Application - City of Johannesburg - The Executive Mayor's Delegation
Please complete this profile application form in full. IF YOU DO NOT COMPLETE ALL THE INFORMATION, YOUR APPLICATION WILL NOT BE CONSIDERED.
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What is your full name? (eg. Jane Smith) *
What is your email address? *
What is your Twitter username? *
eg. @OneYoungWorld
Provide the URL / website for your projects, blog if you have one, or YouTube video *
Date of birth *
DD/MM/YYYY
Are you currently registered on the One Young World website? If so, please provide your profile link below. *
Existing OYW profile link:
Gender *
Company or organisation your work for, or institution where you study if applicable: *
Education - where you studied & degree if applicable *
(if not applicable write 'n/a')
Confirm your country of representation, nationality and residence is South Africa *
NB. ONLY SOUTH AFRICAN NATIONALS MAY APPLY
Required
Only those living in Johannesburg presently qualify. Do not apply if this is not the case. In addition, your community impacts must be based in and around, and contributing to the development of, Johannesburg. Please confirm that you live in and your impacts are contributing to the development of Johannesburg: *
Required
From these areas, please select issues that interest you: *
Required
"I am passionate about" (approx. 200 words): *
(eg. show your concern for specific issues or areas; show that you understand the relevance of this issue at home in Johannesburg and South Africa as well as internationally)
"My activities" (approx. 200 words): *
(describe your community activities or sustainability impacts, do not just list. Important to give measureable impact details)
How do you think participating in One Young World Summit 2013 could help you effect further positive impact? (max 100 words) *
Explain in no more than 100 words, why you would be the best candidate to represent Johannesburg, South Africa. *
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