Section B: Electoral & Geographic Details

Are you a registered voter in this ward?

Check your voter registration status

Section C: Position Applied For

Select the position(s) you wish to apply for:

Section D: Political & Community Experience

Consider including:
– Community organisations you’ve been part of
– Leadership positions held
– Civic campaigns or initiatives led or participated in
– Volunteer work and community service
– Political party membership (past & present)
– Achievements and impact in your community

Section E: Motivation Statement

Your statement should address:
– Your commitment to ACT’s values and principles
– How you plan to serve your community
– Your vision for local government transformation
– Why you are ready for public office
– How you will represent the interests of constituents

Section F: Ethical & Legal Declarations

Please read and confirm each declaration:

I confirm that I have not been convicted of any crime that would disqualify me from holding public office.

All information submitted in this application is accurate and complete to the best of my knowledge.

I will adhere to ACT’s principles and conduct myself in accordance with the party’s code of conduct.

I acknowledge that my application will be reviewed and that final selection is at the discretion of ACT.

Please confirm all declarations to proceed.

Section G: Required Attachments

Document Checklist (required):

Upload your supporting documents

Note: You may upload up to 10 files. Each file must be less than 100MB. Accepted formats: PDF, DOC, DOCX, JPG, PNG.

Section H: Final Confirmation and Signature

Application Summary

Please review your details before submitting:

• Full Name: [full-name]
• Province: [province]
• Municipality: [municipality]
• Ward Number: [ward-number]
• Position(s) Applied For: [position-preference]

Supporting documents uploaded will be reviewed as part of your application.

By signing and submitting this application, you agree to the terms and conditions of the ACT candidate selection process.