Phone: +27 11 699 3000
Fax: +27 11 252 6190
[email protected]
www.africanleadershipacademy.org
1050 Printech Avenue, Honeydew, 2040, South Africa
_______________________________________________________________________________
WELCOME TO AFRICAN LEADERSHIP ACADEMY!
Dear Applicant,
Thank you for your interest in African Leadership Academy. By completing this first-round application you are taking the
first step in a process that will allow us to learn more about you, your achievements, and your future goals.
Prior to completing this application, we encourage you to learn as much as possible about African Leadership Academy.
Read our brochure, ask us questions, or visit our website: www.africanleadershipacademy.org. Think about the role you
envision playing in Africa’s future. If you believe African Leadership Academy is the right place for you, take the next step
and apply!
We encourage you to submit your application as soon as possible. The deadline for application is 15 December 2012. Our
Selection Committee will review all first-round applications carefully and nominate finalists by March 2013. All finalists will
be invited to submit a final-round application that includes additional personal information, essays, and recommendation
letters. The last step in the process may include an entrance exam and interviews. All finalists will be notified of final
admissions decisions by June 2013.
We are excited that you have chosen to apply to African Leadership Academy, and wish you continued success as you pursue
your dreams.
Warm regards,
African Leadership Academy
FIRST-ROUND APPLICATION INSTRUCTIONS
The African Leadership Academy first-round application consists of four components, all of which must be completed. We
cannot evaluate applications that are incomplete.
A.
B.
C.
D.
Personal Data Form
Academic Information (including your last two school reports and national exam results)
Short Answer Questions
Essay Question
Submitting Your Application:
Please complete the following three pages and attach copies of your last two school reports and national exam results. Be sure
to write your name and contact information on each page of your application. You can submit your application to the African
Leadership Academy Admissions Office in one of four ways:

Via email to [email protected]. (This is the preferred method!)

Via fax to +27 11 252 6190

Via certified courier to African Leadership Academy, 1050 Printech Avenue, Honeydew, 2040, South Africa.
Please list “ALA Admissions Manager” as the receiver and write +27 11 699 3000 for the receiver’s phone number.

If you cannot use any of the above methods, please submit your application via regular postal mail to PostNet
Suite 413, Private Bag X1, Northcliff, 2115 South Africa. Please only use regular postal mail as a last resort as
the South Africa postal service is not reliable and there is no guarantee that your application will arrive
safely and on time.
DEADLINE:
All first-round applications with all four parts completed must be received by 15 December 2012. We strongly encourage
you to submit your application as soon as possible.
Confirmation of Receipt:
You will receive a confirmation via SMS and/or email after we receive your application. Please contact the Admissions Office
only if you do not receive a confirmation message within one week. Please keep a full copy of all application materials
in case your application is lost in transit. ALA will not be held liable for lost or missing applications.
African Leadership Academy First-Round Application 2012
Page 1
A. PERSONAL DATA FORM
STUDENT INFORMATION (Please type or write clearly in black ink using only CAPITAL LETTERS!)
Surname (Family Name):
First Names (Given Names):
Gender: F
M
Nationality:
Birth Date:
Email:
Mobile Phone: (+
Country code
)
Other Phone: (+
Day
/
Month
/
Year
)
Country code
Permanent Physical Address:
Country
Address During School Year:
Country
(If Different)
PARENT/GUARDIAN INFORMATION
Living with: Parent(s)
Relative(s)
Other
Name(s)/Relationship to you:
Phone & Email 1:
Phone & Email 2:
SCHOOL INFORMATION:
School Name and Location (City/Country):
Physical Address of School:
School telephone number: (+
)
School email address: (+ )
Current Grade Level/Form/Year:
Expected Date of Graduation (if you do not enter ALA):
School Year Begins:
/
Month Year
School Year Ends:
Principal’s or Head of School’ Name:
Principal’s or Head of School’s Phone & Email:
B. ACADEMIC INFORMATION
Name of last public/national examinations written:
Country of examination:
Date of exam:
Exam results (list most recent end of year results if you have not taken a public exam):
Subject
Grade/Marks/Score
Subject
/
Month Year
Grade/Marks/Score
PLEASE ATTACH COPIES OF THE LAST TWO SCHOOL REPORTS YOU RECEIVED AND
YOUR OFFICIAL EXAMINATION RESULTS
(DO NOT send original transcripts. ALA will not return original documents to you. )
How did you first learn about African Leadership Academy? (please mark only one)
Information session / presentation (please specify location):
Teacher, principal or counsellor (please list name):
Friend, parent, guardian or relative (please specify and list name):
Your own search on the Internet
Other, e.g. newspaper, magazine, radio (please specify):
Facebook or other social media (please specify):
Name:
Phone/Email:
Developing the next generation of African leaders
African Leadership Academy First-Round Application 2012
Page 2
C. SHORT ANSWER QUESTIONS
Note: please contain all answers to the boxes provided.
What excites you most about African Leadership Academy?
What do you consider your greatest achievement so far?
List any activities you participate in at school or in your community and any leadership positions held.
What are you passionate about and why?
Describe yourself. You may use words, pictures, symbols, equations – anything you would like.
Name:
Phone/Email:
Developing the next generation of African leaders
African Leadership Academy First-Round Application 2012
Page 3
D. ESSAY QUESTION
In this section we would like you to describe a time when you identified a need in your community (such
as your family, school, village, or town) and took action:
What need did you identify?
How did you address this need?
What was the outcome?
I hereby certify that all information is truthfully and accurately presented and my work alone.
Applicant Signature:
Date:
I hereby give permission for my son / daughter / ward to apply to African Leadership Academy.
Parent/Guardian Signature:
Date:
Developing the next generation of African leaders