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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