Democracy Works Academy 2019 Application
The Democracy Works Foundation (DWF), in partnership with the In-Transformation Initiative (ITI) is excited to launch the Democracy Works Academy (DW Academy); a youth leadership, civic education and dialogue programme seeking to inspire, empower and support young people in becoming engaged and critical leaders.
1.Personal Information *
1.1 First name
Your answer
1.2 Middle name(s) *
Your answer
1.3 Surname *
Your answer
1.4 Preferred name *
Your answer
1.5 Date of birth *
Your answer
1.6 South African I.D number *
Your answer
2. Home address
2.1 Unit and complex name *
Your answer
2.2 Street name and number
Your answer
2.3 Suburb
Your answer
2.4 City
Your answer
2.5 Postal code
Your answer
3. Contact details
3.1 Main email address *
Your answer
3.2 Alternative email address *
Your answer
3.3 Mobile number *
Your answer
3.4 Home number
Your answer
4. Emergency contact details
4.1 Name and surname *
Your answer
4.2 Relationship to applicant *
Your answer
4.3 Contact number *
Your answer
4.4 Email address *
Your answer
5. Demographic information
5.1 Preferred gender pronoun *
Required
5.2 Nationality *
Required
5.2.1 Country of birth
Your answer
5.3 Race *
Your answer
5.4 Language background *
Your answer
5.5 Employment
5.5.1 Role *
Your answer
5.5.2 Institution *
Your answer
5.6 Religion/ Faith
Your answer
5.7 Do you have any form of disability ? *
5.7.1 If you answered yes, please explain
Your answer
6. Educational information
6.1 Completed matric *
Required
6.1.1 Year *
Your answer
6.1.2 School *
Your answer
6.2 Highest qualification *
Your answer
6.3 Are you currently studying ? *
6.3.1 Institution *
Your answer
6.3.2 Level and area of study
Your answer
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