TRUSTEE APPLICATION FORM

TRUSTEE APPLICATION FORM
Please complete the Trustee application form and submit with a copy of your CV
along with a passport style photo to: [email protected]
Full Name
Home
Address
Postcode
Telephone
Home
Mobile
Work
E-mail
Occupation
Qualifications
Which of the
following
skills or
experience
could you
bring to the
Board?
Please indicate against each relevant area whether it is your Principle skill,
by writing ‘P’, or a secondary skill where you have experience, by writing ‘S’.
P/S
P/S
Human Resources
Business Management
Financial / Accounting
Marketing / P.R.
Fund Raising
Charity Governance
Legal
Safeguarding
Please give details of two people who would be willing to provide a reference
Name
Name
Postal Address (inc Postcode)
Postal Address (in Postcode)
Tel
Tel
1
A company limited by guarantee. Registered in England Reg No 07054164 | Registered Charity No 1134544
Please indicate why you want to become a trustee of Reach and how you think your
own skills and experience would enable you to fulfill the role of a Trustee as
described in the Role Description (500 words). This section will be used as a Bio for
any election process.
Why do you want to be a trustee?
What I would bring to the Board.
A Personal bit about me.
2
A company limited by guarantee. Registered in England Reg No 07054164 | Registered Charity No 1134544
Trustee applicant’s declaration of eligibility:
I declare that:
(Please tick each statement to confirm agreement.)
I am over age 18.
I am not an undischarged bankrupt.
I have not previously been removed from trusteeship of a charity by a
Court or the Charity Commission.
I am not under a disqualification order under the Company Directors'
Disqualification Act 1986.
I have not been convicted of an offence involving deception or dishonesty
(unless the conviction is spent).
I am, in the light of the above, not disqualified by the Charities Act 1993
(section 72) from acting as a charity trustee.
I undertake to fulfill my responsibilities and duties as a trustee of Reach in
good faith and in accordance with the law and within Reach’s
objectives/mission and Code of Conduct for trustees.
I do not have any financial interests in conflict with those of Reach (either
in person or through family or business connections) except those that I
have formally notified in a conflict of interest statement. I will specifically
notify any such interest at any meeting where trustees are required to
make a decision which affects my personal interests, and I will absent
myself entirely from any decision on the matter and not vote on it.
___________________________
Signature
3
______________________
Date
A company limited by guarantee. Registered in England Reg No 07054164 | Registered Charity No 1134544