Senedd Candidate Application Form Step 1 of 4 25% Full Name*Membership Number*Do you have at least 12 months continuous membership?* YES NO Please be aware that it is a requirement for all applicants to have at least 12 months continuous membership. Are you a member of a trade union?* YES NO Please be aware that it is a requirement for all applicants to be a member of a trade union.Are you a member of the Co-operative Party? YES NO Which trade union are you a member of?*Trade UnionASLEFBakers Food and Allied Workers UnionCommunityCWUFire Brigades UnionGMBMusicians' UnionNational Union of MineworkersTransport Salaried Staffs AssociationUnion of Shop, Distributed & Allied WorkersUnisonUnite the UnionOtherPlease confirm whether your application is endorsed by an affiliated trade union or socialist society?Please be aware that this will be checked with the relevant organisation YES NO Please select which affiliated organisations have endorsed you Unite Unison USDAW GMB TSSA MU CWU Community ASLEF NUM LGBT Labour Disability Labour Socialist Health Association Socialist Education Association Fabians Jewish Labour SERA Christians on the Left Co-operative Party Welsh Labour Students Labour Business Region or Nation*Region or NationEast MidlandsEast of EnglandInternationalLondonNorth EastNorth WestNorthern IrelandScotlandSouth EastSouth WestWalesWest MidlandsYorkshire and The HumberWhich CLP do you currently reside in?*CLPBasildon & Billericay CLPBedford CLPBraintree CLPBrentwood & Ongar CLPBroadland CLPBroxbourne CLPBury St Edmunds CLPCambridge CLPCastle Point CLPCentral Suffolk & North Ipswich CLPChelmsford CLPClacton CLPColchester CLPEpping Forest CLPGreat Yarmouth CLPHarlow CLPHarwich and North Essex CLPHemel Hempstead CLPHertford and Stortford CLPHertsmere CLPHitchin and Harpenden CLPHuntingdon CLPIpswich CLPLuton North CLPLuton South CLPMaldon CLPMid Bedfordshire CLPMid Norfolk CLPNorth East Bedfordshire CLPNorth East Cambridgeshire CLPNorth East Hertfordshire CLPNorth Norfolk CLPNorth West Cambridgeshire CLPNorth West Norfolk CLPNorwich CLPPeterborough CLPRayleigh and Wickford CLPRochford and Southend East CLPSaffron Walden CLPSouth Basildon and East Thurrock CLPSouth Cambridgeshire CLPSouth East Cambridgeshire CLPSouth Norfolk CLPSouth Suffolk CLPSouth West Bedfordshire CLPSouth West Hertfordshire CLPSouth West Norfolk CLPSouthend West CLPSt Albans CLPStevenage CLPSuffolk Coastal CLPThurrock CLPWatford CLPWaveney CLPWelwyn Hatfield CLPWest Suffolk CLPWitham CLPWhich CLP do you currently reside in?*CLPAmber Valley CLPAshfield CLPBassetlaw CLPBolsover CLPBoston and Skegness CLPBosworth CLPBroxtowe CLPCharnwood CLPChesterfield CLPCorby CLPDaventry CLPDerby North CLPDerby North CLPDerby South CLPDerbyshire Dales CLPErewash CLPGainsborough CLPGedling CLPGrantham and Stamford CLPHarborough CLPHigh Peak CLPKettering CLPLeicester East CLPLeicester South CLPLeicester West CLPLincoln CLPLoughborough CLPLouth and Horncastle CLPMansfield CLPMid Derbyshire CLPNewark CLPNorth East Derbyshire CLPNorth West Leicestershire CLPNorthampton North CLPNorthampton South CLPNottingham East CLPNottingham North CLPNottingham South CLPRushcliffe CLPRutland and Melton CLPSherwood CLPSleaford and North Hykeham CLPSouth Derbyshire CLPSouth Holland and the Deepings CLPSouth Leicestershire CLPSouth Northamptonshire CLPWellingborough CLPWhich CLP do you currently reside in?*CLPLabour International CLPWhich CLP do you currently reside in?*CLPBarking CLPBattersea CLPBeckenham CLPBeckenham CLPBermondsey & Old Southwark CLPBethnal Green and Bow CLPBexleyheath and Crayford CLPBrent Central CLPBrent North CLPBrentford and Isleworth CLPBromley and Chislehurst CLPCamberwell and Peckham CLPCarshalton and Wallington CLPChelsea and Fulham CLPChingford and Woodford Green CLPChipping Barnet CLPCities of London and Westminster CLPCroydon Central CLPCroydon North CLPCroydon South CLPDagenham and Rainham CLPDulwich and West Norwood CLPDulwich and West Norwood CLPEaling Central and Acton CLPEaling North CLPEaling Southall CLPEast Ham CLPEdmonton CLPEltham CLPEnfield North CLPEnfield Southgate CLPErith and Thamesmead CLPFeltham and Heston CLPFinchley and Golders Green CLPGreenwich and Woolwich CLPHackney North and Stoke Newington CLPHackney South and Shoreditch CLPHackney South and Shoreditch CLPHammersmith CLPHampstead and Kilburn CLPHarrow East CLPHarrow West CLPHayes and Harlington CLPHendon CLPHolborn and St Pancras CLPHornchurch and Upminster CLPHornsey and Wood Green CLPIlford North CLPIlford South CLPIslington North CLPIslington South and Finsbury CLPKensington CLPKingston and Surbiton CLPKingston and Surbiton CLPLewisham Deptford CLPLewisham East CLPLewisham West and Penge CLPLeyton and Wanstead CLPMitcham and Morden CLPOld Bexley and Sidcup CLPOrpington CLPPoplar and Limehouse CLPPutney CLPRichmond Park CLPRomford CLPRuislip, Northwood and Pinner CLPRuislip, Northwood and Pinner CLPStreatham CLPSutton and Cheam CLPTooting CLPTottenham CLPTwickenham CLPUxbridge and South Ruislip CLPVauxhall CLPWalthamstow CLPWest Ham CLPWestminster North CLPWimbledon CLPWhich CLP do you currently reside in?*CLPBerwick-Upon-Tweed CLPBishop Auckland CLPBlaydon CLPBlyth Valley CLPCity of Durham CLPDarlington CLPEasington CLPGateshead CLPHartlepool CLPHexham CLPHoughton and Sunderland South CLPJarrow CLPMiddlesbrough CLPMiddlesbrough South and East Cleveland CLPNewcastle Upon Tyne Central CLPNewcastle Upon Tyne East CLPNewcastle Upon Tyne North CLPNorth Durham CLPNorth Tyneside CLPNorth West Durham CLPPenrith and the Border CLPRedcar CLPSedgefield CLPSouth Shields CLPStockton North CLPStockton South CLPSunderland Central CLPTynemouth CLPWansbeck CLPWashington and Sunderland West CLPWhich CLP do you currently reside in?*CLPAltrincham and Sale West CLPAshton-Under-Lyne CLPBarrow and Furness CLPBirkenhead CLPBlackburn CLPBlackley and Broughton CLPBlackpool North and Cleveleys CLPBlackpool South CLPBolton North East CLPBolton South East CLPBolton West CLPBootle CLPBurnley CLPBury North CLPBury South CLPCarlisle CLPCheadle CLPChorley CLPCity of Chester CLPCongleton CLPCopeland CLPCrewe and Nantwich CLPDenton and Reddish CLPEddisbury CLPEllesmere Port and Neston CLPFylde CLPGarston and Halewood CLPHalton CLPHazel Grove CLPHeywood and Middleton CLPHyndburn CLPKnowsley CLPLancaster and Fleetwood CLPLeigh CLPLiverpool Riverside CLPLiverpool Walton CLPLiverpool Wavertree CLPLiverpool West Derby CLPMacclesfield CLPMakerfield CLPManchester Central CLPManchester Gorton CLPManchester Withington CLPMorecambe and Lunesdale CLPOldham East and Saddleworth CLPOldham West and Royton CLPPendle CLPPreston CLPRibble Valley CLPRochdale CLPRossendale and Darwen CLPSalford and Eccles CLPSefton Central CLPSouth Ribble CLPSouthport CLPSt Helens North CLPSt Helens South and Whiston CLPStalybridge and Hyde CLPStockport CLPStretford and Urmston CLPTatton CLPWallasey CLPWarrington North CLPWarrington South CLPWeaver Vale CLPWest Lancashire CLPWestmorland and Lonsdale CLPWigan CLPWirral South CLPWirral West CLPWorkington CLPWorsley and Eccles South CLPWyre and Preston North CLPWythenshawe and Sale East CLPWhich CLP do you currently reside in?*CLPNorthern Ireland CLPWhich CLP do you currently reside in?*CLPAberdeen Central CLPAberdeen Donside CLPAberdeen South and North Kincardine CLPAberdeenshire East CLPAberdeenshire West CLPAirdrie and Shotts CLPAlmond Valley CLPAngus North and Mearns CLPAngus South CLPArgyll and Bute CLPAyr CLPBanffshire and Buchan Coast CLPCaithness, Sutherland and Ross CLPCarrick, Cumnock and Doon Valley CLPClackmannanshire and Dunblane CLPClydebank and Milngavie CLPClydesdale CLPCoatbridge and Chryston CLPCowdenbeath CLPCumbernauld and Kilsyth CLPCunninghame North CLPCunninghame South CLPDumbarton CLPDumfries and Galloway CLPDundee CLPDunfermline CLPEast Kilbride CLPEast Lothian CLPEastwood CLPEdinburgh Central CLPEdinburgh Eastern CLPEdinburgh Northern and Leith CLPEdinburgh Pentlands CLPEdinburgh Southern CLPEdinburgh Western CLPEttrick, Roxburgh and Berwickshire CLPFalkirk East CLPFalkirk West CLPGlasgow Anniesland CLPGlasgow Cathcart CLPGlasgow Kelvin CLPGlasgow Maryhill and Springburn CLPGlasgow Pollok CLPGlasgow Provan CLPGlasgow Shettleston CLPGlasgow Southside CLPGreenock and Inverclyde CLPHamilton, Larkhall and Stonehouse CLPInverness and Nairn CLPKilmarnock and Irvine Valley CLPKirkcaldy CLPLinlithgow CLPMid Fife and Glenrothes CLPMidlothian North and Musselburgh CLPMidlothian South, Tweeddale and Lauderdale CLPMoray CLPMotherwell and Wishaw CLPNa h-Eileanan an Iar CLPNorth East Fife CLPOrkney Islands CLPPaisley CLPPerthshire and KinrossshireCLPRenfrewshire North and West CLPRenfrewshire South CLPRutherglen CLPShetland Islands CLPSkye, Lochaber and Badenoch CLPStirling CLPStrathkelvin and Bearsden CLPUddingston and Bellshill CLPWhich CLP do you currently reside in?*CLPAldershot CLPArundel & South Downs CLPAshford CLPAylesbury CLPBanbury CLPBasingstoke CLPBeaconsfield CLPBexhill and Battle CLPBognor Regis and Littlehampton CLPBracknell CLPBrighton, Kemptown CLPBrighton, Pavilion CLPBuckingham CLPCanterbury CLPChatham and Aylesford CLPChesham and Amersham CLPChichester CLPCrawley CLPDartford CLPDover CLPEast Hampshire CLPEast Surrey CLPEast Worthing and Shoreham CLPEastbourne CLPEastleigh CLPEpsom and Ewell CLPEsher and Walton CLPFareham CLPFaversham and Mid Kent CLPFolkestone and Hythe CLPGillingham and Rainham CLPGosport CLPGravesham CLPGuildford CLPHastings and Rye CLPHavant CLPHenley CLPHorsham CLPHove CLPIsle of Wight CLPLewes CLPMaidenhead CLPMaidstone and the Weald CLPMeon Valley CLPMid Sussex CLPMilton Keynes CLPMole Valley CLPNew Forest East CLPNew Forest West CLPNewbury CLPNorth East Hampshire CLPNorth Thanet CLPNorth West Hampshire CLPOxford CLPPortsmouth CLPReading CLPReigate CLPRochester and Strood CLPRomsey and Southampton North CLPRunnymede and Weybridge CLPSevenoaks CLPSittingbourne and Sheppey CLPSlough CLPSouth Thanet CLPSouth West Surrey CLPSouthampton, Itchen CLPSouthampton, Test CLPSpelthorne CLPSurrey Heath CLPTonbridge and Malling CLPTunbridge Wells CLPWantage CLPWealden CLPWinchester CLPWindsor CLPWitney CLPWoking CLPWokingham CLPWorthing West CLPWycombe CLPWhich CLP do you currently reside in?*CLPBath CLPBournemouth CLPBridgwater and West Somerset CLPBristol East CLPBristol North West CLPBristol South CLPBristol South CLPBristol West CLPCamborne and Redruth CLPCentral Devon CLPCheltenham CLPChippenham CLPChristchurch CLPDevizes CLPEast Devon CLPExeter CLPFilton and Bradley Stoke CLPForest of Dean CLPGloucester CLPKingswood CLPMid Dorset and North Poole CLPNewton Abbot CLPNorth Cornwall CLPNorth Devon CLPNorth Dorset CLPNorth East Somerset CLPNorth Somerset CLPNorth Swindon CLPNorth Wiltshire CLPPlymouth Moor View CLPPlymouth Sutton and Devonport CLPPoole CLPSalisbury CLPSomerton and Frome CLPSouth Dorset CLPSouth East Cornwall CLPSouth Swindon CLPSouth West Devon CLPSouth West Wiltshire CLPSt Austell and Newquay CLPSt Ives CLPStroud CLPTaunton Deane CLPTewkesbury CLPThe Cotswolds CLPThornbury and Yate CLPTiverton and Honiton CLPTorbay CLPTorridge and West Devon CLPTotnes CLPTruro and Falmouth CLPWells CLPWest Dorset CLPWest Dorset CLPWeston-Super-Mare CLPYeovil CLPWhich CLP do you currently reside in?*CLPAberafan MaestegAlyn And DeesideBangor AberconwyBlaenau Gwent And RhymneyBrecon, Radnor And Cwm TaweBridgendCaerfyrddinCaerphillyCardiff EastCardiff NorthCardiff South And PenarthCardiff WestCeredigion PreseliClwyd EastClwyd NorthDwyfor MeirionnyddGowerLlanelliMerthyr Tydfil And AberdareMid And South PembrokeshireMonmouthshireMontgomeryshire And GlyndwrNeath And Swansea EastNewport EastNewport West And IslwynPontypriddRhondda And OgmoreSwansea WestTorfaenVale Of GlamorganWrexhamYnys MonWhich CLP do you currently reside in?*CLPAldridge-Brownhills CLPBirmingham, Edgbaston CLPBirmingham, Erdington CLPBirmingham, Hall Green CLPBirmingham, Hodge Hill CLPBirmingham, Ladywood CLPBirmingham, Northfield CLPBirmingham, Perry Barr CLPBirmingham, Selly Oak CLPBirmingham, Yardley CLPBromsgrove CLPBurton CLPCannock Chase CLPCoventry North East CLPCoventry North West CLPCoventry South CLPDudley North CLPDudley South CLPHalesowen and Rowley Regis CLPHereford and South Herefordshire CLPKenilworth and Southam CLPLichfield CLPLudlow CLPMeriden and Solihull CLPMid Worcestershire CLPNewcastle-Under-Lyme CLPNorth Herefordshire CLPNorth Shropshire CLPNorth Warwickshire CLPNuneaton CLPRedditch CLPRugby CLPShrewsbury and Atcham CLPSouth Staffordshire CLPStafford CLPStaffordshire Moorlands CLPStoke-On-Trent Central CLPStoke-On-Trent North CLPStoke-On-Trent South CLPStone CLPStourbridge CLPStratford-On-Avon CLPSutton Coldfield CLPTamworth CLPTelford CLPThe Wrekin CLPWalsall North CLPWalsall South CLPWarley CLPWarwick and Leamington CLPWest Bromwich East CLPWest Bromwich West CLPWest Worcestershire CLPWolverhampton North East CLPWolverhampton South East CLPWolverhampton South West CLPWorcester CLPWyre Forest CLPWhich CLP do you currently reside in?*CLPBarnsley Central CLPBarnsley East CLPBatley and Spen CLPBeverley and Holderness CLPBradford East CLPBradford South CLPBradford West CLPBrigg and Goole CLPCalder Valley CLPCleethorpes CLPColne Valley CLPDewsbury CLPDon Valley CLPDoncaster Central CLPDoncaster North CLPEast Yorkshire CLPElmet and Rothwell CLPGreat Grimsby CLPHalifax CLPHaltemprice and Howden CLPHarrogate and Knaresborough CLPHemsworth CLPHuddersfield CLPKeighley CLPKingston Upon Hull East CLPKingston Upon Hull North CLPKingston Upon Hull West and Hessle CLPLeeds Central CLPLeeds East CLPLeeds North East CLPLeeds North West CLPLeeds West CLPMorley and Outwood CLPNormanton, Pontefract and Castleford CLPPenistone and Stocksbridge CLPPudsey CLPRichmond (Yorks) CLPRother Valley CLPRotherham CLPScarborough and Whitby CLPScunthorpe CLPSelby and Ainsty CLPSheffield Brightside and Hillsborough CLPSheffield Central CLPSheffield Hallam CLPSheffield Heeley CLPSheffield South East CLPShipley CLPSkipton and Ripon CLPThirsk and Malton CLPWakefield CLPWentworth and Dearne CLPYork CLPHave you participated or are currently participating in one of the following? Bernie Grant Leadership Programme Co-opertative Candidate Development Programme Future Candidates Programme Jo Cox Women in Leadership Programme TULO Political School Trade Union programmes for future candidates Can you understand, speak, read or write Welsh? (tick all that apply) Understand Spoken Welsh Read Welsh Speak Welsh Write Welsh None of the above Prefer not to say Current Occupation*PhoneEmail Address Street Address Post Code City County Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÃ…land Islands Please list all current and past social media channelsThis should be a link or a handle to the social media account in question.https://twitter.com/UKLabourwww.labour.org.uk Why should you be a candidate for the Senedd? (500 words max)Please state what you think we need to do to win this election: (500 words max)Please talk about your Labour Party experience (500 words max)Please explain what makes you a great campaigner (500 words max)Please talk about other experiences in either work or study that you think are relevant to your application (500 words max)Please give some examples of your teamwork & liaison skills (500 words max) 1 – Upon becoming elected, I shall ensure that my Labour Party membership subscription is paid by direct debit at the standard rate. YES NO 2 – In the event that you are not appointed to the shortlist of candidates, can you confirm that you will not seek or allow yourself to be nominated as a candidate nor support the nomination of any other candidate with the exception of the official Labour Party candidate. YES NO 3 – Do you accept nomination, as set out above, and agree to accept the provisions relating to selection and candidature set out in the party’s rules. If elected, do you agree to abide by the Labour Party’s structures and codes of conduct and the provisions of the national rules of the Labour Party. YES NO 4- Have you ever previously been turned down at the panelling stage while seeking selection to the Westminster, Scottish, Senedd or European Parliament, local government or any other elected position YES NO 5 – Have you provided details of all social media accounts to which you have or have previously had access, and specifically highlighted any social media comments or posts which may be of interest to the media or to our political opponents. YES NO 6 – Do you have any unspent criminal or civil convictions, and in particular do you have any convictions relating to sexual offending, violent offending, and/or which may be relevant to the safeguarding of children or vulnerable adults. YES NO 7 – Have you ever gone by any other name other than the one currently listed on this application form. If you have please provide details of this name below YES NO 8 – Have you ever been dismissed for gross misconduct or any other reason YES NO 9 – Have you ever been struck off from, fined or otherwise disciplined by a professional body. YES NO 10 – Have you ever had any work published. If you have please provide links to this below. YES NO 11 – Have you any links to any other political party – in the UK or abroad. YES NO 12 – Have you ever been involved in a company which has been liquidated, nor do you have debts relating to your business history. YES NO 13 – Will internet and social media searches of your name result in stories that could be seen as embarrassing to myself or to the Labour Party YES NO 14 – Whilst understanding that not being able to agree each point in the declaration above does not automatically disbar you from being a Labour Party candidate, particularly in regards spent convictions declared under point 6. Do you understand that you are required to answer honestly in order to ensure the selection panel/assessment team is in possession of all facts it requires to come to a considered view as to whether you meet the NEC and WEC's requirement to ensure high quality candidates YES NO 15 – Do you understand that the Labour Party will undertake appropriate due diligence checks relating to my candidacy, and if you are found to have completed the above declarations inaccurately, the WEC or the NEC may terminate your candidacy.  YES NO 16 – Are you committed to the aims and values of the Labour Party, its rules, procedures and codes of conduct. YES NO DetailsIf you are unable to tick any of the boxes above or wish to give further information please provide details here. *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 Welsh Labour *The information collected on this form will only be used for the purposes of processing your application. Where you provide the Labour Party with information related to any criminal convictions, we process this data in order to ensure candidates adhere to the standards set out in our Rule Book and where necessary to ensure candidates are not disqualified under electoral law, as well as to safeguard the wider public. You can find more information about this in our privacy policy here: https://labour.org.uk/privacy-policy/members/ 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 rentedPlease list the names of companies in which you have an interest greater than one per cent of the issued share capitalPlease 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)IMPORTANT NOTIFICATION We will only accept the last application that you have submitted. Any submitted previously to this will be ignored. Please ensure that your form is complete to the best possible standard before pressing submit. If you wish to amend your application, please do so by emailing [email protected] before the closing deadline. When you click submit your information will be saved. You will then be asked to complete the Welsh Labour Equalities Monitoring Form. It is important that we collect monitoring data for all of our candidates for public office so that we can measure ourselves against our aim for our candidates to be representative of the full diversity of our society.*The information collected on this form will only be used for the purposes of processing your application. Where you provide the Labour Party with information related to any criminal convictions, we process this data in order to ensure candidates adhere to the standards set out in our Rule Book and where necessary to ensure candidates are not disqualified under electoral law, as well as to safeguard the wider public. You can find more information about this in our privacy policy here: https://labour.org.uk/privacy-policy/members/
