Co-option Application Form

Use of personal information:

The Parish Council will use your information, including that which you provide on this application form, to assess your suitability as a Parish Councillor.   For full details of how we manage personal information please use this link to visit our website and our privacy notice.

You can complete the online form below or if you would prefer a Word version you can download it here

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Name

Address

Telephone Number

email address

Please detail any experience you may have that is relevant to the Parish Council

Is there any other information you would like to disclose regarding your application?

I confirm that I am not disqualified from being a councillor and meet the criteria unser s.79, Local Government Act 1972

I am over 18 years of age

I am a qualifying commonwealth citizen

I meet one or more of the other requirements, ad indicated below

I am registered as a local government elector for the parish

I have, during the whole of the twelve months preceding the date of my co-option, occupied, as owner or tenant, land or other premises in the parish

My principal or only place of work during those twelve months has been in the parish

I have, during the whole of those twelve months resided in or within 3 miles of the parish