General Election 2017 Candidate Selection

CANDIDATE CV Contact details

Please indicate the Constituency and Constituency
Region in which you are seeking
selection.
If you wish to be considered for more Region
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)
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 candidates2017@labour.org.uk 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
Please specify Other Asian background
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 Male Other

Sexuality Bisexual Gay man Gay woman/lesbian

Heterosexual/straight Other 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 Part time Unemployed Retired Student
Other 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