General Election 2017 Candidate Selection
CANDIDATE CV – Contact details
Please indicate the Constituency and
Region in which you are seeking
selection.
If you wish to be considered for more
than one constituency, you will need to
complete an application form for each.
Name – Last
Name – First
Membership Number
Current home constituency
If selected, are you planning to stand as a Labour
and Co-operative Candidate
Trade Union
Current Occupation
Phone – Day
Phone – Eve
Phone – Mob
Email 1
Email 2
Address
Post Code
Please provide links to any personal
social media pages, blogs or websites
(This includes Facebook and twitter)
Constituency
Region
Insert here a maximum 150 word biography to go to the National Executive Committee
panel.
Date form completed
Please fill in the text fields (highlighted in grey) on this form. Each of the fields will expand to take the
amount you type. There are also some tick boxes to complete – just click in the box to enter or remove a
checkmark.
General Election 2017 Candidate Selection
CANDIDATE CV – Personal details
Please complete the following sections to provide information about your skills and experience:
Length of Labour Party Membership
< than 1 year
1-5 years
6-10 years
11-20 years
> 20 years
To be eligible to stand as a Parliamentary candidate, you need to have
joined the Labour Party on or before 18 April 2016
Length of Trade Union Membership
< than 1 year
1-5 years
6-10 years
11-20 years
> 20 years
Experience of public office or candidature
Elected
Town or parish
District or County
Unitary
National or Europe
Candidate
Town or parish
District or County
Unitary
National or Europe
And now in your own words please describe (maximum of 150 words per section)
Why you should be the candidate for your preferred Constituency:
What do we need to do to win this election:
Your Labour Party experience:
Other life experience, including work and study:
What makes you a great campaigner:
Give some examples of your communication skills:
Describe the particular skills you have which will help you as an elected representative (for
example, in problem solving):
Give examples of interpersonal, teamwork & liaison skills:
Apart from the skills and experience described above, please give any examples of other
knowledge and/or skills which will assist you as a candidate:
General Election 2017 Candidate Selection
CANDIDATE CV – Declarations
1.
Are there any matters in my political or personal record which, if revealed, could publicly
embarrass the Labour Party or affect public confidence in my position as a representative.*
Yes
No
2.
I have completed a statement of my interests and this is attached. I understand the
requirement to declare membership of allegedly secret organisations such as the
Freemasons, Knights of St Columba etc.
3.
I know of no legal reason or party rule which would prevent me from being a Labour
candidate.
Signed:
Date:
If you are submitting these forms by email your name typed above is your acceptance that the
information provided is a true and accurate record.
* If there is any matter which you feel might need to be declared under this provision, but which
you would wish to discuss in confidence before making disclosure or completing this declaration,
please contact
Your Regional Director or General Secretary (details of your regional or national office can be
found at www.labour.org) or the Governance and Legal Unit at the Labour Party on 0345 092
2299.
I have read and understand the Labour Party Candidate Code of Conduct
If you have failed to declare any information which, if revealed, could publicly embarrass the
Labour Party or affect public confidence in your position as a representative, the Labour Party NEC
reserves the right to take any steps deemed necessary including the withdrawal of endorsement as
a Labour Party Parliamentary Candidate.
I agree
I do not agree
This form, complete with attachments, must be emailed to [email protected] by
12.00 noon on Sunday 23 April 2017.
Please keep a copy of the form and attachments for your own records.
General Election 2017 Candidate Selection
CANDIDATE CV – Statement of
Interests
The NEC Procedural Rules for the Selection of Parliamentary Candidates states that all
parliamentary candidates must submit a Register of Interest Form. Should there be any alteration
to the information given, then a new Register of Interests form should be submitted
Name – Last
Name – First
Membership Number
Please list all your paid employments including directorships, partnerships, self-employment and
fee-earning consultancies.
Please list all land and property owned (freehold or leasehold) or rented.
Please list the names of companies in which you have an interest greater than one per cent of the
issued share capital.
Please list the names of any societies and organisations of which you are a member including, for
example, Working Mens Clubs, Co-operative and other Friendly Societies, and religious and
secular organisations (eg Masonic and Orange Lodges, Knights of St Columba).
Signed:
Date:
If you are submitting these forms by email your name typed above is your acceptance that the
information provided is a true and accurate record.
This form should be returned with your application form.
General Election 2017 Candidate Selection
CANDIDATE CV
Monitoring and References
It is important for the Labour Party to monitor its candidate selection process. Please complete this
form, using an X to indicate the relevant information.
THIS FORM IS USED FOR MONITORING ONLY.
18-29
30-39
40-49
50-59
60-69
70+
Age
Ethnic background - I would describe myself as (please tick one):
White British
Asian or Asian British – Indian
White Irish
Asian or Asian British – Pakistani
Other white background
Asian or Asian British – Bangladeshi
Other Asian background
Please specify
Mixed – White/Black Caribbean
Please specify
Mixed – White/Black African
Black or black British – Caribbean
Mixed – White/Asian
Black or black British – African
Mixed - Other
Other black background
Please specify
Please specify
Chinese or other ethnic group
Please specify
Gender
Female
Sexuality
Male
Other
Bisexual
Heterosexual/straight
Gay man
Other
Gay woman/lesbian
Prefer not to say
Do you consider yourself to have a disability?
Yes
No
If yes, what additional support, if any, do you require?
Current Employment Status
Full time
Other
Part time
Unemployed
Retired
Student
Please state
References
Please give the name and contact details for two referees. If you have previously been a Labour
candidate at least one reference should be from within that constituency (eg the Agent or Chair of
the Labour Party):
Name
Name
Position
Position
Email
Email
Phone
Phone