Local Authority Mayor Application Form Step 1 of 4 25% First Name*Last Name*Full name*This the name that will appear on a ballot if one is requiredMembership Number*Local Authority*The below drop down list will show all the current Mayoral areas currently open for candidate selection.LewishamDo you have at least 12 months continuous membership?*Please be aware that it is a requirement for all applicants to have at least 12 months continuous membership. YES NO Are you a member of a trade union?*Please be aware that it is a requirement for all applicants to be a member of a trade union. 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 UnionOtherRegion or Nation*Region or NationEast MidlandsEast of EnglandLondonNorth EastNorth WestScotlandSouth EastSouth WestWalesWest MidlandsYorkshire and The HumberWhich CLP do you currently reside in?*CLPBasildon And BillericayBedfordBraintreeBrentwood And OngarBroadland And FakenhamBroxbourneBury St Edmunds And StowmarketCambridgeCastle PointCentral Suffolk And North IpswichChelmsfordClactonColchesterDunstable And Leighton BuzzardEly And East CambridgeshireEpping ForestGreat YarmouthHarlowHarpenden And BerkhamstedHarwich And North EssexHemel HempsteadHertford And StortfordHertsmereHitchinHuntingdonIpswichLowestoftLuton NorthLuton South And South BedfordshireMaldonMid BedfordshireMid NorfolkNorth BedfordshireNorth East CambridgeshireNorth East HertfordshireNorth NorfolkNorth West CambridgeshireNorth West EssexNorth West NorfolkNorwich NorthNorwich SouthPeterboroughRayleigh And WickfordSouth Basildon And East ThurrockSouth CambridgeshireSouth NorfolkSouth SuffolkSouth West HertfordshireSouth West NorfolkSouthend East And RochfordSouthend West And LeighSt AlbansSt Neots And Mid CambridgeshireStevenageSuffolk CoastalThurrockWatfordWaveney ValleyWelwyn HatfieldWest SuffolkWithamWhich CLP do you currently reside in?*CLPAmber ValleyAshfieldBassetlawBolsoverBoston And SkegnessBroxtoweChesterfieldCorby And East NorthamptonshireDaventryDerby NorthDerbyshire DalesDerby SouthErewashGainsboroughGedlingGrantham And BourneHarborough, Oadby And WigstonHigh PeakHinckley And BosworthKetteringLeicester EastLeicester SouthLeicester WestLincolnLoughboroughLouth And HorncastleMansfieldMelton And SystonMid DerbyshireMid LeicestershireNewarkNorthampton NorthNorthampton SouthNorth East DerbyshireNorth West LeicestershireNottingham EastNottingham North And KimberleyNottingham SouthRushcliffeRutland And StamfordSherwood ForestSleaford And North HykehamSouth DerbyshireSouth Holland And The DeepingsSouth LeicestershireSouth NorthamptonshireWellingborough And RushdenWhich CLP do you currently reside in?*CLPLabour InternationalWhich CLP do you currently reside in?*CLPBarkingBatterseaBeckenham And PengeBermondsey And Old SouthwarkBethnal Green And StepneyBexleyheath And CrayfordBrent EastBrentford And IsleworthBrent WestBromley And Biggin HillCarshalton And WallingtonChelsea And FulhamChingford And Woodford GreenChipping BarnetCities Of London And WestminsterClapham And Brixton HillCroydon EastCroydon SouthCroydon WestDagenham And RainhamDulwich And West NorwoodEaling Central And ActonEaling NorthEaling SouthallEast HamEdmonton And Winchmore HillEltham And ChislehurstEnfield NorthErith And ThamesmeadFeltham And HestonFinchley And Golders GreenGreenwich And WoolwichHackney North And Stoke NewingtonHackney South And ShoreditchHammersmith And ChiswickHampstead And HighgateHarrow EastHarrow WestHayes And HarlingtonHendonHolborn And St PancrasHornchurch And UpminsterHornsey And Friern BarnetIlford NorthIlford SouthIslington NorthIslington South And FinsburyKensington And BayswaterKingston And SurbitonLewisham EastLewisham NorthLewisham West And East DulwichLeyton And WansteadMitcham And MordenOld Bexley And SidcupOrpingtonPeckhamPoplar And LimehousePutneyQueen's Park And Maida ValeRichmond ParkRomfordRuislip, Northwood And PinnerSouthgate And Wood GreenStratford And BowStreatham And Croydon NorthSutton And CheamTootingTottenhamTwickenhamUxbridge And South RuislipVauxhall And Camberwell GreenWalthamstowWest Ham And BecktonWimbledonWhich CLP do you currently reside in?*CLPBishop AucklandBlaydon And ConsettBlyth And AshingtonCity Of DurhamCramlington And KillingworthDarlingtonEasingtonGateshead Central And WhickhamHartlepoolHexhamHoughton And Sunderland SouthJarrow And Gateshead EastMiddlesbrough And Thornaby EastMiddlesbrough South And East ClevelandNewcastle Upon Tyne Central And WestNewcastle Upon Tyne East And WallsendNewcastle Upon Tyne NorthNewton Aycliffe And SpennymoorNorth DurhamNorth NorthumberlandRedcarSouth ShieldsStockton NorthStockton WestSunderland CentralTynemouthWashington And Gateshead SouthWhich CLP do you currently reside in?*CLPAltrincham And Sale WestAshton-under-lyneBarrow And FurnessBirkenheadBlackburnBlackley And Middleton SouthBlackpool North And FleetwoodBlackpool SouthBolton North EastBolton South And WalkdenBolton WestBootleBurnleyBury NorthBury SouthCarlisleCheadleChester North And NestonChester South And EddisburyChorleyCongletonCrewe And NantwichEllesmere Port And BromboroughFyldeGorton And DentonHazel GroveHeywood And Middleton NorthHyndburnKnowsleyLancaster And WyreLeigh And AthertonLiverpool GarstonLiverpool RiversideLiverpool WaltonLiverpool WavertreeLiverpool West DerbyMacclesfieldMakerfieldManchester CentralManchester RusholmeManchester WithingtonMid CheshireMorecambe And LunesdaleOldham East And SaddleworthOldham West, Chadderton And RoytonPendle And ClitheroePenrith And SolwayPrestonRibble ValleyRochdaleRossendale And DarwenRuncorn And HelsbySalfordSefton CentralSouthportSouth RibbleStalybridge And HydeSt Helens NorthSt Helens South And WhistonStockportStretford And UrmstonTattonWallaseyWarrington NorthWarrington SouthWest LancashireWestmorland And LonsdaleWhitehaven And WorkingtonWidnes And HalewoodWiganWirral WestWorsley And EcclesWythenshawe And Sale EastWhich CLP do you currently reside in?*NICLPNorthern IrelandWhich CLP do you currently reside in?*CLPAberdeen NorthAberdeenshire North And Moray EastAberdeen SouthAirdrie And ShottsAlloa And GrangemouthAngus And Perthshire GlensArbroath And Broughty FerryArgyll, Bute And South LochaberAyr, Carrick And CumnockBathgate And LinlithgowBerwickshire, Roxburgh And SelkirkBerwickshire, Roxburgh And SelkirkCaithness, Sutherland And Easter RossCentral AyrshireCentral AyrshireCoatbridge And BellshillCowdenbeath And KirkcaldyCumbernauld And KirkintillochDumfries And GallowayDumfriesshire, Clydesdale And TweeddaleDundee CentralDunfermline And DollarEast Kilbride And StrathavenEast RenfrewshireEast RenfrewshireEdinburgh East And MusselburghEdinburgh North And LeithEdinburgh SouthEdinburgh South WestEdinburgh WestFalkirkGlasgow EastGlasgow NorthGlasgow North EastGlasgow SouthGlasgow South WestGlasgow WestGlenrothes And Mid FifeGordon And BuchanHamilton And Clyde ValleyInverclyde And Renfrewshire WestInverness, Skye And West Ross-shireKilmarnock And LoudounKilmarnock And LoudounLivingstonLothian EastMid DunbartonshireMidlothianMidlothianMoray West, Nairn And StrathspeyMotherwell, Wishaw And CarlukeNa H-eileanan An IarNa H-eileanan An IarNorth Ayrshire And ArranNorth Ayrshire And ArranNorth East FifeOrkney And ShetlandOrkney And ShetlandPaisley And Renfrewshire NorthPaisley And Renfrewshire SouthPerth And Kinross-shireRutherglenStirling And StrathallanWest Aberdeenshire And KincardineWest Aberdeenshire And KincardineWest DunbartonshireWhich CLP do you currently reside in?*CLPAldershotArundel And South DownsAshfordAylesburyBanburyBasingstokeBeaconsfieldBexhill And BattleBicester And WoodstockBognor Regis And LittlehamptonBracknellBrighton Kemptown And PeacehavenBrighton PavilionBuckingham And BletchleyCanterburyChatham And AylesfordChesham And AmershamChichesterCrawleyDartfordDidcot And WantageDorking And HorleyDover And DealEarley And WoodleyEastbourneEast Grinstead And UckfieldEast HampshireEastleighEast SurreyEast ThanetEast Worthing And ShorehamEpsom And EwellEsher And WaltonFareham And WaterloovilleFarnham And BordonFaversham And Mid KentFolkestone And HytheGillingham And RainhamGodalming And AshGosportGraveshamGuildfordHamble ValleyHastings And RyeHavantHenley And ThameHerne Bay And SandwichHorshamHove And PortsladeIsle Of Wight EastIsle Of Wight WestLewesMaidenheadMaidstone And MallingMid BuckinghamshireMid SussexMilton Keynes CentralMilton Keynes NorthNewburyNew Forest EastNew Forest WestNorth East HampshireNorth West HampshireOxford EastOxford West And AbingdonPortsmouth NorthPortsmouth SouthReading CentralReading West And Mid BerkshireReigateRochester And StroodRomsey And Southampton NorthRunnymede And WeybridgeSevenoaksSittingbourne And SheppeySloughSouthampton ItchenSouthampton TestSpelthorneSurrey HeathSussex WealdTonbridgeTunbridge WellsWeald Of KentWinchesterWindsorWitneyWokingWokinghamWorthing WestWycombeWhich CLP do you currently reside in?*CLPBathBournemouth EastBournemouth WestBridgwaterBristol CentralBristol EastBristol North EastBristol North WestBristol SouthCamborne And RedruthCentral DevonCheltenhamChippenhamChristchurchEast WiltshireExeterExmouth And Exeter EastFilton And Bradley StokeForest Of DeanFrome And East SomersetGlastonbury And SomertonGloucesterHoniton And SidmouthMelksham And DevizesMid Dorset And North PooleNewton AbbotNorth CornwallNorth CotswoldsNorth DevonNorth DorsetNorth East Somerset And HanhamNorth SomersetPlymouth Moor ViewPlymouth Sutton And DevonportPooleSalisburySouth CotswoldsSouth DevonSouth DorsetSouth East CornwallSouth West DevonSouth West WiltshireSt Austell And NewquaySt IvesStroudSwindon NorthSwindon SouthTaunton And WellingtonTewkesburyThornbury And YateTiverton And MineheadTorbayTorridge And TavistockTruro And FalmouthWells And Mendip HillsWest DorsetWeston-super-mareYeovilWhich 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-brownhillsBirmingham EdgbastonBirmingham ErdingtonBirmingham Hall Green And MoseleyBirmingham Hodge Hill And Solihull NorthBirmingham LadywoodBirmingham NorthfieldBirmingham Perry BarrBirmingham Selly OakBirmingham YardleyBromsgroveBurton And UttoxeterCannock ChaseCoventry EastCoventry North WestCoventry SouthDroitwich And EveshamDudleyHalesowenHereford And South HerefordshireKenilworth And SouthamKingswinford And South StaffordshireLichfieldMeriden And Solihull EastNewcastle-under-lymeNorth HerefordshireNorth ShropshireNorth Warwickshire And BedworthNuneatonRedditchRugbyShrewsburySmethwickSolihull West And ShirleySouth ShropshireStaffordStaffordshire MoorlandsStoke-on-trent CentralStoke-on-trent NorthStoke-on-trent SouthStone, Great Wyrley And PenkridgeStourbridgeStratford-on-avonSutton ColdfieldTamworthTelfordThe WrekinTipton And WednesburyWalsall And BloxwichWarwick And LeamingtonWest BromwichWest WorcestershireWolverhampton North EastWolverhampton South EastWolverhampton WestWorcesterWyre ForestWhich CLP do you currently reside in?*CLPBarnsley NorthBarnsley SouthBeverley And HoldernessBradford EastBradford SouthBradford WestBridlington And The WoldsBrigg And ImminghamCalder ValleyColne ValleyDewsbury And BatleyDoncaster CentralDoncaster East And The Isle Of AxholmeDoncaster NorthGoole And PocklingtonGreat Grimsby And CleethorpesHalifaxHarrogate And KnaresboroughHuddersfieldKeighley And IlkleyKingston Upon Hull EastKingston Upon Hull North And CottinghamKingston Upon Hull West And HaltempriceLeeds Central And HeadingleyLeeds EastLeeds North EastLeeds North WestLeeds SouthLeeds South West And MorleyLeeds West And PudseyNormanton And HemsworthOssett And Denby DalePenistone And StocksbridgePontefract, Castleford And KnottingleyRawmarsh And ConisbroughRichmond And NorthallertonRotherhamRother ValleyScarborough And WhitbyScunthorpeSelbySheffield Brightside And HillsboroughSheffield CentralSheffield HallamSheffield HeeleySheffield South EastShipleySkipton And RiponSpen ValleyThirsk And MaltonWakefield And RothwellWetherby And EasingwoldYork CentralYork OuterHave you paraticipated or currently participating in any 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 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.x.com/UKLabourwww.labour.org.uk In no more than 500 words please state why you should be the candidate for the area in question:In no more than 500 words please state what we need to do to win this election:In no more than 500 words please talk about your Labour Party experienceIn no more than 500 words please explain what makes you a great campaignerIn no more than 500 words please talk about other experiences in either work or study that you think are relevant to your applicationIn no more than 500 words please give some examples of your teamwork & liaison skills Declarations Please answer the following declarations providing any extra information in the details box, found at the end of the section1 – Upon becoming elected, will you ensure that you 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 – If elected, will 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 – Can you confirm that you have not previously been turned down at the paneling stage while seeking selection to the Westminster, Scottish, Welsh or European Parliament, local government or any other elected position* YES NO 5 – Have you provided details of all social media accounts to which I 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 any convictions relating to sexual offending, violent offending, and/or which may be relevant to the safeguarding of children or vulnerable adults. (Candidates for Police & Crime Commissioner must declare all convictions – spent or unspent – so that the party can be confident they are not disqualified under electoral law.)* 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 in the details box below* YES NO 8 – Have you ever 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, or have you ever had any debts relating to your business history.* YES NO 13 – Will any internet and social media searches of your name result in stories that could be seen as embarrassing to yourself or to the Labour Party* YES NO 14 – While 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’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 your candidacy, and if you are found to have completed the above declarations inaccurately, the Local Government Committee 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 DetailsPlease provide any information you think is required regarding the declarations above *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 Welsh or Scottish General Secretary. *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)This field is hidden when viewing the formCandidate StatementPlease provide a supporting statement of up to 250 words which will be sent to members prior to their nomination meeting. If more than 250 words are submitted, the printed text will end on word 250. You are responsible for checking spelling and grammar.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 Labour Party’s 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/
