Halton Holegate with Halton Fenside Parish Council
Application for Co-Option
Application for co-option to Halton Holegate with Halton Fenside Parish Council are invited to fill a casual vacancy for a Councillor.
Please complete this form and return to the Clerk via email or post.
Halton Holegate with Halton Fenside Parish Council
Clerk’s Office
The Franklin Hall
Halton Road
Spilsby
PE23 5LA
|
Full name of candidate: |
Mr / Mrs / Ms First name: Other names: Last name: |
|
Address of candidate:
|
|
|
Contact telephone number:
|
|
|
Email address:
|
|
|
Will you be at least 18 years old on the date of co-option? |
Yes / No |
|
In order for your eligibility to be confirmed, please tick any of the following that apply to you. Please read Section 4 of the Attached Council’s Co-option Policy. |
1. My name is on the current electoral register. (The Clerk can verify this for you.) 2. I have lived in the parish or within 3 miles/4.8kms of the village boundary (as the crow flies) for at least 12 months. 3. My main place of business is based in the village. 4. I own property within the village.
|
|
Please indicate in no more than 150 words why you would like to join the Council. Please include any skills, qualifications or Training that you feel relevant to the role.
|
|
Declaration:
I am not aware of any disqualification to my serving as a Councillor. Please read Section 5 of the attached Council’s Co-option Policy.
Sign: _________________________________
Name: ________________________________
Date: ___________________________
If successful, you will be required to complete an entry in the Council’s Register of Members’ Interests. This involves putting your address, employment, relevant major shareholdings and membership of charities, pressure groups, political parties on public record.
CLOSING DATE FOR SUBMISSION OF COMPLETED APPLICATION FORMS is 23rd FEBRUARY 2024