Application Form
(Please type or complete in black ink)


Post Applied for: Convener 

Closing Date:  8 March 2022

1. Personal Details

Surname:

First name:

Address:



Postcode:

Home Telephone Number:

Mobile Number: 

Email: 


2. Employment / Volunteering

Current Position:

Current Employer / Organisation:

Work Phone Number: 	

What other volunteering commitments do you currently have?


3. Experience and Skills

Please tick the areas of expertise/contribution you feel you can make to further the mission of Disability Equality Scotland:
(Please attach your CV detailing your relevant experience to this position.)

	Credible spokesperson

	Governance

	The Equality Act 2010

	Access Audits

	Financial, especially charity accounting

	Equal Opportunities

	Fundraising

	Legal (charity, company, employment, Health and Safety)

	Management including leadership, business, rules of engagement, encouraging democracy, volunteering

	Marketing

	Media / PR

	Organisational development, including change management

	Performance Monitoring and evaluation

	Policy Implementation

	Political and parliamentary


Please list here any other additional skills / expertise you can contribute:







4. Boards and Committees

Please list below any boards or committees you serve on or have served on:

Organisation:

Role/Title:

Date of Service:




Organisation:

Role/Title:

Date of Service:





Organisation:

Role/Title:

Date of Service:

5. About You

Do you have a disability or long-term health condition?

	Yes				No


What experience do you have working with disabled people?









Why are you interested in serving as Convener for Disability Equality Scotland?










How do you feel Disability Equality Scotland would benefit from your involvement on the Board?








Please share any other information you feel important for consideration of your application to serve as a Disability Equality Scotland Board member:








6. Protection of Vulnerable Groups (PVG) 

The successful candidate will be subject to membership of the Protection of Vulnerable Groups Scheme. Confirmation of appointment will be conditional on the satisfactory outcome of this process



7. Guaranteed Interview Scheme

Disability Equality Scotland will offer a guaranteed interview to candidates with a disability who meet the criteria for this post.


Do you wish to be considered for a guaranteed interview?    

Yes                      No  
         

Do you have any support needs which we should be aware of? 

Yes                      No  

If yes, please provide details of any assistance you require.




8. Agreement

By signing below, I agree that the information I have provided is true and correct. Additionally, my signature represents my agreement to the following statements: 

* I understand and agree to Disability Equality Scotland’s Board of Directors Expectations; 

* I agree to abide to the Policies, Procedures and Bylaws of Disability Equality Scotland’s Board; 

* and I understand that if conflicts prevent me from performing the rules and expectations as a Board Member, I may be removed from the Board by a majority vote.


Full Name:


Signed:


Date: 



Thank you very much for applying.

_________________________________________________________

For Board Use only:

	Nominee interviewed by Board of Directors	Date: 

	Nominee proposed to the Board			Date: 

	Elected			Rejected			Date:




Suite 204B, The Pentagon Centre, 36 Washington Street, Glasgow G3 8AZ
Registered in Scotland as a Company Ltd by Guarantee with Charitable Status
0141 370 0968 | admin@disabilityequality.scot |  www.disabilityequality.scot
 
Registered Scotland Charity Number: SCO 31893  Company Number: SC 243392 
	




Suite 204B, The Pentagon Centre, 36 Washington Street, Glasgow G3 8AZ
Registered in Scotland as a Company Ltd by Guarantee with Charitable Status
0141 370 0968 | admin@disabilityequality.scot |  www.disabilityequality.scot
 
Registered Scotland Charity Number: SCO 31893  Company Number: SC 243392