This form has been designed to tell us all we need to know about you at this stage. Please complete all the sections below and return it, together with three written endorsements, by the 30 th November
2015 to alumni@wset.co.uk
Subject: Alumni Advisory Board Application
Please refer to the Alumni Advisory Board, Responsibilities and Governance document when completing this form.
Any queries should be directed to Sula Richardson, Alumni Engagement Manager, at srichardson@wset.co.uk
Tel: +44 (0) 207 089 3800.
If you need additional space to what has been provided below, please attach the required information to the application form.
This is a nomination for me / for someone else (Please delete as applicable)
Personal Details
Surname:
(Mr/Mrs/Ms/Miss)
Forenames:
Address:
E-mail address:
Tel No. (Home):
Tel No. (Business):
Date of Birth:
Mobile No:
Year of Graduation:
(If exact year unknown please state)
From which course program provider did you graduate from?

Current Position(s)
Title of Post:
Name & Address of Employer:
2
Date
Commenced:
Title of Post:
Name & Address of Employer:
Date
Commenced:
Title of Post:
Name & Address of Employer:
Date
Commenced:
Responsibilities:
Date ended
(if applicable)
Responsibilities:
Date ended
(if applicable)
Responsibilities:
Date ended
(if applicable)

Career History
(To ensure diversity and equality in our selection process, please give a brief overview of your professional background, including details of current your role).
Professional Affiliations, Committees, Associations and Awards
Are there any potential conflicts of interest the Nomination Committee should be aware of?
3

Personal Statement
Summarise in no more than 500 words why you have applied for a place on the WSET Alumni
Advisory Board, highlighting what skills, knowledge and expertise you feel you could bring to the role and how you could represent your region.
(Do you have any previous experience that can contribute to the success of the Alumni Advisory
Board? What leadership experience, strengths and ideas could you offer to the board and to the global Alumni Body?)
4

Please provide the names of two individuals who could provide the WSET Alumni
Advisory Board Nomination Committee with a reference.
Your referee can also provide a written endorsement for you.
Referee A
Forenames: Surname:
(Mr/Mrs/Ms/Miss)
Address:
Email Address:
Tel:
Referee B:
Surname:
(Mr/Mrs/Ms/Miss)
Address:
Email Address:
Tel:
Forenames:
5

Endorsements
Please provide details of endorsements 1 – 3 if not included in the endorsements attached to this application.
Forename Surname
Address
Email
Tel:
Surname
Address
Email
Tel:
Surname
Address
Email
Forename
Forename
Tel:
Application Process
Alumni may make an application to serve on the Board which will be reviewed by the
Alumni Engagement Manager, Chief Executive and the WSET Trustees in the first instance. Application process will begin October of each year and will consist of the following:

Review of applications by Alumni Engagement Manager, Chief Executive, and
WSET Trustees.

Phone interview prior to being offered the position with either Alumni
Engagement Manager or Chief Executive

New members begin two year term in January 2016
6

7
Date:
Agreement and Signature
By submitting this application, I affirm that the facts set forth in it are true and complete. Further, I have reviewed the Alumni Advisory Board responsibilities and governance prior to submitting my application I and am willing to make the time commitment required to serve as an Alumni Advisory Board member. If at any time during my board term, I feel that I am unable to meet those expectations for an extended period, I will notify the Alumni Engagement Manager and will step down from my position.
Name: (Printed)
Signature: