Trustee/Board Member Details Form

SECTION 1: PERSONAL DETAILS
This information is used to set up your trustee/board member profile
Name*
Prefix First Last Your pronouns
Address*
Street Address Address Line 2 City / Town Postcode
Email*
Mobile phone number*
Date of birth
DD slash MM slash YYYY
National Insurance Number:*
Emergency Contact Details*
Contact name Relationship to you Contact number
Who should be contact in case of an emergency?
SECTION 2: REFERENCES
We require two references (you can provide more). One of the references should be your current employer or most recent employer. We can accept character references but will seek at least one employment reference where possible.
Referee 1
Name of Referee*
First Last
Their job title (if a character reference, put 'character')*
Name of Organisation they work for (if relevant)
Address
Email*

We will need an email address to contact them. If this is a professional reference (e.g. work) or an academic reference (e.g. school), please provide their organisation email rather than personal if possible
Tel No:
How long have you know this person and in what capacity?*
Referee 2
Name of Referee*
First Last
Their job title (if a character reference, put 'character'*
Name of Organisation they work for (if relevant)
Address
Email*

We will need an email address to contact them. If this is a professional reference (e.g. work) or an academic reference (e.g. school), please provide their organisation email rather than personal if possible
Tel No:
How long have you know this person and in what capacity?*
Referee 3
Name of Referee
First Last
Their job title (if a character reference, put 'character')
Name of Organisation they work for (if relevant)
Address
Email

We will need an email address to contact them. If this is a professional reference (e.g. work) or an academic reference (e.g. school), please provide their organisation email rather than personal if possible
Tel No:
How long have you know this person and in what capacity?
SECTION 3: DECLARATION
Consent*
I confirm that that I have read the Privacy Statement and that the above information is correct

Trustee/Board Member Details Form

SECTION 1: PERSONAL DETAILS

SECTION 2: REFERENCES

Referee 1

Referee 2

Referee 3

SECTION 3: DECLARATION

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YMCA DownsLink Group

Trustee/Board Member Details Form

SECTION 1: PERSONAL DETAILS

SECTION 2: REFERENCES

Referee 1

Referee 2

Referee 3

SECTION 3: DECLARATION

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