Impact on Urban Health Co-Opted Committee Member

Impact on Urban Health Co-Opted Committee Member
Thank you for your interest in the role of Co-Opted Committee Member. Co-opted members are not trustees or employees, but they play a full part in discussions, have equal voting rights, and share the same responsibilities as other committee members. We recommend that you read the candidate application pack in full before submitting your application in order to understand the role requirements and commitment.

We actively encourage applications from people reflecting the diversity of Lambeth and Southwark. We aim to be inclusive and representative, with an environment where all members can thrive. We welcome applications from anyone regardless of age, disability, ethnicity, heritage, gender, sexuality, religion, socio-economic background or other difference.

To apply, please complete the form below no later than 11.59am 07/01/2026. You can save this form and continue later by clicking “Save”.

To request an alternative format of this form such as an editable PDF or large-print Word document please contact iouh@inclusiveboards.co.uk
Name*

First Name(s)Last Name(s)
Email*
example@example.com
Phone Number
Current Job Title (if applicable)
Current Organisation (if applicable)
Do you have an existing relationship with Impact on Urban Health? This will not affect your eligibility for the role.*

YesNoI'm not sure
What is the nature of the relationship?

Past PartnerCurrent PartnerWorking towards a partnershipOther (please specify)
To ensure we are reflecting the voices and realities of local communities in our work applicants for these roles should be a resident of Lambeth or Southwark and have a meaningful, ongoing connection to the local community. Please tell us the following:*

Current resident of LambethCurrent resident of SouthwarkFormer resident with an ongoing connection to LambethFormer resident with an ongoing connection to SouthwarkNone of the above (please tell us your connection to Lambeth and or Southwark)

Please select any of the following that are applicable to you:

	in Lambeth	in Southwark	in another borough (please tell us)	this is not applicable to me
I have lived experience of local health inequalities (Health inequalities are unfair and avoidable differences in health outcomes between groups of people)
I am a volunteer
I have experience of being in a position of leadership within a community
I have caring responsibilities for an individual
I have experience contributing to group decision making (e.g in a board, steering group, or community panel)

Please select the area that best reflects your strongest experience:

1) Tackling Inequity and Structural Racism

This includes work such as:
- Anti-racism
- Diversity, Equity and Inclusion
- Addressing discrimination in systems, services or policy
- Ensuring marginalised voices shape decisions
2) Community Power and Collective Action

This includes work such as:
- Community organising
- Power-building
- Strengthening local leadership
- Supporting communities to influence decisions or shape campaigns
3) Climate and Environmental Impact on Health

This includes work such as:
- Climate justice
- Sustainability
- Understanding how climate and environmental risks affect health
- Work focused on disadvantaged or over-exposed communities
Please Select:*
How would your expertise help you assess whether a proposal or decision is fair, effective and informed by the realities of local communities?*
Please share one or two examples that demonstrate your leadership. These can come from work, volunteering, community activity or any other context where you have led others or influenced a group. *
Please use the space below to tell us what has motivated you to apply for this position? We are keen to hear how your lived and or professional experience will contribute to our aims.*
What does health equality mean to you?*
Where did you hear about this role?*

Approached by Inclusive BoardsApproached by Impact on Urban HealthVia an Impact on Urban Health Partner (conditional logic to ask who if selected, optional)Via ClearView researchInclusive Boards WebsiteImpact on Urban Health Website / Social MediaInclusive Boards newsletterLinkedInJob Platforms - Indeed; CV Library; Guardian etcSocial MediaWord of mouthOther (please specify)
Please select this box if you would like to discuss a requirement for reasonable adjustments and a member of the Inclusive Boards team will contact you

I would like to discuss a requirement for a reasonable adjustment
Please confirm the following:*

I have read the candidate pack and understand the level of responsibility and commitment involved in this opportunity
Do you give permission for Impact on Urban Health to contact you with news and other opportunities via community newsletter?

YesNo
Do you give permission for Inclusive Boards to contact you with news and other opportunities via a candidate newsletter?

YesNo
Should be Empty: