Project D Sounding Board Application Form

1 Start 2 Diversity monitoring 3 Complete

Thank you for your interest in joining the Burton Sounding board. Please refer to the attached flyer about the panel, and who we are looking for, before completing this application form.

The completed form should be returned by 17.30 on Monday 12 July 2021.

Shortlisted applicants must be available to attend an online workshop session, on either Wednesday 14th or Thursday 15th July 2021, 6.30pm-8.30pm.

Burton Councillors and Council employees are not eligible to be panel members.

Personal Details

First name(s) *

Surname *

Address line 1 *

Address line 2 *

Town / City *

Postcode *

Email Address *

Telephone number *

Preferred method of contact *

Telephone

The Opportunity

How did you hear about this opportunity? *

What is your connection to the Burton area? *

Tick all that apply

If other please specify?

Your interest in the Burton sounding board

Please provide a personal statement of no more than 200 words explaining why you would like to volunteer to take part in the Burton sounding board *

What do you think are the main challenges and opportunities for the future of Burton upon Trent? *

What would you be looking for in a possible future development of the High Street and riverside area of Burton upon Trent? *

Local knowledge, skills and experience

What relevant skills and experience would you bring to the role? Are there any aspects or areas of Burton upon Trent which you know particularly well? *

Please provide information on relevant employment or voluntary experience, including involvement in local groups or events. Remember we’re looking for people who are passionate about the area and who can articulate a local perspective.

By ticking this box you confirm that all the information given in this application form is to my knowledge true and accurate. *

Yes

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Project D Sounding Board Application Form