London Assembly Candidate application form Become a candidate London Assembly Candidate Application Form Step 1 of 4 25% First Name*Last Name*Full name to appear on ballot paper*Membership Number*0 of 8 max charactersAssembly Seat*Bexley & BromleyCroydon & SuttonEaling & HillingdonHavering & RedbridgeSouth WestWest CentralLISTThe below drop down list will show all the current London Assembly seats currently open for candidate selection. If you wish to stand for the ‘list’ please select this from the drop down menuDo 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.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 UnionOtherWhich 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 CLPHave you participated or are currently participating in one of the following??*Bernie Grant Leadership ProgrammeCo-opertative Candidate Development ProgrammeFuture Candidates ProgrammeJo Cox Women in Leadership ProgrammeTULO Political SchoolTrade Union programmes for future candidatesNone of the aboveCurrent 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 FasoBurundiCambodiaCameroonCanadaCape VerdeCayman 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 SaharaYemenZambiaZimbabweÅland 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 In no more than 500 words please state why you should be the candidate for the seat 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 Declaration 1 I declare that on becoming elected, I shall ensure that my Labour Party membership subscription is paid by direct debit at the standard rate.Declaration 2 I declare that, in the event that I am not appointed to the shortlist of candidates, I will not seek or allow myself to be nominated as a candidate nor support the nomination of any other candidate with the exception of the official Labour Party candidate.Declaration 3 I 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, I agree to abide by the Labour Party’s structures and codes of conduct and the provisions of the national rules of the Labour Party.Declaration 4 I have not previously been turned down at the panelling stage while seeking selection to the Westminster, Scottish, Welsh or European Parliament, local government or any other elected positionDeclaration 5 I have 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.Declaration 6 I have no unspent criminal or civil convictions, and in particular I do not have 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.)Declaration 6 I have never gone by any other name other than the one currently listed on this application form. If you have please provide details of this name belowDeclaration 6 I have never been dismissed for gross misconduct or any other reasonDeclaration 6 I have never been struck off from, fined or otherwise disciplined by a professional body.Declaration 6 I have never had any work published. If you have please provide links to this below.Declaration 6 I have no links to any other political party – in the UK or abroad.Declaration 7 I have never been involved in a company which has been liquidated, nor do I have debts relating to my business history.Declaration 8 Internet and social media searches of my name do not result in stories that could be seen as embarrassing to myself or to the Labour PartyDeclaration 9 While I understand that not being able to agree each point in the declaration above does not automatically disbar me from being a Labour Party candidate, particularly in regards spent convictions declared under point c. I understand that I am 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 I meet the NEC’s requirement to ensure high quality candidates.Declaration 10 I understand that the Labour Party will undertake appropriate due diligence checks relating to my candidacy, and if I am found to have completed the above declarations inaccurately, the Local Government Committee or the NEC may terminate my candidacy. Declaration 11 I am committed to the aims and values of the Labour Party, its rules, procedures and codes of conduct.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 the Regional Director*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 selections@labour.org.uk 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/