Board Application | YMCA Doncaster

Volunteering Application - Board of Trustees

Your Name *

First

Last

Email *

Your Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Phone *

Company Name of your current or most recent employer *

Your current or most recent job title *

Brief description of your duties and responsibilities *

Date you started your current or most recent job *

Are you still employed and at work in this job? *

Yes
No

Date you left your most recent job *

Please provide the name, business address, telephone number AND business email address for the person / office authorised to provide a reference on behalf of this employer. *

Please provide details of a second referee - name, postal address, email and telephone. *

Attach CV (optional)

(optional) details your

Please use this box to tell us about yourself and what you might bring to the YMCA. You may want to include notes on any current committee or other voluntary responsibilities. *

What would you expect to gain personally from your involvement as a trustee? *

Please explain how you meet our core criteria (time, teamwork, competence with governance matters, connection to Doncaster and your willingness to nurture and uphold the ongoing founding Christian principle of YMCA Doncaster). *

Do you, your family or your employer have any personal or other connections with the YMCA in Doncaster or elsewhere? *

Today's Date *

By completing and signing this form, you declare that you are NOT prevented from acting as a trustee because you:

have an unspent conviction for one or more of the offences listed at https://www.gov.uk/guidance/automatic-disqualification-rules-for-charity-trustees-and-charity-senior-positions
have an IVA, debt relief order or bankruptcy order
have been removed as a trustee in England, Scotland or Wales (by the Charity Commission or Office of the Scottish Charity Regulator)
have been removed from being in the management or control of any body in Scotland (under relevant legislation)
have been disqualified by the Charity Commission
are a disqualified company director
are a designated person for the purposes of anti-terrorism legislation
are on the sex offenders register
have been found in contempt of court for making (or causing to be made) a false statement
have been found guilty of disobedience to an order or direction of the Charity Commission

I declare that:

I am over the age of 18.
I am not prevented from acting as a trustee due to any of the reasons listed above.
I am capable of managing my own affairs.
I undertake to fulfil my responsibilities and duties as a trustee of YMCA Doncaster in good faith and in accordance with the law and within YMCA Doncaster’s objectives and mission.
I do not have any financial interests in conflict with those of YMCA Doncaster (either in person or through family or business connections) except those which I have formally notified in a Conflict of Interest Statement. I will specifically notify any such interest at any meeting where trustees are required to make a decision which affects my personal interests, and I will absent myself entirely from any decision on the matter and not vote on it.

I understand that all members of the Board are required to comply with appropriate checks by the Disclosure and Barring Service and that references are sought prior to any co-option to the Board.

I understand that personal information about trustees is disclosed to funders, regulatory bodies, and third parties providing financial and related services to YMCA Doncaster.

I have read and understood the information provided for prospective members of the Board, including the duties and requirements of the role. If selected, I will accept those responsibilities.

I confirm my commitment to nurture and uphold the ongoing founding Christian principle of YMCA Doncaster, and to work towards achieving the charitable Objects of YMCA Doncaster.

Please type your full name in the box below to confirm as on the notes above. *