All information provided will be treated as confidential.

Registration will close on the 27th of July 2018 and you will be informed in writing if have been selected to staff.

For queries, contact

I hereby apply to staff the Woman Within® Weekend hosted by Women for Afrika at Parnassus Farm, Magalisburg.

* 1. Personal Information

* 2. Occupation

* 3. Date of birth

Date of birth

* 4. I would like to staff on the following weekend

* 5. I attended my own Woman Within® Weekend: (Year/Place)

* 6. How many times have you staffed?

* 7. If this is your first time staffing, you will be required to attend a one day staff training. Can you commit to this? The date and place will be confirmed.

* 8. What staff roles have you performed?

* 9. What staff role would you prefer this year?

* 10. Are you on the Facilitation Track?

* 11. Are you interested in entering the Facilitation Track?

* 12. Please indicate which Woman Within® Workshops you have completed and the date of your training.

* 13. Other ways I support myself for ongoing development are:

* 14. Do you have any health conditions?

* 15. Are you taking any medication?

* 16. Are you certified in the following?
If yes, please email a copy of your certificates to (please ensure the certificates are dated).

* 17. Please indicate whether you are willing to support weekend preparations by helping with any of the jobs below.

* 18. What I bring to the weekend as my gifts:

* 19. What I bring to the weekend as my shadows:


The cost to Staff is R1000 per weekend. This fee covers accommodation, meals and snacks. Specific details will be provided two weeks before the weekend.

Please do not make payment now. Payment is due once you have received a confirmation letter that your place is guaranteed.

Overseas Staff to send in their registration form and will be sent details on how to make payment from overseas.

Direct Deposits to be paid into the following account:

Account Name: Women for Afrika
Bank: ABSA
Account No: 4062350809
Branch No. 632005
Reference: Your name, surname and the word ‘STAFF’

Please send proof of payment to:

A refund, less the R500 non-refundable deposit, will be made if we receive your cancellation notice in writing no less than 14 working days prior to the first day of the Woman Within® Weekend for which you have registered to Staff.

If you need to cancel due to medical reasons, please submit a valid Doctor’s Certificate indicating reason for cancellation. In these special cases you would receive a full refund.

As Staff you are required to be at the site from the Thursday afternoon before the weekend until approximately 5pm on the Sunday evening.
Please note that you are also required to attend the Celebration Evening which will be held on Monday the 1st of October at 7pm. Please be there for 6.30pm

* 20. I understand and accept the cancellation policy

* 21. I agree to attend the Celebration Evening

* 22. By signing this form, it indicates full understanding and acceptance of the information, terms and conditions outlined on this form.

Please print your name in full and today's date below:

Women for Afrika welcome all women and prohibit discrimination based on race, colour, origin, age, religion, disability, sexual orientation and gender identity.