Co-option Application Form

Personal Details

Name:

Address:

Telephone Number:

Email Address:

Are you 18 or Over?                     Yes                            No

 

Experience

Please detail any experience you have that may be relevant to St Stephen in Brannel Parish Council (if necessary, please continue on a separate sheet of paper).

 

Other Information

Is there any other information you would like to disclose regarding your application? (If necessary, please continue on a separate sheet of paper).

 

Declaration

Signed

Name

Date

 

Please return this completed form together with the completed Co-option Eligibility Form to:

The Clerk

St Stephen in Brannel Parish Council

Office 2 The Brannel Room

22 Fore Street

St Stephen

St Austell

PL26 7NN

clerk@ststepheninbrannel-pc.gov.uk

 

Data Protection Act 2018

The information provided on this application form will remain private and confidential.

 

(Please click on the pdf version of this document for the supporting form)