Horningsham Community
Horningsham Community

Co-option Application Form

 

Horningsham Parish Council

 

Councillor Co-option Application Form

 

Full name

 

Home address

 

 

 

Postcode

 

 

 

 

 

Telephone number

 

Mobile telephone number

 

Email

 

 

PLEASE ANSWER THE YES/NO QUESTIONS CAREFULLY AS THEY SET OUT THE LEGAL QUALIFICATIONS FOR BEING A PARISH COUNCILLOR

 

QUALIFICATIONS

 

Are you a British citizen, a Commonwealth citizen or a citizen of a European Union country?                                                                                       Yes/No

 

Are you 18 or over?                                                                                     Yes/No

 

(You only need one of the following four qualifications but please say Yes to all that apply)

 

Are you on the electoral register for the parish?                                                Yes/No

 

Have you lived either in the parish, or within three miles of its boundary, for at least a year?                                                                                                      Yes/No

 

Have you been the owner or tenant of land in the parish for at least a year?                                                                                                                      Yes/No

 

Have you had your only or main place of work in the parish for at least a year?                                                                                                                 Yes/No

 

DISQUALIFICATIONS

 

Are you the subject of a bankruptcy restrictions order or interim order?                        

                                                                                                                        Yes/No

 

 

 

Have you within the last five years been convicted of an offence in the UK, the Channel islands or the Isle of Man which resulted in a sentence of imprisonment (whether suspended or not) for a period of three months or more without the option of a fine?                                                                                                                                                                                                  Yes/No

 

Are you disqualified by order of a court from being a member of a local authority?                                                                                                                                                                                                                                                Yes/No

 

WHAT YOU CAN BRING TO THE PARISH COUNCIL SKILLS AUDIT

 

Please tick the boxes below relevant to your knowledge

 

            Specific to Parish Council
           
¨  Knowledge of {your Council’s work} in general

¨  Knowledge of {your Council’s work} specifically
¨  Knowledge of the local authority involved with {your Council’s work}

¨  Knowledge of the local statutory agencies involved with {your Council’s work}

¨  Knowledge of national policy concerning {your Council’s work}

 

2          General to Parish Council
 

¨  Knowledge of the local area in general

¨  Knowledge of current good practice for charities

¨  Experience of other voluntary organisations (as committee)
¨  Experience of other voluntary organisations (as staff or volunteer)
¨  Campaigning
¨  Partnership Working

¨  Community Development
 

3          Management/Organisation

 

¨  General Management

¨  Financial Management

¨  Project Management

¨  Monitoring and Evaluation

 

 

 

¨  Planning

.    Policy Making

 

4          Professional

 

¨  Law

¨  Accounting

¨  IT

¨  HR

¨  Marketing/PR

¨  Training/Development

      Other please indicate:

 

5          Committee

 

¨  Chairing

¨  Consensus building

¨  Energy and Enthusiasm

¨  Strategic thinking

¨  Governance

 

Do you have anything you wish to contribute to the Parish Council not mentioned above either in terms of experience, knowledge or skills?

 

 

 

 

 

                                                                                                                                                                                                                                                                                                                                                                                                      

Please tell us your reasons for wishing to become a Parish Councillor?

 

Although you have no experience as a Parish Councillor what is your perception of the role of the Horningsham Parish Council?

           

When is your preferred time for attending meetings     Day/evening/either

 

(Unfortunately, under present legislation the Parish Council is not permitted to contribute to the cost of councillors’ childcare or care of dependants.)

 

Are there any factors, other than exceptional circumstances, that might prevent you from regularly attending the 6 weekly Parish Meetings?

 

 

           

Are there any local issues that you are particularly interested in that you believe could be of benefit to the community?

 

 

What are your hobbies/interests?

 

Lastly are there any questions you would like to ask us?

 

 

 

 

Signed………………………………….                  Date…../……/…..

 

 

Horningsham Parish Council


9 Beech Grove
Warminster
BA12 0AB

 

Tel: +44 01985 213436+44 01985 213436
E-mail: horningsham@virginmedia.com
Fax:

 

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