Families Supporting Care

Trustee Application form

Families Supporting Care
Name
Home Address
Postcode
Home Phone
Mobile
Work phone
Other
Email
example@example.com
Occupation
Qualifications
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’.
Human Resources
Financial/Accounting
Fundraising
Legal
Business Management
Marketing/PR
Safeguarding
Other skills
(include all the specific skills your organisation needs on the board)
Please indicate why you want to become a trustee of 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 (x00 words)
Please give details of two people who would be willing to provide a reference
Name
Address
Postcode
Telephone
Email
example@example.com
Name
Address
Postcode
Telephone
Email
example@example.com
Trustee applicant’s declaration of eligibility:

I delcare that:
- 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 have not entered a composition or arrangement with creditors, or have an individual voluntary arrangement (IVA) and I am not on the Insolvency Service Register.
- I undertake to fulfill my responsibilities and duties as a trustee of Families Supporting Care in good faith and in accordance with the law and within Families Supporting Care objectives/mission and Code of Conduct for trustees.
- I do not have any financial interests in conflict with those of Families Supporting Care (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.
- I have read the Charity Commission guidance on Automatic Disqualification and this does not apply to me.
Signature

Clear
Date

DayMonthYear
Date
Should be Empty:

Trustee Application form