CHURCH OF GOD IN TANZANIA (COGT),

TAWI LA LUBANDA,
S.L.P 328,
SENGEREMA MWANZA,
18. 05.2019.

MCHUNGAJI WA
KANISA LA……………………………….
S.L.P…………
SENGEREMA.
Ndg Mchungaji
YAH: MWALIKO WA MKUTANO WA INJILI
Nawasalimu katika jina la Yesu Kristo aliye hai.

Kanisa la Church of God in Tanzania tawi la Lubanda Sengerema linayofuraha na

linapenda kukuarika pamoja na kukukaribisha wewe Mchungaji, Wanakwaya pamoja na
Wanakanisa wote katika mkutano wa injili utakaoambatana na semina ya Neno la
Mungu.

Mkutano huo utaanza tarehe 5.6.2019 hadi tarehe 9.6.2019, apambo semina ya Neno la
Mungu itafanyikia kanisani kuanzia saa tatu asubuhi hadi saa sita mchana. Na mkutano
wa injili utafanyikia sentani (senta ya lubanda) kuanzia saa tisa alasiri hand saa kumi na
mbili za jioni kila siku.

Wako katika kazi ya Bwana

………………………………………………………….

Mchungaji Francis James Zenzelengwa

Church of God in Tanzania tawi la Lubanda

0783628006/ 0742413695

Personal Statements
Your responses to the following questions will help the selection committee identify your
current and potential leadership traits as well as understand your desire to participate in the
program. Your responses are therefore critical in distinguishing yourself from other
candidates. Please note that there is a word limit for each question.

What would you like the YALI RLC East Africa to know about you? 
(250 Word Limit)
*

Max : 250 | 0 words

Think about a challenge in your community, if you have absolutely no financial resources to address it,
how else would you still go about solving this challenge? (Please give a specific example).
250 Word Limit
*

Max : 250 | 0 words

Youth population in Africa is increasing at a rapid rate and this is accompanied by unemployment. What
solutions, in your own capacity, would you recommend be taken to tackle this challenge?
250 Word Limit
*

Max : 250 | 0 words

What attracts you to the YALI RLC EA Program and how do you plan to extend what you will gain from
the experience?
250 Word Limit
*

Max : 250 | 0 words

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Supplemental Questions
Responses to these questions are voluntary. You are NOT REQUIRED to respond to these
questions. No selections will be made based on this information. There will be no impact on
your application if you choose not to answer any of these questions. Your responses will not
be shown to the panel rating the applications or to anyone else who can affect your
application. This information is used to better understand the people we are reaching and
will help us better assure maximum diversity. The aggregate information collected through
this form will be kept private and confidential.

Marital Status

Married Single I choose not to disclose

Religious Affiliation

                                                                                                            

Do you have a disability?

Yes  No

Have you previously participated in a leadership course or training?

Yes No

Have you previously applied to be a YALI Mandela Washington Fellow?

Yes  No
Are you a member of the YALI Network?

Yes  No

How did you learn about the YALI Regional Leadership Center East Africa?

Kindly indicate which sector you are in:

Do you know anyone currently in the program or an alumnus?

Yes  No

Have you previously applied for other Cohorts?

Yes  No

Program Track & Cohort Selection

There are three tracks to choose from: Entrepreneurship, Civic Leadership, and Public
Management. Participants may only participate in one of the tracks which aligns most
closely with their current and/or future career or vocational achievements and/or aspirations.
Read the descriptions of each track carefully before making your selection.

1. Program Track *

Entrepreneurship
  Read More
Public Management
  Read More
Civic Leadership
  Read More

2. Cohort Dates *

Please note, at this time, the YALI Regional Leadership Center East Africa is recruiting for
Cohorts 35, 36 and 37. 
Please indicate which is your first and second priority, we will do our best to place
you in your preferred cohort:
 Application
Cohort Name Start Date End Date Priority Description
Deadline
Cohort 35 04/11/2019 29/11/2019 01/07/2019 Detail

Cohort 36 03/02/2020 28/02/2020 01/07/2019 Detail

Cohort 37 06/04/2020 01/05/2020 01/07/2019 Detail

 Please check this box if you would like to be considered for future cohorts. We will
notify you when dates are set and when applications will be accepted.

Professional Experience
Please tell us about your professional experience. This can include formal or informal
employment, self-employment, or other forms of engagement with organizations. It is not
mandatory that you are or have ever been employed, but we want to know as much about
you as possible.
List up to 3 positions you have held, starting with the most current.

 I currently work here

Organization/Company Name P
o
si
ti
o
n/
J
o
b
T
it
le
:

Was this self employment?      Yes   No

Month Year T Month Year

                                                                                        o                                                                                        
                                                                                                                         
Key Responsibilities and Achievements (100 words max)

Max : 100 | 0 words

Organization/Company Name P
o
si
ti
o
n/
J
o
b
T
it
le

Was this self employment?      Yes   No

Month Year T Month Year

                                                                                        o                                                                                        
                                                                                                                         

Key Responsibilities and Achievements (100 words max)

Organization/Company Name P
o
si
ti
o
n/
J
 o
b
T
it
le

Was this self employment?      Yes   No

Month Year T Month Year

                                                                                        o                                                                                        
                                                                                                                         

Key Responsibilities and Achievements (100 words max)

Max : 100 | 0 words

Leadership Experience
List up to 2 positions you have held, starting with the most current.

Organization/Club*: T
it
l
e
*
:

Month Year TMonth Year

                                                                                           o                                                                                           
                                                            
                                                                                        

Responsibilities*: (100 words max)

 Organization/Club: T
it
l
e
:

Month Year TMonth Year

                                                                                           o                                                                                           
                                                            
                                                                                        

Responsibilities: (100 words max)

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 Our Partners
 Privacy
 Application Instructions

Education
Please tell us about your educational background. While the YALI RLC program values a
personal's education, there is not minimum level of education required for participation in
the program. We just want to know as much about you as possible.

What Bachelor's
                                         
is
your
highe
st
degre
e you
have
comp
leted:
*

Are
 Yes  No
you
curre
ntly a
stude
nt?*

What University
                                              
is the
highe
st
level
of
educa
tion
you
have
comp
leted
?*

Nam Tumaini Un
e of
schoo
l or
instit
ution
last
atten
ded*

What Bachelor o
was
your
field
of
study
? *

Locat Arusha
ion of
schoo
l or
instit
ution
atten
ded/
City 
*

Locat                                                                                                                                                                              
ion of Tanzania
schoo
l or
instit
ution
last
atten
ded/
Coun
try*

Languages

Engli
sh
Profi
cienc
y:
(rank
yours
elf)

Spea Basic
                
king

Readi Advanced
                
ng

Writi Advanced
                
ng

Liste Advanced
                
ning
Com
prehe
nsion
 Other
Lang
uages
Spok
en:

1: Sw ahili

2:

3:

4:

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 Apply Now
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 Our Partners
 General Information
 Please tell us your personal and contact information. We just want to know as much
about you as possible.

Give Paschal
n
Na
me*

Sur James
nam
e*

Gen
 Male     Female     Non-conforming
der*

Dat
e of
Birth
*(YY
YY-
MM-
DD)

Plac
e of
Birth
/Loc
atio
n*

Plac                                                                                                                                                               
e of
Birth
/Co
untr
y*

Citiz
                                                                            
ens
hip*

Cou
                                                                            
ntry
of
Resi
den
ce*

City
of
Resi
den
ce*

Plea
                
se
char
acte
rize
whe
re
you
curr
entl
y
live
or
wor
k as
one
of
the
follo
wing
:*

Pass
port
Num
ber/
Natio
nal
ID

Coun                                                                                                                                                                              
try of
Issue

Expir
ation
Date(
DD-
MM-
YYY
Y)

Uplo
ad
Pass
port/
Natio
nal
ID
Imag
e

Contact Information

Ema paschalmak
il
Add
ress 
*

Prim +255-07584
ary
Pho
ne
Nu
mbe
r *

Oth
er
Pho
ne
Nu
mbe
r
(e.g:
+64-
111
111
111)

Oth
er
Ema
il
Add
ress

P.O.
Box

City

Post
Cod
e

Do
 Yes   No
you
use
Wha
tsap
p?

Which number? (e.g:+254-111111111)*

Do
 Yes   No
you
use
Twit
ter?
Do
 Yes   No
you
use
Sky
pe?

Do
 Yes  No
you
use
Fac
ebo
ok?

Fac e.g. (your facebook profile id) https://www.facebook.com/profile_id

ebo
ok
ID *