Trustee Application FormTrustee Application Personal Details First Name * Last Name * Address * City City Postcode * Postcode Phone - Mobile Phone - Home Email * When would you be available to take up the post? * Where did you hear about this vacancy? * Education, Training and Work Experience Please list any education and/or training (including short courses) that you have undertaken and think is relevant to your application * Please include the Date, the Education/Course/Training and the Qualification obtained Please include your current/previous employment, voluntary work, community activities, school placements, time caring for dependants etc. Please put in date order, starting with the most recent * Please include the Date (from & to), the Name of Employer/Organisation and the Nature of WorkReferencesPlease give below the name and address of TWO referees who can comment on your suitability as a trustee. These should not include relatives or purely personal friends. Reference 1 * Name: Position Held: Address: Telephone Number: Email address: Reference 2 * Name: Position Held: Address: Telephone Number: Email address:References may be taken up for applicants who are shortlisted for interview Please tick box if you do not wish us to take up references before interviewSupporting Information In this section we would like you to give your reasons for applying to join Citizens Advice Barnet Board and please indicate what skills and experience you would bring to the role. Specifically, please consider the personal qualities listed in the information provided and, for each, give examples of how you can demonstrate this quality * Our policy on convictionsWe typically only carry out Standard, Enhanced and Enhanced with child and or adult barred list, Disclosure & Barring Service (DBS) checks for roles working directly with clients in services targeted at vulnerable adults or children.Citizens Advice Barnet will ask about unspent convictions after a conditional volunteer role or employment offer. Having a criminal record is not in itself a barrier, and we will only take relevant convictions or sexual offences into account.Our policy is in place to make sure ex-offenders are treated fairly. We consider each offence individually, looking at issues including risk to the client, how long ago it took place, the circumstances and whether they are relevant to the volunteer role. Anyone with a caution or conviction for a sexual offence against a child or vulnerable adult is considered unsuitable to volunteer.Entitlement to work or volunteerIf you are from outside the EU / EEA, it’s important you check you are permitted to volunteer or carry out ‘unpaid work’ in addition to your main reason for entering the country, to avoid jeopardising your visa status.If you cannot find the answer clearly on your immigration documentation, contact the UK Border AgencyDeclarationConsent I declare that all the information I have provided above is accurate to the best of my knowledgeIf you have given us any information about your health, disability or access requirements, under data protection law we need your explicit consent to hold or use that information. We will only use it in order to allow us to make reasonable adjustments and/or to keep you safe, and it will be held securelyConsent I give my consent for this information to be used by Citizens Advice Barnet Captcha If you are human, leave this field blank. SubmitDiversity monitoring information formMonitoring Information (Trustees) Which role are you applying for? * Age * Under 25 25-34 35-44 45-54 55-64 65 and over Prefer not to sayGender * Male Female I prefer to use another term Prefer not to saySexual Orientation * Heterosexual/Straight Gay Man Gay Woman/Lesbian Bisexual I prefer to use another term Prefer not to sayEthnic Origin * White British White Irish White Gypsy or Irish Traveller Any other White background White and Black Caribbean White and Black African White and Asian Other Mixed/multiple ethnic background Indian Pakistani Bangladeshi Chinese Any other Asian background Black Caribbean Black African Other Black/African/Caribbean background Arab Any other ethnic group Prefer not to sayDo you consider yourself to be disabled under the Equality Act 2010? * Yes No Prefer not to sayA disabled person is defined under the Equality Act 2010 as someone with a ‘physical or mental impairment which has a substantial and long term adverse effect on that person’s ability to carry out normal day-to-day activities.’The information on this form is for monitoring purposes only. We follow the social model of disability which believes that it is the barriers created by society which disable people. If you require any additional support or equipment in relation to the recruitment process or that would enable you to carry out the role, please tell us on the application form or during the interview.Is your gender identity the same as the gender you were assigned at birth? * Yes No Prefer not to sayReligion or belief * No religion Christian (including all denominations) Buddhist Hindu Jewish Muslim Sikh Any other religion or belief Prefer not to say How did you hear about this opportunity? * If you have given us any information about your health, disability or access requirements, under data protection law we need your explicit consent to hold or use that information. We will only use it in order to allow us to make reasonable adjustments and/or to keep you safe, and it will be held securely.Consent I give my consent for this information to be used by Citizens Advice Barnet Captcha If you are human, leave this field blank. Submit
