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Home » Support us » Become a trustee » Trustee application

Trustee application

Please complete the below form to apply for the role of trustee. If you have any questions or require any support please email comms@independentlives.org.

Contact details

Name

First Last

Email

Phone

Address

Street Address Address Line 2 City ZIP / Postal Code

Do you have any accessibility requirements you’d like us to be aware of?

Yes

No

Please tell us about your accessibility requirements

Application

Please tell us why you would like to become a trustee of Independent Lives

Please tell us about any experience you have relevant to the role, this could be from paid work, volunteering or personal experience

Please tell us about any training or qualifications you think would support you as a trustee

References

Please give us the details of two people who can provide references for you.

Reference one

First Last

Email

Phone

Address

Street Address Address Line 2 City ZIP / Postal Code

Reference two

First Last

Email

Phone

Address

Street Address Address Line 2 City ZIP / Postal Code

Declaration

Please select all that apply

I am over the age of 18 years

I have never been convicted of an offence involving dishonesty or deception that is not registered as legally spent

I am not an undischarged bankrupt

I have not made compositions with my creditors from which I have not been discharged

I have never failed to make payments under a County Court administration order

I have never been removed from office as a charity trustee by a court or by the Charity Commission

I have not been disqualified under the Company Directors Disqualification Act 1986

In the light of the above, I am not disqualified by the Charities Act 1993 (Section 72) from acting as a charity trustee

Consent

I agree to the privacy policy.

The word "TRUSTEE" spelt out in wooden letter blocks on a grey background.

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Contact us

Independent Lives
Southfield House
11 Liverpool Gardens
Worthing, West Sussex
BN11 1RY

Phone - 01903 219482

Email - info@independentlives.org

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