DISTRICT OF ORIGIN…................................................................................... (B) PARENTAGE (including foster/adopted) 6. MOTHER’S NAME: ……………………………….................……………....… 7. MOTHER’S PLACE OF BIRTH: TOWN…................................... DISTRICT.......................……REGION…...................................... 8. FATHER’S NAME:.............................................................................................. 9. FATHERS PLACE OF BIRTH: TOWN………....……...............................…… DISTRICT................…….......................…REGION…...................................... 20 21 PART 2 EDUCATION (A) PRIMARY PERIOD SCHOOL QUALIFICATION (B) SECONDARY PERIOD SCHOOL QUALIFICATION (C) COLLEGE / UNIVERSITY PERIOD COLLEGE QUALFICATION (D) AREA OF SPECIALIZATION……........…………………………………………… Photograph PART 3 (A) BRIEFLY EXPLAIN YOUR INTEREST IN THE NATIONAL YOUTH SERVICE ........................................................................................................................ ........................................................................................................................ ........................................................................................................................ ........................................................................................................................ ........................................................................................................................ ........................................................................................................................ ........................................................................................................................ ........................................................................................................................ ........................................................................................................................ ........................................................................................................................ (B) DECLARATION I solemnly declare that the above represents my true identity as a Sierra Leonean ………………………………………… SIGNATURE OF APPLICANT SECOND SCHEDULE SECTION 30 THE NATIONAL YOUTH SERVICE PLEDGE I, ………………….........................................…………………………………………… (Name of Service Member- surname followed by other names) Member of the National Youth Service, Batch no …………… hereby pledge to follow the leadership of those in authority and in particular, I shall: Pursuance of our aspiration to build a united, peaceful, prosperous, just, free, great nation and of our motto “improving youth productivity and promoting national integration and development”: At all times and places, think, act and speak first as a Sierra Leonean, regard fellow Sierra Leoneans as my compatriots; Be proud of our motherland, appreciate and cherish the culture, traditions, arts, and languages of our nation; Be prepared to serve and work honestly, faithfully, selflessly, effectively, transparently and courteously in any part of the country to which I am deployed and if need be pay the supreme sacrifice for our fatherland; Not only genuinely identify myself with the problems and aspirations of the people of the areas in which I work, but also lawfully tackle difficulties and challenges in a disciplined and responsible manner; 22 23 Continuously strive to live up to the ideals of the National Youth Service during and after my service year so help me God ………………………………………………………………………………………. Signature of Member NYS Call-up No. of Member……………..............................…………………………. District Registration No. of Member………………………….........................………… Sworn to at the National Youth Service Orientation Camp This …………................…………….. Dayof …………………… 20 …………………. BEFORE ME: ......................................................................................................................... Commissioner of Oaths THIRD SCHEDULE SECTION 36 PART 1 NYS FORM 2A NATIONAL YOUTH SERVICE ORIENTATION COURSE PERFORMANCE REPORT FORM (to be completed in capital letters) PART 1 (to be completed by member) District............................................Region …........…………….. (Code nos.) 1. N YS CALL-UP NUMBER:……………………………….........………………… 2. NAME:………………..............................……………………………………… 3. Qualification(s) with area of specialization:. …………………………………………...……………………………………….. …………………………………………………...……………………………….. …………………………………………………...……………………………….. 4. District of Origin:……………………….................................................……… 5. District of Deployment:…………………………………………………………... 6. Period covered by report:……………………………………………………… 24 25 PART II (to be completed by squad/platoon instructors) Notes: (i) There are 10 headings under which members will be assessed. (ii) Maximum score under headings one to ten is 10. (iii) Scoring should be honest, objective and fair. It should be comparative and relative to the group of Members under study. 8. AWARD OF MARK Excellent-10 Very good-8 Good-6 Fair-4 Poor-2 Enter score for each item in the box following each ITEM SCORE Appearance & Bearing: e.g. during parade, physical training and in camp generally Punctuality & Regularity: with what resolution does he tackle his work and physical exercise drills, language study, etc? Sense of Duty: Does he put service before other interest? Loyalty: With what assurance can he be relied upon for support even when orders run counter to his opinion? Initiative & Resourcefulness: Man O’ War training Team Work: How good is his team work? Does he generate a wholesome influence on his colleagues at work? Command & Leadership: how firm and effective in bringing others under control? Discipline: How amenable to discipline? Emotional poise and self-control: Special contribution(s) made e.g. Cooking, games, Social Activities to the success of the orientation TOTAL 26 27 9. General Assessment and any additional remarks: Signature of Reporting Officer Position:……………….....................................................………………………………….. Name:……………………................................................…………………………………. Date:……………………...................................................…………………………………… 10. Coment by other members ……………………………………… ……………………………………… Signature of Service Member Date PART III 11. SUPERVISOR’S GENERAL COMMENTS ……………………………………… ……………………………………… Name and signature Date of Supervisor PART 2 NYS FORM 2B NATIONAL YOUTH SERVICE QUARTERLY CONFIDENTIAL REPORT ON MEMBERS PRIMARYASSIGNMENT PART I (to be completed by members in capital letters) DISTRICT….....…….......….. REGION ……..............……. (code nos.) 1. NYS CALL-UP NUMBER…......................................................………………… 2. NAME:……………………………………………………………......……....… surname followed by other names) 3. Date of Registration:…...............……………………………………………….. 28 29 4. Higher Institution(s) Attended with dates: PERIOD INSTITUTION QUALIFICATION 5. Area of Specialization:........................................................................................... 6. District of Origin:.................................................................................................... 7. Employer During PrimaryAssignment:…..............……………………………. 8. Community of Primary Assignment:…….....................................……...……… 9. Type ofAssignment:……............………………………………………..……… .................................................................................................................................. 10. Period covered by Report……Batch……From..…………To:……....………... PART II (to be completed by employer) Notes: (i) Total mark obtainable is 100 and are allocated relative to the item being assessed. (ii) Scoring should be honest, objective and fair. It should be comparative and relative to the group of members under study. 11. CATEGORIES OF FINAL MARKS AWARDED Excellent…………................................………………………………90%-100% V.Good……………...................................……………………………..70% - 89% Good……………...................................………………………………..60% - 69% Fair……………...................................………….....…………………..40% - 59% Poor……………...................................…………………….…………..1% - 39% Enter score for each item in the box following each item No. Item Score 1. Punctuality 2. Regularity 3. Determination 4. Devotion to duty 5. Loyalty 6. Effectiveness 7. Initiative and Resourcefulness 8. Discipline 9. Teamwork 10. Reliability 11. Command & Leadership 12. Appearance and Bearing 13. Emotional Poise and Self Control 14. Special Contributions by the Service member - TOTAL SCORE - PERCENTAGE 30 31 12. Justify your rating for item 14 (only) Name, Signature and Stamp of Employer Designation:……………......................................……………………………………………. Name of Officer:………….............................................................……………………… Date:……………………………………….................................………………………… PART III 13. Remarks by the District Coordinator: ……………………………………… ……………………………………… Name, Signature Date and Stamp of the District Coordinator PART 3 NYS FORM 2C NATIONAL YOUTH SERVICE PERFORMANCE REPORT ON MEMBERS–COMMUNITY DEVELOPMENT PROGRAMME (to be completed in capital letters) PART 1 (to be completed by member) District……................................…. Regional.............................………….(code nos.) 1. NYS CALL-UP NUMBER:…….............................................…………………… 2. NAME:……...................................................…………………………………… 3. Date of Registration:……………………….............…………………………… 4. Place of Primary Assignment:…..............……………………………………… 5. Local Government Area:….......................……….......................……………… 6. Community Development Project:….........................................................…… (a) Description:........................................................................................................ (b) Location:.............................................................................................................. Town ……………………...............…District……................…………………… Local Government Area…………..................................Region...............................………… 32 33 7. Period Covered by the Report:………...........................………………………… PART II (to be completed by employer) Important Notes: (i) There are 15 headings under which a member has to be assessed (ii) Maximum score under headings 1-15 for each type of Community Development Project (CDP) is 100. (iii) Scoring should be honest, objective and fair. It should be comparative and relative to the group of member. 8. AWARD OF MARKS Excellent.......................................................................................................90% - 100% V. Good...........................................................................................................70% - 89% Good................................................................................................................60% - 69% Fair..................................................................................................................40% - 59% Poor.................................................................................................................1% - 39% Enter score for each item in the box following each item No Item Score 1. Punctuality 2. Regularity 3. Determination 4. Devotion to duty 5. Loyalty 6. Effectiveness 7. Initiative and Resourcefulness 8. Discipline 9. Teamwork 10. Reliability 11. Command & Leadership 12. Appearance and Bearing 13. Relationship with Others 14. Emotional Poise and Self Control 15. Special Contributions by the member TOTAL SCORE PERCENTAGE 34 35 9. General Assessment and any additional remarks by CDP Manager/ Supervisor ................................................... ................................................... of CDP Manager/ Supervisor 10. Comments by another Service Member: ................................................... ................................................... of Member PART III 11. Zonal Inspector’s General Comments: ................................................... ................................................... of Zonal Inspector 12. Remarks of the District Coordinator: ................................................... ................................................... of District Coordinator 36 37 13. Remarks by the Executive Director ................................................... ................................................... of Executive Director 38 39 FOURTH SCHEDULE SECTION 31 NATIONAL YOUTH SERVICE CODE OF CONDUCT After registration every service participant shall adhere to the following code of conduct : 1. During period of orientation, all service participants shall– (a) attend regularly, punctually and fully participate in all official engagements on the field, at lectures and all places of work; (b) not leave the orientation camp or be absent from any official activity without the written consent of the Principal Camp Inspector. (c) when absent from duties on account of illness, ensure that such absence is covered by an ‘Excused from Duty Certificate’ issued by the Medical Doctor on duty at the Camp. (d) not gamble within the premises of the Camp. (e) not possess or carry private firearms. (f) not smoke or chew any substance whilst on parade and at any other time, not smoke in a prohibited area, or litter prohibited area with cigarette butts or other related material. (g) not drink or be found in possession of alcohol,on camp premises. (h) not receive visitors in the camp except on weekends. . (i) not keep pets on Camp premises. (j) wear the uniforms prescribed for various activities. (2) During period of primary assignment, all service participants shall– (a) accept their assignment willingly; (b) report for duty punctually and regularly; (c) carry out assignment diligently; (d) not leave their station or absent themselves from any official duty without the written approval of their head of department or institution, who must consult with the District coordinator of the Service prior to the issuance of such an approval; (e) not engage in any unruly acts or insubordination in their place of work; (f) not disclose or divulge any information obtained in the course of their duty to any person or authority not authorized to receive such information; and (g) not ride a motor cycle without helmet. (3) During the period of Secondary assignment, all service participants shall– (a) report punctually at their place of assignment; and (b) work as efficient team players (4) Any service participant who contravenes any provision of this code of conduct shall be liable to the appropriate penalty as may be prescribed by the Directorate and endorsed by the Board. No. 4 National Youth Service Act 2016 No. 4 National Youth Service Act 201640 41 (5) MEDICAL PROVISIONS Any service participant who takes ill while on duty shall avail himself of treatment at the nearest Hospital or Health centre and on no account seek outside specialist treatment outside his station without prior referral by the local medical authority. (6) LEAVE OF ABSENCE (a) except in the case of vacation leave granted as terminal benefit on completion of the Service, leave of absence shall be a privilege granted at the discretion of the District Coordinators in accordance with rules established by the Directorate of the Service; (b) subject to the exigencies of the Service, a service participant may be recalled from leave without prior notice; (c) leave of absence shall commence on the date specified in the letter approving such leave and the service participant shall be expected to report for duty on the date the leave terminates (d) on resumption of duty after leave, it shall be the duty of the service participant to acquaint himself with all instructions issued in his absence; (e) Where a service participant on leave requires medical attention, he shall report to the nearest public health facility and receive the available treatment on production of an identity card; (f) in the absence of any public health facility , the service participant shall avail himself of the services of a Private medical practitioner and obtain receipt for any expenses incurred which shall be forwarded to the Service alongside such medical report for reimbursement; (7) IDENTIFICATION Every service participant shall- (a) during the Service year carry on him/ the Service identity Card wherever he goes and shall on request present it to the appropriate authority ; (b) at the end of their service surrender the identification to the District Coordinator. (c) a service participant who fails to surrender his identification shall be liable to an appropriate punishment as may be prescribed by the Directorate. (8) MARRIAGE DURING SERVICE YEAR A service participant who wishes to obtain leave of absence for the purpose of performing a marriage ceremony shall do so at least three months prior to the date for such marriage. (9) MATERNITY LEAVE DURING SERVICE YEAR (a) a service participant who gets pregnant during Service year shall proceed on a twelve week maternity leave, spanning six weeks prior to confinement and six weeks following confinement; (b) a service participant who delivers without due maternity break shall proceed on a twelve week maternity leave following such delivery; (c) no special allowance shall be paid to a service participant in lieu of maternity leave. Passed in Parliament this 2nd day of February , in the year of our Lord two thousand and sixteen. IBRAHIM S. SESAY, Clerk of Parliament. THIS PRINTED IMPRESSION has been carefully compared by me with the Bill which has passed Parliament and found by me to be a true and correct printed copy of the said Bill. IBRAHIM S. SESAY, Clerk of Parliament. PRINTED AND PUBLISHED BY THE GOVERNMENT PRINTING DEPARTMENT, SIERRA LEONE. GAZETTE NO. 17 OF 24TH MARCH, 2016.