AFRICAN LEADERSHIP INSTITUTE
OLD MUTUAL PRINCIPALS ACADEMY
Information & Commitment form
All potential students of the African Leadership Institute (ALI) need to read through the following
document. The information will provided clarity on our core values and training process. If you agree
with the content of this document you may sign it and return it to our offices in order for you to be
considered for enrolment. Please read through the document carefully:
At the African Leadership Institute (ALI) we believe that God has a very special dream for our country
and continent. Through the powerful work of His Spirit He wants His glory to shine over Namibia and
Africa like the waters covers the sea and we believe God is calling and raising leaders to be part of this
dream.
As a leader, I hereby commit myself to be equipped and developed by ALI:
I understand the following about the African Leadership Institute:
The ambition of ALI is to equip and develop leaders to transform Africa. The institute is a catalyst in the
transformation of Africa to bring hope and become an example for the world. We are committed to
conquer the challenges of corruption, crime, poverty, HIV/Aids, unemployment, lack of certain
specialized skills, struggle with inferiority, economic freedom and so forth.
I realise that the training will impact the following areas of my life and leadership:
 Mind and heart will be equipped to bring lasting change to Africa
 Character will be strengthened to endure the pressures of leadership in our time
 Skills to cast vision, building of strong teams, get-the-job-done and live a life of financial freedom
will be materially enhanced.
 Support levels around me will be set in place to ensure accountability, transparency, ongoing
development, results and growth.
 Ability to live a balanced life of prioritized relationships (including relationships with close family
members and friends) will be vastly improved.
 Will go home with a comprehensive written action plan.
I therefore commit myself to the following process:
PHASE 1(Certificate of Attendance)
Sponsored by OLD MUTUAL
 To attend 15 full days of training at the Rock Lodge on the following dates:
Contact ALI office for the dates of the next intake
(Draft programs included)
 To attend a Marriage Seminar (MS1) at the Rock Lodge on the following date:
Contact ALI office for the available dates
It will be my responsibility to contact the ALI office in Okahandja at 062-503840 at least two
weeks prior to the seminar to make a booking for me and my spouse on the abovementioned
date.
Cost involved:
N$600.00 for your spouse (Full Board) for 2011
Transport at own expense
 To complete and submit questionnaires on content of the training in Week 1, 2 & 3 via Internet.
 To complete and submit questionnaires via Internet on assigned books.
 Completing of an action plan and appointing a mentor and two mentees who will keep me
accountable for the period of my training.
 To be evaluated through an Upward Appraisal system by the HOD’s in my School (Done twice in
the first 18 months after the completion of PHASE 1- every 9 months). The Upward Appraisal
documentation will be developed by ALI and Old Mutual and will serve both ALI and Old Mutual
with valuable feedback regarding personal growth, leadership impact in the school, community
and possible adaptations ALI needs to make regarding the curriculum to ensure greater results.
 To complete an Old Mutual questionnaire after the completion of PHASE 1, as and when
required by the sponsors to evaluate the effectiveness of their sponsorship.
 Complete and submit a Progress Report 3, 6 & 9 months after the completion of Phase 1. These
reports will be of vital importance to your passing mark in order for you to continue to Phase 2.
PHASE 2 (ALI Graduation Certificate)
Please note the following:
 You need to apply for PHASE 2 (Application forms available on our website)
 PHASE 2 is not covered by sponsorships and will be at own expense.
COST: N$3000
 To attend 3 Follow-up weekends of 2 ½ days each on the following dates:
Contact ALI office for the dates of the next intake
(Draft programs available on website)
 To attend a follow-up Marriage Seminar (MS2) at the Rock Lodge on any of the following dates
of your choosing:
Contact ALI office for the next available Marriage Seminar
It will be my responsibility to contact the ALI office in Okahandja at 062-503840 at least two
weeks prior to the seminar to make a booking for me and my spouse on the weekend of my
choice.
Cost involved:
N$600.00 for your spouse (Full Board) for 2011
Transport at own expense
 Graduation Ceremony
This elegant formal event will take place every second year. During these events we hope to
graduate 200 leaders, who have completed PHASE 1 and PHASE 2 of the ALI training. This will
take place in the presence of 500 influential Namibian government, business, church and
educational leaders.
 It is of the utmost importance that attendees have Internet access as all communication will be
electronically and questionnaires are to be submitted via our website.
 Permission & Indemnity
I hereby indemnify Old Mutual, The Old Mutual Foundation, The Old Mutual Principals
Academy, The African Leadership Institute and the Rock Lodge should any damages occur to my
person or possessions. I fully accept that my participation is at my own risk.
 Travel Policy(attached)
I accept that I am responsible for my own transport which includes that I should arrive on time
and stay for all training sessions. I accept the transport policy (see attached) and therefore
claim the following amount of N$
per week, which I will collect at the Rock
Lodge during the last training day of each of the three weeks in PHASE 1.
I understand that this is not a “workshop” but a leadership development program with a strong focus
on personal life change. Consequently I make a commitment of the highest standard towards ALI,
Ministry of Education and Old Mutual Foundation.
I hereby declare that I have read and understood the abovementioned requirements and I commit to
complete the leadership training. As part of my commitment I also include signed application- and
commitment forms.
…………………….………………………………
Signature
Personal details:
Name:………………………………………………………………………………………………….
Representative School:…………………………………………………………….. Region:………………………………………
Postal address: …………………………………..……. School’s Tel No. ………………………………..
School’s Fax No. …………………..……. Cellphone: …………………………………………..…………
E-mail address :……………………………………………………………………………………………………( Not optional)
*Only signed and completed forms will receive further communication from the ALI office.
Therefore please fax your completed forms to 062-503840 or email to secretary@thenamibiandream.info
AFRICAN LEADERSHIP INSTITUTE (“ALI”)
TRAVELLING POLICY FOR THE
OLD MUTUAL PRINCIPAL ACADEMY (“OMPA”)
ALI will support principals who were invited to attend training at the Rock Lodge with a transport
allowance. Please note, that this is only an allowance towards your travel expenses, NOT a full
coverage.
Participants are encouraged to make use of public transport (which is cheaper than to drive
themselves) or to drive together with other participants.
Transport allowance will be paid to participants who signed their commitment forms and who attend
the whole week of training and who did not make use of Government vehicles.
The amount payable is based on the kilometres travelled to and from the participant’s school and
The Rock Lodge. It will be calculated as follows:
Km distance from the Rock Lodge:
0000 –0300 km
0301 –0600 km
0601 –0900 km
0901 –1200 km
1201 –1500 km
1501 –1800 km
1801 – and more
N$ allocated per training week:
250
325
400
475
550
625
700
The amount will be paid out in cash, at the Rock Lodge on the last day of training of each of the three
weeks in PHASE 1 only.
The participants should make all their travel arrangements themselves and are expected to be on time
for the first session and depart only after the final session.
OLD MUTUAL PRINCIPALS ACADEMY – WEEK 1 DRAFT PROGRAM
Time
Day 1
Day 2
Day 3
Day 4
Day 5
Slot
Understanding
Understanding
Why are you on Birth & Power
08:30 –
the
need
and
your
gifting
earth?
of a vision
10:00
10:30 –
12:00
trends in Africa
What to expect in
next 3 weeks
13:30 –
15:00
The making of a
leader
Where are you?
Leading in and
relating to the
world
15:30 –
17:00
Registration
at the Rock
Lodge
Who are you?
DISC Analysis
Reflection
18:45 –
20:15
Leadership:
Our view on
it
Leadership
Model
Understanding
different
worldviews
Your calling
Knowledge
transfer on
purpose
statement
Write your
purpose
statement
Jesus’s
leadership
standard vs the
world
Coach Carter
Humility and
Servanthood
10:30 –
12:00
13:30 –
15:00
Leadership &
Influence
15:30 –
17:00
18:45 –
20:15
Assertiveness
Kingdom
perspective
Purity in
sexuality
Design, select
Get started
Financial
freedom
Business
perspective
Emotional
Intelligence
Let time work for
you
Procrastination
Facing the
Giants
Evening of music
& blessing
leaders
Problem solving
Resolving
conflict
Concluding
Ceremony
People Skills
MARRIAGE
SEMINAR
Evening of
music &
blessing
MARRIAGE
SEMINAR
MARRIAGE
SEMINAR
MARRIAGE
SEMINAR
MARRIAGE
SEMINAR
MARRIAGE
SEMINAR
MARRIAGE
SEMINAR
SSE,SDP,PAAI
Administration
13:30 –
15:00
Ongoing
Growth
Mechanics of
our Action Plan
Scheme of Work
Meetings
Importance of
Mentorship
Finalisation
Personal
Interviews
Finalisation
Personal
Interviews
Our role in
Namibia
Spiritual
Disciplines
African leaders
who started well
The Ron Clark
story
Certificate
Ceremony
18:45 –
20:15
MARRIAGE
SEMINAR
MARRIAGE
SEMINAR
10:30 –
12:00
Registration
at the Rock
Lodge
Setting the
stage
Day 6
MARRIAGE
SEMINAR
Subject
management
Financial
Freedom
Personal finances
Compensatory
Teaching
15:30 –
17:00
Identify
practical needs
Conclusion
Accountability
& Transparency
OLD MUTUAL PRINCIPALS ACADEMY – WEEK 3 DRAFT PROGRAM
Time
Day 1
Day 2
Day 3
Day 4
Day 5
Slot
O,M,V,V
Staff
Special session
Variety of
08:30 –
Job
Descriptions
development
skills
10:00
Discipline
Policy &
Procedures
Organisational
Structure
How to get the
job done
Integrity
OLD MUTUAL PRINCIPALS ACADEMY – WEEK 2 DRAFT PROGRAM
Time
Day 1
Day 2
Day 3
Day 4
Day 5
Slot
Registration
Make the best
Strategy &
Attitude &
MARRIAGE
08:30 –
at
the
Rock
of
your
time
Priorities
motives
of
SEMINAR
10:00
Lodge
Setting stage
for Week 2
Day 6
Day 6
Change/Endura
nce
To finish well
Closing
Ceremony
Application form must
be accompanied by
passport size photo
PRINCIPAL’S ACADEMY
APPLICATION FORM
Please use print writing (block letters)
WHAT DO YOU BELIEVE IS YOUR MISSION STATEMENT IN LIFE?
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________
PERSONAL INFORMATION
1) Specific gifts and talents (mention gifts especially those that build your leadership ability):
____________________________________________________________________________________
____________________________________________________________________________________
____________________________
____
2) Strong points (mention a few characteristics which you would consider as strong points in your life):
____________________________________________________________________________________
____________________________________________________________________________________
_____
__________________________
_
_
3) Weak points (mention a few characteristics which you would consider as weak points in your life):
________________________________________________________________________________
____________________________________________________________
4) Do you suffer from any illness or physical injury?
____________________________________________________________________________________
________________________________________________
________
5) Why are you interested in leadership training?
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
______________________________________________________
6) What role do you see yourself play as a leader in the transformation process of your community and
Namibia? (The process of leaders in government, education, business and church who join hands to
make Namibia and Africa a better place to live in).
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
______________________________________________________
7) Do you already have or are you willing to enter into a mentoring relationship with someone who is
your superior in a specific area of life?
____________________________________________________________________________________
______________________________________________
__________
EDUCATION
Details of degree/Diploma
Awarded by
(Name of Institution and city)
Dates attended
OCCUPATION
1) Your last 2 occupations and positions:
Company/Organisation
Dates
Contact Person
Contact details
2) Present position at the School?
____________________________________________________________________________________
____________
__________________________________________
3) Name and address of the school you are currently representing (Please write out in full)
____________________________________________________________________________________
________________________________________________
______
______________________________________________________________
_______
4) Education Region
____________________________________________________________________________________
____________________________
____________________________
5) Nature of responsibility **:
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________
6) Your experience in any kind of leadership position**:
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
__________________________
__
OTHER EXPERIENCE AND TRAINING
Give details of previous significant positions, publications or honors (with dates):
____________________________________________________________________________________
____________________________________________________________________________________
______________________________________
____
REFERENCES
Attached please find 2 reference forms to be completed by two people who can serve as references
regarding personal life and leadership.
These forms need to be submitted with your application form.
REFERENCE # 1
Name:
Contact Details:
Tel/Cell no:
Email address:
Relationship to ALI applicant:
The following are my personal comments on
applicant for the ALI training.
as an
Character:
Family Life:
Leadership Potential:
Commitment:
Other:
I hereby recommend
applicant for the ALI training.
Signature
as a excellent
Date
REFERENCE # 2
Name:
Contact Details:
Tel/Cell no:
Email address:
Relationship to ALI applicant:
The following are my personal comments on
applicant for the ALI training.
as an
Character:
Family Life:
Leadership Potential:
Commitment:
Other:
I hereby recommend
applicant for the ALI training.
Signature
as a excellent
Date
Contact details
1) Title: (e.g. Mr. Mrs. Dr. Prof. other) ________________
2) Name as in Passport:
Male
Female
First name :
Middle name :
Surname:
Birth date: _____ - _____ - ___________
Day
Month
Year
3) Marital status:
Married: Yes
No
Name of spouse: _______________________ Number of children: ____________
4) Mailing address _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ _ __ _ _ _ _ Postal code: _ _ _
Telephone:
(Home) ______ - _______ - ______________ (Office) ______ - _______ - ____________
Country code City code
Number
Country code City code
Number
Facsimile: ______ - _______ - ______________
Country code City code
Number
Mobile Phone: _________________________
E-mail:_________________
__________
5) Language abilities (on a scale of 1-5 with 1 being excellent and 5 being poor):
ENGLISH:
1 2 3 4 5
Speaking
Reading
Write
Home Language:
Candidate’s signature: _____________________
Date: ___________