Forms home Scrutiny Co-opted Member application form Scrutiny Co-opted Member application form 1Personal details2Skills and experience3Referee and declaration I would like to apply for the position of non-statutory Voluntary Co-opted Member on the:* External Scrutiny Panel Health Scrutiny Committee Either Scrutiny Body Personal detailsName* First Last Address* Street Address Address Line 2 City Postcode Daytime telephone numberMobileEmail* What is your preferred method of contact? Email Daytime telephone number Mobile Are you related to, or a close friend of, any councillor or officer of the council?* Yes No Please give detailsPlease give details of any relevant groups or organisations that you are currently a member of:*The position is for a fixed term period and in line with Data protection regulations, your details will be deleted following the application/appointment process. Please indicate whether you wish to give consent to be contacted about any future vacancies (consent can be withdrawn at any time).* Yes, I wish to give my consent No, I do not wish to give my consent Skills and experiencePlease briefly explain why you are interested in the position:*Please outline your relevant skills and experience in relation to the criteria set out in the person specification:* RefereeName* First Last Address Street Address Address Line 2 City Postcode PhoneEmail* Capacity in which referee is known to you:* DeclarationI have read the background information provided and I wish to be considered for a position as a Voluntary Co-opted Member. I am willing to attend evening meetings and I am not a member of another Redbridge Council scrutiny body. I am not a Councillor or an employee of London Borough of Redbridge. I have obtained consent from my referee to use their contact details. The information which I have given is true and complete to the best of my knowledge. Typing your full name here is assumed as your electronic signature*
