Local voices shaping local communities
No previous experience is needed. We are not looking only for people who have served on boards or committees. We want people who care about Blackburn, Fauldhouse or Whitburn and who can bring local knowledge, lived experience, ideas and a willingness to listen to others.
Full name
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First Name
Last Name
Home address
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Postcode
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Telephone number
Please enter a valid phone number.
Format: (000) 000-0000.
Email address
example@example.com
Your connection to the area - Town(s)
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Blackburn
Fauldhouse
Whitburn
Your connection to the area - Type of connection
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I live locally
I work or study locally
I volunteer or take part in a local group
I have another strong local connection
Please briefly describe your connection to the community
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Why would you like to join the Board? (Suggested maximum 200 words)
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What local voice would you bring?
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What matters most to your community?
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Participation and support - Commitments
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I am willing to take part in regular Board meetings and activities.
I am willing to follow the Board’s Terms of Reference and Code of Conduct.
I understand that I must declare any relevant interests or conflicts.
Is there anything that would help you participate fully?
Signature
*
Date
*
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Month
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Day
Year
2 digit month, 2 digit day, 4 digit year
Date
How to return your application - Closing date
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Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Submit Application
Submit Application
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