ST CHRISTOPHER’S FELLOWSHIP TRUSTEE APPLICATION FORM

ST CHRISTOPHER’S FELLOWSHIP TRUSTEE APPLICATION FORM

ST CHRISTOPHER’S FELLOWSHIP TRUSTEE APPLICATION FORM

Thank you for your interest in becoming a Trustee. Please complete all sections of this form. The deadline for applications is 11.59pm on 05/07/2026.

Name

First NameLast Name
Preferred Name
Previous Names
Address
Post Code
Please list any previous addresses in the last 5 years
Email Address
Telephone Number
Best time to be contacted
Next of Kin and contact details
The following questions are required if you are appointed. If you would prefer not to answer them at this point please leave the next three questions blank.
Country of Residence
Nationality
Date of Birth

Please tick as applicable

Rows	Yes	No
I am over 18 years of age
I am not disqualified from acting as a charity trustee
I am not an undischarged bankrupt or subject to an IVA
I am not on the Charity Commission Register of Removed Trustees
I have not been disqualified from being a Company Director
I am willing to undertake an enhanced DBS check
I have not been disqualified from working with children or young adults.

If you answered "No" to any, please provide details:

Current Occupation
Current Role and Organisation
Relevant Experience
Previous Experience - Please list all previous roles you have held
If you have answered any gaps in your employment please give the reasons
Voluntary Roles - Please list any voluntary roles you feel are relevant

Why are you interested in this trustee role at St Christopher’s?

0/5000
What skills, experience or perspectives would you bring and how could these support St Christopher’s work?

0/5000

Availability

Rows	Yes	No
Able to attend four meetings a year held on Wednesdays between 16.00-19.00 (including three in-person at Putney)
Able to attend four online committee meetings a year held on Wednesdays between 16.00- 18.30
Able to attend two strategy days per year held during the week, in-person at Putney

Conflicts of interest

Rows	Yes	No
Do you have any conflicts of interest?

If yes, please provide details?

Please provide details of two references, one of which should know you in a professional/educational capacity. Referees will only be contacted after an appointment has been made.

Rows	Reference 1	Reference 2
Name
Address
Email
Telephone Numbers
Relationship with yourself

I confirm the information provided is accurate.
Signature:
Date

Should be Empty: