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1 Get in the driving seat... become a Stockport Homes' Board Member Application pack - east area 2012 Scan here for more information Deadline for applications is 18 May 2012

2 What does a Stockport Homes Board Member do? Being a Board Member is an exciting role that gives you the opportunity to influence the direction of Stockport Homes and make sure that the company achieves its mission and aims. The most important qualities that a Board Member needs are enthusiasm and a commitment to improving the services Stockport Homes delivers to all its customers. Board Members are registered as company directors with Companies House, the government regulator for businesses in England and Wales. Being a company director involves a commitment to: act in the best of interests of the company; participate fully in the Board s work and accept responsibility for its decisions; and behave with integrity. The Board s work includes: setting Stockport Homes objectives; agreeing the budget; monitoring performance to make sure the company achieves its mission and aims; and supporting, questioning and challenging Stockport Homes paid staff. Some of this work is done is done in smaller meetings where the Board breaks into Sub-Groups. Every Board Member is expected to join at least one Sub-Group. To be an effective Board Member you will need to support the mission and aims of the company and be willing to spend time preparing for and attending meetings. Who can be a Stockport Homes Board Member? Most people who live in the east area will be able to stand for election to the Board. You will need to get five other tenants or leaseholders from the east area to support your nomination. There are some reasons that stop people from standing for election, so check these before completing your application form and contact us if you have any questions. You cannot stand for election to the Board if you: are in breach of your tenancy agreement. For example, if your rent account is in arrears, legal action is being taken for alleged anti-social behaviour or a Notice of Intention to Seek Possession has been issued for any reason; stop being a Stockport Homes tenant; work for Stockport Council in a managerial position; are bankrupt or have made a voluntary arrangement with creditors; have been disqualified from serving as a Board Member; have been a director of a company which has become insolvent; or have been convicted of a serious criminal offence in the past five years, in particular offences involving dishonesty. Some criminal convictions do not need to be disclosed under the Rehabilitation of Offenders Act If you are in any doubt, you should seek legal advice or speak to the Citizens Advice Bureau. Application Form PERSONAL DETAILS Title: Mr / Ms / Mrs / Miss / Other (please specify)... Name:... Address: Telephone number:... Mobile number:... address:... Criminal convictions: Yes No If yes, please give details of any criminal convictions within the past five years, including dates and sentence imposed: Commitments: Please indicate whether you have any commitments which would regularly prevent you from attending meetings (usually held after 4.00pm) DECLARATION I declare that to the best of my knowledge, all statements contained in this form are correct. I understand that by signing this form I consent to be put forward in the election of an east area Tenant Board Member. I have read the section Who can be a Stockport Homes Board Member? on page 2 of this application pack and to the best of my knowledge I am eligible to stand for election. 2 Application pack - east area 2012 Application pack - east area

3 Why do you want to become a Board Member? (Statement of reasons) The election will involve a ballot of all tenants and leaseholders in the east area. All tenants and leaseholders will receive a ballot paper and some information about the people who are standing. Please explain why you think you would be a good Board Member in about 200 words. Tell us about your skills experience and how you would make sure you represented customers views. SIGNATURES Signatures of five tenants and / or leaseholders (resident in the east area) supporting the nomination: Please return this pack by Friday 18 May 2012 to: Jeremy Beatty, Governance Manager Stockport Homes 1 St. Peter s Square Stockport SK1 1NZ 4 Application pack - east area 2012 Application pack - east area

4 You can drive better services at Stockport Homes. Equal Opportunities Monitoring Stockport Homes is committed to equal opportunities. It is useful to collect information about people s age, disability, ethnic background, gender, religion and sexuality to confirm that we are providing equal opportunities and to help us plan better services. The completion of this form is completely voluntary. 1) CONTACT DETAILS Title: Mr / Ms / Mrs / Miss / Other (please specify)... Name:... Address: address:... Date of birth: Telephone number:... 2) GENDER / / Please Tick: Male Female Transgender 3) ETHNIC ORIGIN - Please tick: White British White Irish White Other White and Black Caribbean White and Black African White and Asian Mixed Other Asian British Asian Pakistani Asian Bangladeshi Asian Other Black British Black Caribbean Black African Black Other Chinese Other ethnic group.. 4) RELIGION None Christian (all denominations) Buddhist Hindu Jewish Muslim Sikh Any other religion Prefer not to say 6 Application pack - east area 2012 Application pack - east area

5 5) SEXUALITY Gay woman Gay man Bisexual Heterosexual Prefer not to say 6) DISABILITIES 6 a) Do you have any long-term illness, health problems or disability which limit the daily activities or the work you can do? Yes No 6 b) If you have answered yes to question 6a, please say in what way you consider yourself disabled. Please tick all that apply: Hearing (deaf or hearing impaired) Physical or limited mobility Seeing (blind or partially sighted) Talking (speech impaired) Wheelchair user Mental health issues Learning disability 7) COMMUNICATIONS 7 a) If we are communicating with you, do you need to receive the information in any of the following formats? Large print Compact Disc (CD) Audiotape Braille British Sign Language Other:... 7 b) Your answers to the questions below will help us if we cannot talk or write to you in English. Do you speak English? Do you read English? Yes Yes No No 7 c) If you answered no to either of the questions in 7b, please tick which language you speak or read. Language Speak Read Language Speak Read Farsi Korean Urdu Portuguese Arabic Kurdish Vietmanese Mandarin Chinese Cantonese Polish Other - please state 7 d) If you have a problem reading or writing please tick below: Problem reading Problem writing 8 Application pack - east area 2012

Registering as a dentist with the General Dental Council (EU/EEA/Switzerland)

www.gdc-uk.org Registering as a dentist with the General Dental Council Application Form This application form, accompanying documents and registration fee should be posted to: Registration Team (New Registrations)