1 Step 1 2 Step 2 Surname Jamaican Passport No. First Name Middle Name Zone:(Office use only) Division(Office use only) Address Country Date of Birth GenderMaleFemaleOther Telephone Contacts: Home Mobile WhatsAppYesNo Email Occupation Employment Status and Academic Levels - Please check appropriate boxes:EmployedSelf-employedUnemployedRetiredStudentSecondaryTertiaryUniversityPost Graduate References from two Party Members NEC /Region Chair/Commission Chair/Zone Chair/Member of Parliament/Councillor (Each person must sign this form which indicates agreement to be used as reference) Name(reference 1) Position Phone Number Name(reference 2) Position Phone Number Applicant: Please indicate if :previous PNP Party Membershipcurrent PNP Party Membership If yes, please list constituency: Please indicate a maximum of two - one Commission & one special interest; or two special interests: Party Commissions Party Commissions and CommitteesOutreach and RecruitmentPolitical Education & TrainingCommunicationsInternational & Diaspora AffairsWelfareFinance & Fund RaisingHuman RightsGenderHeritage Committee Special Interests Party Commissions and CommitteesTrainers: Jamaica (Tertiary level education desirable). Election worker, candidate, campaign worker, & election preparednessSuper Canvassers: Jamaica (Field work activity primarily on weekends – must be skilled in person-to-person contact)Technology Liaisons: to work with divisions and constituencies and campaign teams in Jamaica; and to work within the Diaspora RegionCommunication Liaisons – Jamaica and DiasporaElection Campaigning Field Work - JamaicaAdministrative – Jamaica and DiasporaPolitical Education - DiasporaMembership & Recruitment - DiasporaAny Other Areas (Please Indicate) Applicant Name(your full name) Date Applicant Signature(Sign Here)Clear Signature Please attach proof of Jamaican citizenship (JA Passport); and overseas residency Foreign photo ID) Fileuploadcloud_uploadClick to Upload I confirm all information submitted is true and that I am the person stated herein(tick box) Rejected:(for official use only) Denied:(for official use only) Approved:(General Secretary) Date: Submit Form keyboard_arrow_leftPrevious Nextkeyboard_arrow_right FormCraft - WordPress form builder
