BOSA Local Government Candidate Application Form

Full Names:

Full names as per ID

Surname:

ID Number:

Date of birth:

Date

Gender:

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Email Address:

example@example.com

Residential Address

Street Address

Street Address Line 2

CityProvince

Postal Code

Ward:

Municipality:

Role:

Previous political party membership:

If yes, Specify:

Previously Stood Candidate:

If Yes, specify:

Community work/activism:

Leadership roles:

Current Occupation:

Highest Qualification:

Relevant Experience:

Why do you want to represent BOSA?

Top 3 Community Issues:

First 6 months priorities:

Available to campaign?

Criminal Record:

Dismissed for misconduct:

File Upload

Attach: ID, CV, Proof of residence, Qualifications

Protection of Personal Information Act (POPIA) Consent

By submitting this application, I hereby consent to Build One South Africa collecting, processing, storing, and using my personal information for the purposes of candidate recruitment, assessment, selection, and related administrative processes.

I understand that my information will be handled in accordance with applicable data protection laws, including the Protection of Personal Information Act, and will only be used for legitimate recruitment and selection purposes.

Background Screening & Vetting Consent

I acknowledge and consent that, should I be shortlisted, my personal information may be verified and subjected to background screening processes, which may include (but are not limited to):
• Identity verification
• Criminal record checks
• Qualification verification
• Reference checks
• Credit checks (where applicable)

I understand that the outcome of these checks may influence my eligibility for selection.

I confirm that;

The information provided in this application is true and correct
I understand the purpose for which my information is being collected
I voluntarily consent to the processing and verification of my information as outlined above

Signature

BOSA Local Government Candidate Application Form

Section 1: Personal Information

Section 2: Position Applied For

Section 3: Political & Community Engagement

Section 4: Professional Experience

Section 5: Alignment to BOSA values

Section 6: Availability

Section 7: Compliance

Section 8: Documents

Section 9: Consent, POPIA & Vetting Authorisation

Section 10: Declaration