Burnfoot Hill Community Fund: Panel Nomination

Two local residents - one from Alva and one from Tillicoultry - are invited to serve on the Burnfoot Hill Community Panel. They will join a team of other Panel members representing Tillicoultry, Alva, Menstrie and Dollar who advise Foundation Scotland about distributing the Community Fund including advising on grant decisions.

If you live in either Alva or Tillicoultry and are aged 16 or above you are eligible to put yourself forward. To do so please answer the following questions. You will also need two endorsements from other residents who you are not related to.

Should more nominations be received names will be pulled from a hat at forthcoming Alva and Tillicoultry Community Council
meetings. The closing date for nominations is Monday 2nd October.

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* 1. Please enter your contact details:

Name:

Home address:

Postcode:

Telephone: day

Telephone: evening

Telephone: mobile

Email address:

Confirm which community you represent (Alva or Tillicoultry):

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* 2. Please provide a brief statement about why you wish to join the Panel and any skills, knowledge or experience you will bring.

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* 3. Please name two residents who are not related to you, who endorse your nomination to the Panel.

Resident One

Resident Two

By submitting this form you confirm that you are willing to serve as a member of the Panel and wish to put yourself forward for consideration. Thank you for your nomination.