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Democratic Alliance Young Leaders Programme 2016 Application Form Instructions Applications for the 2016 Democratic Alliance Young Leaders Programme open on Monday, 7 September and will close at 17h00 on Wednesday, 30 September 2015. No late applications will be considered. The following will need to be submitted by this deadline as your application package: 1. The Completed Application Form (which will be available from 7 September 2015); 2. One (1) Letter of Recommendation from someone who knows you well enough in order to support your application for the Programme. Please take careful note of the following important details: The person who writes your letter of recommendation should provide his/her name, occupation, contact information, and how he/she knows you. S/he should support your application by highlighting your leadership capabilities with example(s) s/he 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 3 months. All documents must be clearly marked with the name and surname of the applicant and should be submitted to [email protected] or to the fax number 086 2932196. Printed application packages can also be posted or hand delivered to the DA National Head Office, 2 nd Floor Theba Hosken House, 16 Mill Street, Gardens, Cape Town, 8001. A. Personal Information First name (s): Surname: Preferred Name: Gender: Date of Birth: Current Physical Address: Primary E-mail Address: Secondary Email Address: Cell Phone Number: Alternate Contact Number: How accessible are the following methods of communication to you? (1 = Very Poor; 5= Very Good) 1 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 Speaking Comprehension Reading English C. Political involvement / aspirations Please state your current involvement in the Democratic Alliance, if any: 2 Writing What are your future political aspirations? Short term (next 12 months) Medium term (next 2 – 5 years) Long term (at least 5 years away) 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: Organisation: Dates (month / year): to Position: Responsibilities: Organisation: Dates (month / year): to Position: Responsibilities: E. Tertiary Education (list most recent first) 3 List the educational institutions you have attended after secondary school (i.e. tertiary education) year of attendance, course studied and qualifications obtained: Institution Period Course of Study Qualification (Year - Year) 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 (Year – Year) G. Recognition (Awards, Prizes, Achievements) Title Granting body Month / Year 4 Individual / Collective H. Other Where did you hear about the Young Leaders Programme? Please tick. Facebook Twitter DA Website / Young Leaders Website DA newsletter Young Leaders Programme Marketing Email Friend / Contact / Family Member Previous Young Leader DA structures or existing DA public representative Campus presentation / poster Newspaper Other My social media presence: Twitter (state handle) Facebook (state username) LinkedIn (state username) Skype name (state username) Own Website / Blog (state url) Is there anything else you would like to share with us to support your application? 5 I. 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) 6 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) 7 How would you describe your personal political ideology? (200 words max) 8