Module 5 Constituency Work

Application Form

Democratic Alliance Young Leaders Programme 2015

Instructions

Applications for the 2015 Democratic Alliance Young Leaders Programme open on Monday, 8 September and will close at 17h00 on Wednesday, 1 October 2014. No late applications will be considered.

The following two (2) documents need to be submitted by this deadline as your application package:

1. The Completed Application Form (5 pages);

2. One (1) Letter of Recommendation from someone who knows you well enough in order to support your application for the Programme. The person who writes your letter of recommendation should provide his/her name, occupation, contact information, and how he/she knows you. He/she should support your application by highlighting your leadership capabilities with example(s) he/she has observed. This letter must not be more than 1 page in length, and preferably less than 400 words. Please note that letters of recommendation from family members will not be considered. Letters of reference need to have been written in the past 2 months.

All documents must be clearly marked with the name and surname of the applicant and should be submitted to or to the fax number 086 2932196. Printed application packages can also be posted or hand delivered to the DA National Head Office, 2nd Floor Theba Hosken House, 16 Mill Street, Gardens, Cape Town, 8001.

Note that incomplete application packages will not be considered. All information submitted will be confidential and only passed to those involved in the selection process. The decision of the selection panel for each phase of the selection and recruitment process is final and no correspondence will be entered into on the selection or non-selection of candidates.

A. Personal Information

Last Name:

First Name:

Preferred Name:

Gender:

Date of Birth:

Current Physical Address:

Primary E-mail Address:

Secondary Email Address:

Cell Phone Number:

Telephone:

How accessible are the following methods of communication to you?

(1 = Very Poor; 5= Very Good)

Cell Phone:

Email:

B. Language Proficiency

Please state your mother tongue:

Proficiency: In the table below, please list and indicate your proficiency in English, as well as the other languages you speak - Excellent (E), Good (G), Fair (F), Poor (P) in the 4 categories:

Language

C. Political involvement / aspirations

Please state your current involvement in the Democratic Alliance, if any:

What are your future political aspirations?

D. Professional Experience (paid, internship or volunteer - list most recent first)

Organisation:

Dates (month / year): to

Position:

Responsibilities:

Organisation:

Dates (month / year): to

Position:

Responsibilities:

Organisation:

Dates (month / year): to

Position:

Responsibilities:

Organisation:

Dates (month / year): to

Position:

Responsibilities:

E. Tertiary Education (list most recent first)

List the educational institutions you have attended after secondary school (i.e. tertiary education) - year of attendance, course studied and qualifications obtained:

F. Other Activities

Tell us about any significant previous and current involvement in activities outside of formal employment or education. What were your achievements and the outcome or impact of the activities or services?

Activity

Period

Achievements & Outcome

G. Recognition (Awards, Prizes, Achievements)

H. Other

Where did you hear about the Young Leaders Programme? Please tick.

My social media presence:

I. Other

Is there anything else you would like to share with us to support your application?

J. Essay Questions (please answer all 3 questions)

Please provide a short biographical statement telling the Selection Panel something about yourself in order to prove your value as an asset and contributor to the Programme and the DA. You should address two key questions: “Why do I want to be a DA Young Leader” and “Why should the Selection Panel choose me.” (300 words max)

What do you wish to gain from the DA’s Young Leaders Programme? In other words, how will the programme fit in with your plans for the future and what skills and competencies do you most wish to develop? (200 words max)

How would you describe your personal political ideology?

(200 words max)

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