Application form

Women in News, 2017

Please COMPLETE ALL SECTIONS

Send completed form to if you are from Botswana, Rwanda, Zambia, Zimbabwe

Send completed form to if you are from Kenya, Tanzania, Malawi

Deadline for Submission: 2 October 2017

NOMINEE AND COMPANY INFORMATION

Company Name:
Name of Applicant:
/ Job Title:
Company Address:
City/Country:
Website:
Telephone No.:
Mobile No.:
/ Email:
Skype Handle:
Twitter handle:
Years in current role:
/ Immediate role prior:
Education Level
/ Number of people you manage, if any
Name of Direct Line Manager:
/ Job Title of Manager:
Telephone No of Manager:
Mobile No. of Manager:
/ Email of Manager:
Skype Handle:
Twitter handle:
Your name as it appears on your Passport / Nationality
Passport Number / Passport Expiry

Were you nominated by your manager or another superior to apply to WIN? (If different from above, please specify name and contact details). OR If you are nominating yourself, please tick below.

Name of Nominator:
/ Job Title of Nominator:
Telephone No of Nominator
/ Email of Nominator:

Self-nomination: I am nominating myself. Write YES if nominating yourself

About your Organisation:

Publication name:
Year of establishment:
Total estimated print audience:
Total readership (including online):
Website name and URL (list all if several):
Total employees:
Does the company have a diversity policy in place?
How many women sit on the management board of the organisation?

2. Focus of your Enrolment in Women in News

A. Personality traits and current skills. This will form part of your 360o feedback session with your coach.

1. Please list your 3 Professional and 3 Personal Strengths
Personal
i.
ii
iii
Professional
i.
ii.
iii.
2. How would you describe your approach to work and assignments?
3. Interpersonal Relationships. How do you feel you are perceived by supervisors, peers and staff?
Supervisor:
Peers:
Staff (if relevant):
4. How would you rate your communication skills?
General:
Presentations (Content and Delivery):
Listening:
5. What areas do you need to improve on?
i.
ii.
iii.
6. What gets you motivated and enthusiastic at work?
7. How do you cope with pressure and stress?
8. How do you accept feedback? Are you coachable?
9. What support would you need from within your organisation in order to progress you’re your career? Both from the management and employees?
10. Do you think you have the potential to progress in your career? Y/N
11. What is your ideal position in three years and in five years?
3 Years:
5 Years:

SECTION B: I am joining WIN to gain expert advice relating to a specific business or editorial project that I am involved with.

B (i) Description of the project (approximately 100 words. Please write in the grey box. It will expand as your words do.):

Please include details about:

1.  Focus of the project (e.g. developing a new supplement, building a website that encourages civic engagement, creating a new sales or employee incentive programme)

2.  Whether it is an existing or a new project

3.  Whether you were tasked with it by a superior or have/would like to propose it to your manager

B (ii) Why is this project important to your media company? Please explain why you think this particular project is valuable (for example to increase revenue generation, improve editorial excellence or introduce better management of human resources) (Approximately 50 words):

B (iii) Why is this project important to you, personally and/or professionally? (Approximately 50 words)

SECTION C. I am joining WIN programme to gain advice/tools to progress to the next level of responsibility within my organization

C (i) My three-year career objectives include (minimum 100 words):

Please specify the position you wish to attain within your media company and how many levels there are between your current job and the desired job within the company.

C (ii) My challenges to obtaining this position include (minimum 100 words)

Please specify what obstacles exist between your current position and your desired role within your media company. Please note that this programme does not provide grants.

C (iii) Please explain why you believe your company should support your advancement to the desired position (approximately 50 words)

SECTION D. Drivers and Influencers in the Work place:

D (i) Do you have an internal champion within the organization who supports women advancement? If so, who?

D (ii). Do you feel there is support at the top of the organization for the progression of women to the management team?

D (iii). What would be the most compelling reason for you to leave your media company?

D (iv) What would be the most compelling reason for you to remain within your media company?

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FOR OFFICIAL USE ONLY

Nomination form

Women in News, 2017

This form is to be filled out by:

(i) By the person who nominated you to come onto the programme (usually your immediate supervisor/manager at work)

(i) If you are nominating someone else whom you believe deserves to come onto the WIN programme and not applying yourself

Send completed form to if you are from Botswana, Rwanda, Zambia, Zimbabwe

Send completed form to if you are from Kenya, Tanzania, Malawi

SECTION 1: MANAGER AND COMPANY INFORMATION

Company Name:
Nominating Manager:
/ Job Title:
Company Address:
City/Country:
Website:
Telephone No.:
Mobile No.: / Email:
Skype Handle:
Twitter handle:
Name of Nominee:
/ Job Title:
Telephone of Nominee:
Mobile No. of Nominee: / Email of Nominee:
Skype Handle: Twitter handle:

SECTION 2: ABOUT THE NOMINEE (This important section will serve as part of the 360o Feedback process for the Nominee’s one to one coaching process)

1. Please list 3 Professional and 3 Personal Strengths
Personal
i.
ii
iii
Professional
i.
ii.
iii.
2. How would you describe her approach to work and assignments?
3. What makes the nominee stand out as a potential candidate
4. What are your reasons for selecting this particular nominee?
5. Interpersonal Relationships. How do you feel do supervisors, peers and staff perceive the individual?
Supervisor:
Peers:
Staff (if relevant):
6. Communication Skills
General:
Presentations (Content and Delivery):
Listening:
7. Does the nominee have any known weaknesses that the WIN programme could help address through a personal development plan? Eg. What does she need to improve on?
i.
ii.
iii.
8. What gets the nominee motivated and enthusiastic at work?
9. How does the nominee cope with pressure and stress?
10. Does the individual accept feedback? Is she coachable?
11. What support would she need from within your organisation in order to progress with her career? Both from the management and employees?
12. Do you think the nominee has the potential to progress in her career? Y/N
13. Where do you see her in three to five years’ time?
3 Years:
5 Years:
14. Any additional comments? Please list here.

SECTION 3: YOUR COMMITMENT AND UNDERTAKING

Memorandum of Understanding

I hereby commit to support the nominee should she be selected for the 2015-19 WIN Programme. I also commit to release her to attend training, coaching and mentoring as well as assist her with any information that she may require for the pursuance of her assignments while on the programme.

I will endeavour to ensure she shares her new competencies, where appropriate, with our other staff, to build capacity in our organisation.

Throughout the programme and upon its completion, I also undertake to support her to apply some of the knowledge and skills she will have gained through the programme whenever such opportunities arise.

Name:
Signature:
Organisation:
Date:

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FOR OFFICIAL USE ONLY