Expression of Interest Form

We're looking for volunteers who care about the Heartsease and Pilling Park area to join the Neighbourhood Board. Residents will make up the majority of the Board and play a leading role throughout, from identifying local priorities to agreeing and distributing grants.

You don't need previous board experience. What matters most is a strong connection to the area and a commitment to making it a better place to live. Training, support, and guidance will be provided.

About you

Full name:

* required

Maximum 255 characters

0/255

Address:

* required

Maximum 5,000 characters

0/5,000

Email address:

* required

Phone number:

Maximum 255 characters

0/255

What age group do you fall into?

* required

16 to 24 years

25 to 65 years

Over 65 years

Your interest and experience

In a few sentences, please tell us about yourself and why you'd like to join the Neighbourhood Board?

* required

Maximum 5,000 characters

0/5,000

What skills and experience do you bring? Please tick all that apply.

* required

A passion and commitment to the local area

I live or work in the Pride in Place area and what to see it thrive

Experience as a Board Director or Trustee of a charity

Experience in community engagement

Experience in budgets and finance

Experience in marketing or communications

Experience in strategic planning

Experience in running a business

Experience volunteering for a community organisation or group

Legal expertise

Other (please specify)

Representing your community

We want the Board to reflect the diversity of the community. Which of the following best describes your connection to the area? Please tick all that apply.

* required

Community organisation

Education

Faith group

Health and wellbeing

Local resident

Local business owner

Parents and carers

Sports and recreation

Young people

Other (please specify)

Other ways to get involved

If you are not selected for a place on the Board, would you still like to be involved in the Pride in Place programme in another way?

* required

Yes

Maybe

Reference

Please provide the name and contact details of someone who would support your application — this shouldn't be a family member. We won't contact them at this stage.

10.

Reference name:

Maximum 255 characters

0/255

11.

Reference contact details:

Maximum 255 characters

0/255

12.

Their relationship to you:

Maximum 255 characters

0/255

DBS check

If appointed to the Board, you'll be asked to complete a DBS check. This is a standard background check to confirm you are suitable to work with children or vulnerable adults.

13.

Please confirm you are happy to proceed with a DBS check

* required

Yes, I agree

I do not agree (please note: we will be unable to progress your application without this)

I already have a valid DBS check I can share