YOUTH LEADERSHIP AND DEVELOPMENT

COURSE APPLICATION FORM

PLEASE TYPE OR PRINT IN BLOCK LETTERS

SECTION A

Surname:

Name (s):

Sex:

Date of Birth:

Home address:

Email address:

Your working telephone or cell phone number (if applicable):

Highest level of education:

Organisation you represent:

Any special needs:

SECTION B
Do you currently have a full time/part-time job or are you currently studying?

If you are selected to participate in the Youth Leadership and Development course,
will your employer or teacher allow you to get leave to attend this course. If yes.
Kindly attach a supporting letter from your employer or teacher.

SECTION C
Kindly respond to the following questions. (You can
answer on separate paper and attach to application form)
1. If you had 50 words to introduce yourself to the new president of
Zimbabwe after the 2018 elections, what would you say? (50 words)

2. Describe a specific instance of when you did something that seemed

impossible. How did you gain support from others who did not share or
understand your vision? (100 words)
 3. Describe the role you play in your community. What interaction do you
have with your community outside of your professional work? (100
words)

4. Where do you see yourself professionally in 10 years? How will the

YETT Leadership and Development Course help you meet your goals?
(100 words)

Signature of Applicant_____________________________________________________
Date_______________________________________________________________________

REFERENCE FORM

SECTION B

This part to be filled by the person who is applying

Surname:

Name:

To be filled in by the Referee\Parent \Guardian\

The person named above is an applicant for the Youth Leadership and Development
Course ( Winter School 2018). YETT considers statements made by the referee
regarding the applicant very important in determining the success of a
candidate. (Please note that YETT regards participants to this course as
ambassadors of your organization ,community or family and their
behaviour is attributed to the organization family or community that
sends them)

Name of Referee\Parent\Guardian

Position:

Mailing Address:

Telephone Number:
Tertiary Institution/School/Firm/Organisation/Community:

a. For how long have you known the applicant? And who is the applicant to you?

b. Why do you believe this applicant will be a successful applicant?

c) Comment on the applicant’s relationship with his or her peers.

Signature of Referee:…………………………………………….

Date:…………………………