Trustee Application Form

Our volunteers are important to us. If you have any queries or need any support with this form, we are here to help, just give us a call on 01935 813991

Your Details (all information will be kept and processed in line with UK GDPR Regulations. Please refer to our privacy notice for more details.
Title:

Full Name:

Address:

Postcode:

Home Phone:

Mobile Phone:

Your email

Education (School/College/University)
Name - Dates Attended - Achievements

Professional Bodies
Please list any Professional Bodies of which you are a member, or any other additional qualifications not included above.

Employment
Name of Employer - Position Held - Dates - Responsibilities

Which Position are you applying for?
Trustee Chair of Marketing and Communication Sub-CommitteeTrustee for FriendshipTrustee Events and FundraisingTrustee
Supporting Statement
Looking at the Candidate Role Description, please provide a Supporting Statement, outlining the reasons for your application and setting out how you meet the requirements of the role.
Please also indicate your skills and experience of information technology.
We would be particularly interested in how your knowledge, skills and experience can benefit the Friends.

Equality and Diversity:
If you have a disability, please tell us if there are any reasonable adjustments we can make to help you in your application or with out recruitment process:

References
Please give the names and contact details of two people whom we can ask yo give you a reference. If you currently or have recently been in employment or involved in any voluntary work, one of your references should be from that organization. References must be from people who are over the age of 18 and who have known you for at least 2 years. Relatives or partners cannot act as referees.
REFERENCE 1
Full Name:

Address:

Postcode:

Day time telephone number:

Your email

Nature of Relationship

REFERENCE 2
Full Name:

Address:

Postcode:

Day time telephone number:

Your email

Nature of Relationship

Confidentiality
In the discharge of your duties while volunteering for the Friends of the Yeatman Hospital you may be in possession of or have access to confidential information about the Friends, its policies, plans, practices, finances, staff, and members’ records. In accordance with the provisions of the prevailing Data Protection Act, including the General Data Protection Regulation (GDPR), Acceptable Use Policy and Information you must not disclose or discuss such information outside your place of volunteering activity.
In addition, you must not disclose or discuss such information where you volunteer except in the proper discharge of your duties.
If you require advice or guidance about your responsibilities in relation to confidentiality you should seek further advice from the Hon Secretary.
Personal Declaration
I understand:
• The appointment if offered will be subject to the information given on this form being correct
• I will not receive payment for my voluntary work
• I understand that the voluntary work I do will be of a confidential nature and that anything I see or hear must be treated with the strictest confidence. My volunteering may involve issues and situations of a sensitive nature and I agree to maintain confidentiality at all times.
• The Friends complies with the terms of the Data Protection Act 2018. All information held is in a confidential manner.
• I must abide by the Friends of the Yeatman Hospital volunteer guidelines.
• Volunteers are bound by the Health & Safety at Work Act.
• The Friends reserves the right to request a Disclosure and Barring Service check at any time during your volunteer service.
• I have read the provided Charity Commissions Trustee Disqualification Declaration and am not disqualified from being an Officer.
• I agree that upon appointment I will share my personal details, including my date of birth, with the Charity Commission.
Agreement and Signature
Name
Date