Trustee Application Form

Please refer to the information in the application pack which is available on the museum website at https://foodmuseum.org.uk/trustee

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* 1. Name

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* 2. Email address

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* 3. Phone number

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* 4. Home address

Address 1

Address 2

Town

County

Postcode

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* 5. Why you would like to become a trustee of the Food Museum? Please keep your answer to no more than 200 words.

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* 6. What would you bring to the Board? Please refer to the role description and person specification in the application pack and explain how you are suited to the role giving examples where possible (eg skills, expertise, knowledge, connections). Please keep your answer to no more than 500 words.

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* 7. Age

0-19

20-34

35-49

50-64

65-74

75+

Prefer not to say

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* 8. Gender identity

Female (including trans women)

Male (including trans men)

Non-binary (e.g. androgyne)

Prefer not to say

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* 9. Is your gender the one you had at birth?

Yes

Prefer not to say

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* 10. Sexual orientation

Which of the following categories best describes your sexuality?

Lesbian/Gay woman

Gay man

Bisexual

Queer

Hetrosexual/Straight

Identify in another way

Prefer not to say

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* 11. Ethnic origin

The following categories are recommended by the Commission for Racial Equality. If you feel the choices do not provide a suitable option, please write how you would describe your ethnic origin.

White British

White Irish

White Gypsy, Roma or Irish Traveller

Any other White background

Mixed White and Black Caribbean

Mixed White and Black African

Mixed White and Asian

Any other Mixed background

Asian or Asian British Indian

Asian or Asian British Pakistani

Asian or Asian British Bangladeshi

Asian or Asian British Chinese

Any other Asian background

Black or Black British Caribbean

Black or Black British African

Any other Black background

Other ethnic group Latin American

Other ethnic group Arab

Any other ethnic background

Prefer not to say

If you have ticked one of the 'any other' boxes, please describe your ethnic origin:

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* 12. Disability and health conditions

According to the Equality Act 2010, a person has a disability if:

a) A person has a physical or mental impairment, and

b) The impairment has a substantial and long-term adverse effect on a person’s ability to carry out normal day-to-day activities Examples of impairments include:

Physical impairments: sensory impairments, blindness, partial sight, hearing loss

Mental impairments: schizophrenia, dyslexia, bi-polar disorder, learning difficulties

Do you have a disability or identify as deaf or disabled?

Yes

Prefer not to say

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* 13. Neurodiversity

e.g. ADHD, Autism, Dyspraxia, Dyslexia, Dyscalculia, Dysgraphia, and Tourette's syndrome.

Are you neurodivergent?

Yes

Prefer not to say

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* 14. Education

What's the highest level of school you have completed or the highest degree you have received?

No formal educational qualifications

GCSEs or O Levels

A Levels

Further Education College or vocational training

University: BA

University: MA

University: DPhil or equivalent

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* 15. Background

What was the occupation of the main/highest income earner in your household when you were 14?

Modern Professional Occupations – e.g. teacher/lecturer, nurse, physiotherapist, social worker, welfare officer, actor, artist, musician, police officer (sergeant or above), software designer

Clerical and Intermediate Occupations – e.g. secretary, personal assistant, clerical worker, office clerk, call centre agent, nursing auxiliary, nursery nurse

Senior Managers and Administrators – Usually responsible for planning, organising and co-ordinating work for finance such as finance manages, chief executive etc.

Technical and Craft Occupations – e.g. motor mechanic, fitter, inspector, plumber, printer, tool maker, electrician, gardener, train driver

Semi-Routine Manual and Service Occupations – e.g. postal worker, machine operative, security guard, caretaker, farm worker, catering assistant, receptionist, sales assistant

Routine Manual and Service Occupations – e.g. HGV driver, van driver, cleaner, porter, packer, sewing machinist, messenger, labourer, waiter/waitress, bar staff

Middle or Junior Managers – e.g. office manager, retail manager, bank manager, restaurant manager, warehouse manager, publican

Traditional Professional Occupations – e.g. solicitor, accountant, medical practitioner, scientist, civil/mechanical engineer

Short Term Unemployed – Claimed Jobseeker’s Allowance or earlier unemployment benefit for a year or less

Long Term Unemployed – Claimed Jobseeker’s Allowance or earlier unemployment benefit for more than a year

Retired

Not applicable

Don't know

Prefer not to say

Other (please specify)

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100% of survey complete.

Trustee Application Form

Question Title

* 1. Name

Question Title

* 2. Email address

Question Title

* 3. Phone number

Question Title

* 4. Home address

Question Title

* 5. Why you would like to become a trustee of the Food Museum? Please keep your answer to no more than 200 words.

Question Title

* 6. What would you bring to the Board? Please refer to the role description and person specification in the application pack and explain how you are suited to the role giving examples where possible (eg skills, expertise, knowledge, connections). Please keep your answer to no more than 500 words.

Question Title

* 7. Age

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* 8. Gender identity

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* 9. Is your gender the one you had at birth?

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* 10. Sexual orientationWhich of the following categories best describes your sexuality?

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* 11. Ethnic originThe following categories are recommended by the Commission for Racial Equality. If you feel the choices do not provide a suitable option, please write how you would describe your ethnic origin.

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* 13. Neurodiversity e.g. ADHD, Autism, Dyspraxia, Dyslexia, Dyscalculia, Dysgraphia, and Tourette's syndrome.Are you neurodivergent?

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* 14. EducationWhat's the highest level of school you have completed or the highest degree you have received?

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* 15. BackgroundWhat was the occupation of the main/highest income earner in your household when you were 14?

* 10. Sexual orientation

Which of the following categories best describes your sexuality?

* 11. Ethnic origin

The following categories are recommended by the Commission for Racial Equality. If you feel the choices do not provide a suitable option, please write how you would describe your ethnic origin.

* 13. Neurodiversity

e.g. ADHD, Autism, Dyspraxia, Dyslexia, Dyscalculia, Dysgraphia, and Tourette's syndrome.

Are you neurodivergent?

* 14. Education

What's the highest level of school you have completed or the highest degree you have received?

* 15. Background

What was the occupation of the main/highest income earner in your household when you were 14?