The Labour Party – Birmingham ...



Part 1: Details to be publishedPages 1 to 4 to be completed in handwriting in black ink as they will be published for members. No extra pages to be submitted.LAST NAMEFIRST NAMESDATE OF BIRTHNATIONALITYGENDEREMAIL ADDRESSLANDLINE NUMBERMOBILE NUMBERDO YOU CONSIDER YOURSELF TO BE A MEMBER OF A MINORITY ETHNIC COMMUNITY? IF SO, HOW WOULD YOU DESCRIBE YOURSELF?DO YOU CONSIDER YOURSELF TO HAVE A DISABILITY?The Labour PartyMEMBERSHIP NUMBERDATE LAST JOINEDDATE FIRST JOINED IF DIFFERENT FROM DATE LAST JOINED AND EXPLANATION OF BREAK IN MEMBERSHIPCURRENT CONSTITUENCY LABOUR PARTYCURRENT BRANCH LABOUR PARTYEXPERIENCE IN THE LABOUR PARTY INCLUDING CAMPAIGN WORK, OFFICES HELD, PREVIOUS CANDIDATURESDETAILS OF PREVIOUS MEMBERSHIP OF OTHER POLITICAL PARTIES AND PREVIOUS CANDIDATURES IN OPPOSITION TO LABOUR PARTY CANDIDATES INCLUDING RELEVANT DATESTrade UnionMEMBERSHIP NUMBERDATE LAST JOINEDCURRENT TRADE UNION AND BRANCHEXPERIENCE IN THE TRADE UNION INCLUDING CAMPAIGN WORK, OFFICES HELD, PREVIOUS CANDIDATURESUnpaid work in the communityINVOLVEMENT IN COMMUNITY GROUPS, SCHOOLS AND/OR CAMPAIGNSLife and EmploymentBRIEF BIOGRAPHY INCLUDING FORMAL EDUCATION AND PAID EMPLOYMENTPLEASE WRITE A PERSONAL STATEMENT IN SUPPORT OF YOUR APPLICATIONRefereesPLEASE PROVIDE DETAILS OF TWO REFEREES WHO MAY BE CONSULTED ABOUT YOUR WORKREFEREE 1 – NAME AND TELEPHONE NUMBERREFEREE 2 – NAME AND TELEPHONE NUMBERYour Name:There will be at least one woman candidate in each two member ward. There will be a woman candidate in some one member wards and you will receive an updated ward list after 6 October when the final decision has been made.Tick belowI am willing to be a candidate in any ward but I have ticked the ones I preferI am willing to be a candidate only in the wards I have ticked Tick below Tick belowAcocks Green (2)Lozells (1)Allens Cross (1)Moseley (2)Alum Rock (2)Nechells (1)Aston (2)Newtown (1)Balsall Heath West (1)North Edgbaston (2)Bartley Green (2)Northfield (1)Billesley (2)Oscott (2)Birchfield (1)Perry Barr (2)Bordesley and Highgate (1)Perry Common (1)Bordesley Green (1)Pype Hayes (1)Bournbrook and Selly Park (2)Quinton (2)Bournville and Cotteridge (2)Rubery and Rednal (1)Brandwood and Kings Heath (2)Shard End (1)Bromford and Hodge Hill (2)Sheldon (2)Castle Vale (1)Small Heath (2)Druids Heath and Monyhull (1)Soho and Jewellery Quarter (2)Edgbaston (2)South Yardley (1)Erdington (2)Sparkbrook and Balsall Heath East (2)Frankley Great Park (1)Sparkhill (2)Garretts Green (1)Stirchley (1)Glebe Farm and Tile Cross (2)Stockland Green (2)Gravelly Hill (1)Sutton Four Oaks (1)Hall Green North (2)Sutton Mere Green (1)Hall Green South (1)Sutton Reddicap (1)Handsworth (1)Sutton Roughley (1)Handsworth Wood (2)Sutton Trinity (1)Harborne (2)Sutton Vesey (2)Heartlands (1)Sutton Walmley and Minworth (2)Highters Heath (1)Sutton Wylde Green (1)Holyhead (1)Tyseley and Hay Mills (1)Kings Norton North (1)Ward End (1)Kings Norton South (1)Weoley and Selly Oak (2)Kingstanding (2)Yardley East (1)Ladywood (2)Yardley West and Stechford (1)Longbridge and West Heath (2) ................
................

In order to avoid copyright disputes, this page is only a partial summary.

Google Online Preview   Download