Trustee Application Form PERSONAL AND CONFIDENTIAL Mayday Trust will select candidates on the basis of the information supplied in this application form. Please type or write clearly in black ink, answering all questions. (Referring to curriculum vitae or other written materials you might attach or enclose is not acceptable as an answer). Title Home or private address, with postcode Address for correspondence (if different from above) Telephone landline Email Address First or given name Last name Mobile number Eligibility I confirm that I am legally allowed to sit on the Board of Trustees Signed: Dated: Career History Please include all relevant paid and unpaid work, including non-executive appointments if applicable (continue on separate sheet if necessary). Name and address of organisation, starting with most recent From To Brief details of responsibilities, academic or professional qualifications obtained Basis of Interest Please tell us why you are applying for this position Your areas of expertise Please indicate what level of expertise, knowledge or experience you have in the following areas Expertise None Some Substantial 1. Business Planning 2. Strategic Decision Making 3. Housing 4. Human Resources 5. Commerce or business 6. Diversity and equal opportunities issues 7. Marketing and communications skills 8. Legal/Corporate Governance For those areas where you have indicated “Substantial” please use this box to briefly explain where and when you gained that expertise and the level at which you are/were operating Details of other Public/Charity/Third Sector appointments held in the past 8 years, starting with current or most recent Organisation and Position Appointed by Time Commitment Period of Appointment References Please supply the names, addresses and telephone numbers of two referees. These should be people who know you well and can speak from personal experience of how you meet the Roles and Responsibilities. We will only be taking up references for those applicants we intend to interview. Referee 1 Full Name In what capacity does this person know you Full Address Telephone landline Telephone mobile Email Referee 2 Full Name In what capacity does this person know you Full Address Telephone landline Telephone mobile Email Data Protection Statement The information that you provide on this form and that obtained from other relevant sources will be used to process your application. The personal information that you give us will be used in a confidential manner to help us monitor our recruitment process. If you succeed in your application and take up the position, the information will be used in the administration of your role with us. We may also use the information if there is a complaint or legal challenge relevant to this recruitment process. We may check the information collected with third parties or with other information held by us. We may also use or pass to certain third parties information to prevent or detect crime, to protect public funds, or in other ways as permitted by law. By signing the application form we will be assuming that you agree to the processing of sensitive personal data (as described above) in accordance with our registration with the Data Protection Commissioner. Declaration I declare that the information I have given in this application is accurate and true. I understand that providing misleading or false information will disqualify me from being appointed or if appointed may result in dismissal. My full name in this box will act as an official declaration. Signature Date Please return your completed application to: ciara.mernagh@maydaytrust.org.uk Pat McArdle c/o Ciara Mernagh Chief Executive Mayday Trust 10 Webb Ellis Park Woodside Business Park Rugby CV21 2NP