Phone: +27 11 699 3000

Fax: +27 11 252 6190

admissions@africanleadershipacademy.org
www.africanleadershipacademy.org
1050 Printech Avenue, Honeydew, 2040, South Africa
_______________________________________________________________________________

WELCOME TO AFRICAN LEADERSHIP ACADEMY!

Dear Applicant,

Thank you for your interest in African Leadership Academy. By completing this first-round
application you are taking the first step in a process that will allow us to learn more about you,
your achievements, and your future goals.

Prior to completing this application, I encourage you to learn as much as possible about African
Leadership Academy. Read our brochure, ask us questions, or visit our website:
www.africanleadershipacademy.org. Think about the role you envision playing in Africa’s future.
If you believe African Leadership Academy is the right place for you, take the next step and
apply!

We encourage you to submit your application as soon as possible. The deadline has been
extended and all first-round applications must be received at our office in South
Africa by 28 February 2011. Our Selection Committee will review all first-round applications
carefully and nominate finalists by late February/early March 2011. All finalists will be invited to
submit a final-round application that includes additional personal information, essays, and
recommendation letters. The last step in the process may include an entrance exam and
interviews. All finalists will be notified of final admissions decisions by May 2011.

We are excited that you have chosen to apply to African Leadership Academy, and wish you
continued success as you pursue your dreams.

Warm regards,
African Leadership Academy

FIRST-ROUND APPLICATION INSTRUCTIONS

The African Leadership Academy first-round application consists of four components, all of which
must be completed. We cannot evaluate applications that are incomplete.
A. Personal Data Form
B. Academic Information (including your last two school reports and national exam results)
C. Short Answer Questions
D. Essay Question

Submitting Your Application:

Please complete the following three pages and attach copies of your last two school reports and
national exam results. Be sure to write your name and contact information on each page of your
application. You can submit your application to the African Leadership Academy Admissions
Office in one of four ways:

• Via email to admissions@africanleadershipacademy.org. (This is the preferred method!)

• Via fax to +27 11 252 6190

• Via certified courier to African Leadership Academy, 1050 Printech Avenue,

Honeydew, 2040, South Africa. Please list “Nicola Hopwood” as the receiver and write
+27 11 699 3000 for the receiver’s phone number.

• If you cannot use any of the above methods, please submit your application via regular
postal mail to PostNet Suite 413, Private Bag X1, Northcliff, 2115 South Africa. Please
only use regular postal mail as a last resort as the South Africa postal service
is not reliable and there is no guarantee that your application will arrive safely
and on time.

DEADLINE HAS BEEN EXTENDED TO 28 FEBRUARY 2011.

African Leadership Academy First-Round Application Page 2

All first-round applications with all four parts completed must be received by 28 February
2011. We strongly encourage you to submit your application as soon as possible.

Confirmation of Receipt:
You will receive a confirmation via SMS and/or email after we receive your application. Please
contact the Admissions Office only if you do not receive a confirmation message within one
week. Please keep a full copy of all application materials in case your application is
lost in transit. ALA will not be held liable for lost or missing applications.

Developing the next generation of African leaders

African Leadership Academy First-Round Application Page 3

A. PERSONAL DATA FORM

STUDENT INFORMATION (Please type or write clearly in black ink using only CAPITAL
LETTERS!)
Surname (Family Name): DOGBEY
First Names (Given Names): MATTHEW
Gender: F M Nationality: Birth Date: 22 /09
Day Month Year
/1991
Email: mmransem@gmail.com
Mobile Phone: (+233 )0547685892 Other Phone: (+
Country code Country code
)
Permanent Physical Address: BOX 24, ANUM-ASIKUMA
Country
GHANA
Address During School Year: BOX 9, BOSO
(If Different) Country
GHANA

PARENT/GUARDIAN INFORMATION Living with: Parent(s) Relative(s)

Other
Name(s)/Relationship to you: ATSU AGBEDOR (FATHER)
Phone & Email 1: 0247029035 Phone & Email 2:

SCHOOL INFORMATION:
School Name and Location (City/Country): BOSO SHS,BOSO EASTERN
REGION,GHANA
Physical Address of School: BOX 9,BOSO
Current Grade Level/Form/Year: Expected Date of Graduation (if youMonth
do notYear
enter ALA): 06 / /
School Year Begins: School Year Ends:
Principal’s or Head of School’ Name:
Principal’s or Head of School’s Phone & Email:

B. ACADEMIC INFORMATION
Name of last public/national examinations written:
Country of examination: Date of Year
Month
exam: /
Exam results (list most recent end of year results if you have not taken a public exam):
Grade/Marks/Sc Grade/Marks/Sc
Subject Subject
ore ore

Developing the next generation of African leaders

African Leadership Academy First-Round Application Page 4

PLEASE ATTACH COPIES OF THE LAST TWO SCHOOL REPORTS YOU RECEIVED
AND YOUR OFFICIAL EXAMINATION RESULTS (DO NOT send original
transcripts. ALA will not return original documents to you. )
How did you first learn about African Leadership Academy? (please mark only one)
Information session / presentation (please specify location):
Teacher, principal or counsellor (please list name):
Friend, parent, guardian or relative (please specify and list name):
Your own search on the Internet
Other, e.g. newspaper, magazine, radio (please specify):
Facebook or other social media (please specify):

Name: Phone/Email:
C. SHORT ANSWER QUESTIONS
Note: please contain all answers to the boxes provided.

Is this your first time applying to ALA? Yes No

IMPORTANT: If you have applied to ALA before, please include any NEW
information/achievements in the blocks below since your last application.

What excites you most about African Leadership Academy?

What do you consider your greatest achievement so far?

List any activities you participate in at school or in your community and any
leadership positions held.

What activity do you enjoy most and why?

Developing the next generation of African leaders

African Leadership Academy First-Round Application Page 5

Describe yourself. You may use words, pictures, symbols, equations –

anything you would like.

Name: Phone/Email:
D. ESSAY QUESTION

In this section we would like you to describe a time when you identified a
need in your community (such as your family, school, village, or town) and
took action:

What need did you identify?

How did you address this need?

Developing the next generation of African leaders

African Leadership Academy First-Round Application Page 6

What was the outcome?

I hereby certify that all information is truthfully and accurately presented and
my work alone.
Applicant Signature: Date:

I hereby give permission for my son / daughter / ward to apply to African

Leadership Academy.
Parent/Guardian Signature: Date:

Developing the next generation of African leaders