Details of other Public/Charity/Third Sector appointments held in the

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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
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