Inclusion Advisory Board Member

Inclusion Advisory Board Member

Please complete the Application Form and submit by 12:00 on Friday 12 May 2023 (extended date).

Applications received after this time will only be considered in exceptional circumstances.

The decision to progress your application to the next stage of the selection process will be based only on the information you provide on this form. Please ensure you upload your C.V. before submitting.

If you have any questions please contact Dean.Buckle@northumberlandfa.com

Position applied for:*

Inclusion Advisory Board Member

Full Name*

Postal Address*

Postcode*

Email Address*

Preferred Contact Number*

Do you have an in-date FA DBS Check?*

Select

How do you meet the requirements of the role as outlined in the Role Profile?*

Please outline your skills, knowledge and experience which are relevant to the role you are applying for, including examples from either paid or unpaid/voluntary work. You can format this as bullet points but please ensure that you directly reference the skills and knowledge outlined in the Role Profile.

How do you demonstrate the values of Northumberland FA?*

The way we work at Northumberland FA is built on the values outlined in the Role Profile. Please provide examples of how you have demonstrated these values in your work or everyday life.

Reference Details*

Any offer of a role will be subject to receipt of two satisfactory references. Please provide the details of two referees. Your first referee must be your current or most recent employer. Your second referee should be a different employer, representative of an organisation in which you volunteer or have volunteered or a representative of an educational establishment. Personal references should only be given where there is no previous employer, voluntary organisation or educational establishment to which reference can be made. By entering a reference you are confirming agreement for Northumberland FA to contact them prior to appointment if offered a position. Reference 1 Full Name

Reference 1 Preferred Contact Number*

Reference 1 Email Address*

Reference 1 Relationship to you*

Reference 2 Full Name*

Reference 2 Preferred Contact Number*

Reference 2 Email Address*

Reference 2 Relationship to you*

Declaration*

I give my consent to the storage of personal data contained within this form for the purposes only of this application process. I can confirm and declare that the information provided on the form, to the best of my knowledge is complete, accurate and not misleading.

Curriculum Vitae and Equality & Diversity Monitoring Form*

Please upload a copy of your C.V. including your employment and volunteering history as well as any education and qualifications. Please also upload the Equality & Diversity Monitoring Form (optional).

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