diana award trustee application form

8/8/2019 Diana Award Trustee Application Form

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Please answer all questions w ithin this form.

The completed form should be returned to: [email protected] no laterthan 1pm on Monday 18th October 2010. Late applications will not be accepted.

Personal In formation

Forename: Surname:

Address:

Telephone Number: Email:

Which Award did you receive: What year did your receive it:

What did you receive your Award for:

What three words best describe you:

What does the Award mean to you:

What do you bring?

What kind of expertise do you consider you could bring to the Board? Please answer as

honestly as possible, remember you dont need all the skills listed.

Give a score from 1 to 5, where 1 is none, or very little experience and 5 is veryexperienced.

I have / I am... Score 1-5

A good knowledge of issues affecting Award Holders

Varying networks through which to promote The Diana Award

Able to prepare and participate in the discussions, deliberations of the Board

Where did you hear about this position?

Diana Award E-newsletter Diana Award Website

Facebook Through School / College

Other (please state) _____________________________________


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Adequate IT skills

Good at building working relationship

Confident in being a spokesperson / public speaker

Please write in the box why you want to be a Diana Award Trustee (max. 200

words)

Tell us a little about yourself i.e. passion and hobbies (max. 200 words)

Which ONE of the skills in the role description would you say is your main

strength and why (max. 200 words)


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Explain, how you think your experiences in employment, education or

volunteering activities will benefit your position on the Board (max. 200 words)

What is your biggest achievement and why (max. 200 words)

What do you think youll bring to the board? (max. 200 words)


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Your chance to shine!Use this section to tell us about your experience and skills. Please write in the body of the image any

of your skills that you think will be useful in fulfilling this role. Then underline the THREE that you

feel are most important. Be as honest as possible, no answer is a wrong one :)


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Declaration

I declare that I am not disqualified from acting as a charity trustee and that:

I am capable of managing and administering my own affairs;

I do not have an unspent conviction relating to any offence involving deception or dishonesty;

I am not an undischarged bankrupt nor have I made a composition or arrangement with, or granted

a trust deed for, my creditors

I am not subject to a disqualification order under the Company Directors Disqualification Act 1986

or to an Order made under section 429(b) of the Insolvency Act 1986;

I have not been removed from the office of charity trustee or trustee for a charity by an Order

made by the Charity Commissioners or the High Court on the grounds of any misconduct or

mismanagement nor am I subject to an Order under section 7 of the Law Reform (Miscellaneous

Provisions) (Scotland) Act 1990, preventing me from being concerned in the management or controlof any relevant organisation or body.

As The Diana Award is a charity that works with children and young people I am not subject to a

disqualification Order under the Criminal Justice and Court Services Act 2000 or Protection of

Vulnerable Adults List.

I am willing to go through the enhanced criminal record bureau check

I hereby declare that none of the information in this application form is false or

misleading. Please type name in electronic submissions.

Name: _______________________________________________

Date: ____________________

Please make sure you also fill in the monitoring form that follows this isnt

seen by the interview panel

Please note that if you are unsuccessful for this position the Diana Award would still like

to involve you in the Diana Alumni Programme alongside any other opportunities that

arise.

Equal Opportunities Statement

The Diana Award is committed to the implementation of Equal Opportunities throughout

its work. In its meetings, activities, services and as an employer, no person shall be

discriminated against. This shall be regardless of race, gender, age, sexual orientation,

national or ethnic origin, physical, sensory or learning disability, political or religious

beliefs, responsibilities for dependants, marital status, socio-economic background, HIV

status, trades union activity, migrant status or on any other grounds that cannot be

justified through the policy of the award.


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Equal opportunities monitoring formTo assist us, we ask candidates to provide certain information alongside their

application. This form is confidential and anonymous and will not be seen by theshort listing or interview panels.

Your ethnicity*

Asian or Asian British Dual Heritage Roma and Travellers

Indian Black Caribbean & White Roma

Pakistani Black African & White Irish Traveller

Bangladeshi Asian & White Other ethnic group

Other Asian

background

Other Dual Heritage

background

Other

Black or Black British White Chinese

Caribbean White British Chinese

African White Irish

Other Black

background

Other White background

These categories are recommended by the Commission for Racial Equality

Gender: Male: Female

Age:18 21 22 - 25

Would you describe yourself as having a disability: Yes: No:

Please explain___________________________________________________________

What could we do to help you; with regards to your disability?

Thank you for taking the time to complete this application!

diana award trustee application form

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