Trustee Application Form

Thank you for your interest in the role of Trustee. Please ensure you have carefully read and understood the accompanying information provided about this role.

Trustee Role Description and Information

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Personal Details
Name*
First Last
Which Trustee role are you applying for*
- Trustee - General
- Trustee - Income Generation and Marketing
Address:*
Street Address Address Line 2 City County Postcode Country
Contact Telephone Number/s:*
Email Address:
Employment / Volunteering History (please indicate where the role is voluntary)
Present or Most Recent Post:
Employer:
Date Started:

DD
MM
YYYY
Date Ended:

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MM
YYYY
Job Title and Main Responsibilities:
Previous Posts (please start with the most recent):
Please click the + sign to add further employment
Dates (from-to): Employer: Job Title and Main Responsibilities:
Professional Body Memberships , Directorships and Trusteeships
Please provide details of memberships to any professional body.
Please provide details of any Directorship/Trusteeship with other companies or charities.
Please provide information regarding your knowledge and skills in relation to each of the following areas:
Strategic Planning*
Financial Management*
Beneficiary Services*
(health and social care provision and governance - physical mental and social wellbeing)
Please state why you want to be a Trustee for The Fire Fighters Charity.*
Please provide any other information you feel is relevant to your application.*
Data Protection Act 2018
The Fire Fighters Charity processes personal data in accordance with our Data Protection Policy. For full details of how we process your data, please see our Privacy Policy.
Declaration
By submitting this form, I hereby declare that the information I have supplied is, to the best of my knowledge, complete and correct. I understand that giving false information or omitting to give information could disqualify my application and if I am appointed could lead to my dismissal.
Name*
First Last
Date:*

DD
MM
YYYY

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The Fire Fighters Charity
The Fire Fighters Charity is a company limited by guarantee. Registered in England No.44800058. Charity Registration No.1093387. Charity Registered in Scotland No.SC040096
Form of Application for Membership Notification of being willing to act as a Trustee To the Board of The Fire Fighters Charity
I (name)
of (address)
wish to become a member, and if elected, a Trustee of the Fire Fighters Charity, subject to the provisions of the Articles of Association of the Company. I agree to pay to the Company an amount of up to £1 if the Company is wound up while I am a member or for up to 12 months after I have left the Company. I declare that I am willing to act as a Trustee and that I am not disqualified from holding this position under Section 72 of the Charities Act 1993. I declare that:
- I have not been convicted at any time of any offence involving deception or dishonesty, unless the conviction is legally regarded as spent;
- I am not an undischarged bankrupt;
- I have not made compositions or arrangements with creditors from which I have not been discharged;
- I have not at any time been removed by the Commissioners or by the court in England, Wales (or by the Court of Sessions in Scotland) from being a trustee because of misconduct;
- I am not disqualified from being a company director;
- I am not subject to an order made under s. 429(2) (b) of the Insolvency Act 1986.
Confirm Statement
- Tick here to confirm the statement above..
Date:*

DD
MM
YYYY
Email
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Dates (from-to):	Employer:	Job Title and Main Responsibilities:

Step 1 of 2

Personal Details

Employment / Volunteering History (please indicate where the role is voluntary)

Professional Body Memberships , Directorships and Trusteeships

Please provide information regarding your knowledge and skills in relation to each of the following areas:

Data Protection Act 2018

Declaration

The Fire Fighters Charity

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