Co-option Application and Eligibility Form

HARMSTON PARISH COUNCIL – CO-OPTION APPLICATION FORM

 

 

 

Application for Co-option

Full name and title

 

About you

In the box below tell us a little about your background, skills and experience that might be useful if you join the parish council.

 

Reasons for applying

Please explain here your reasons why you want to be a member of the Town/ Parish Council

 

 

Signature

 

Date

 

 

Return this form to the Parish Clerk once you have completed it.

clerk@harmston.info

 

 

Eligibility to be a Parish Councillor

Full name and Title

 

 

Home address

 

Home telephone

 

Mobile telephone

 

Email address

 

It is a condition of being a Parish Councillor that your name will be made public via notice boards and the parish council website.  You may need to disclose your phone and email address to deal with parish council matters.  Do you agree to this?                                                             Yes   /   No

 

Are you a British, Commonwealth or other European Union Citizen and not require leave to enter or remain in the United Kingdom or have indefinite leave to remain?                        Yes   /   No 

 

Are you aged over 18?                                                                                                     Yes   /   No

 

To qualify you must be able to answer ‘Yes’ to at least one of the questions below

a) Are you on the electoral register for Harmston Parish?           Yes   /   No

b) Have you lived either in parish of Harmston or within 3 miles

of its boundary, for at least a year?                                                                                Yes   /   No

c)  Have you been the owner or tenant of land in Harmston parish for at

least a year?                                                                                                                       Yes   /   No

d) Have you had your only or main place of work in parish of Harmston

for at least a year?                                                                                                            Yes   /   No

 

You must be able to answer ‘No’ to all the questions below to be eligible to serve as a councillor.

  1. Are you the subject of a bankruptcy restrictions order or interim order?         Yes    /   No
  2. Have you within the last five years been convicted of an offence in the UK, 

the Channel Islands or Isle of Man and has been sentenced (whether

suspended or not) to imprisonment for three months or more without the

option of a fine?Yes/No

  1. Are you disqualified by order of a court from being a member of a

local authority?Yes/No

  1. Employed by Harmston Parish Council, a joint committee or holds                                          

a paid office?Yes/No

  1. Subject to the notification requirements of the Sexual Offences act 2003

or Sexual Risk Orders?Yes/No

 

 

Signature

 

 

Date

 

 

When completed return this form to the Clerk to Harmston Parish Council.

clerk@harmston.info