Trustee Recruitment 2023

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* 1. Title:

Mrs

Miss

Other (please specify)

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* 2. Forename:

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* 3. Surname:

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* 4. Personal contact details:

Home location:

Mobile:

Email:

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* 5. Reference request (1)

Full name:

Address:

Mobile:

Email:

How do you know this person? (e.g. business, personal, etc.)

May we contact this person prior to interview?

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* 6. Reference Request (2):

Full name:

Address:

Mobile:

Email:

How do you know this person? (e.g. business, personal, etc.)

May we contact this person prior to interview?

Personal Assessment
Please indicate below how you meet the essential areas listed. You should provide examples that demonstrate that you have the required qualities.

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* 7. Commitment to the duties of a Charity Trustee and upholding

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* 8. Focus

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* 9. Communication and team working

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* 10. Accountability

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* 11. Management

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* 12. Leadership and governance

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* 13. Specialist expertise

Declaration of Interest

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* 14. Do you have any business or personal interests that might be relevant to the work of the National Examining Board for Dental Nurses and which could lead to a real or perceived conflict of interests were you to be appointed? (Failure to disclose such information could result in any appointment being terminated).

Yes

If yes (please specify)

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* 15. Signature

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* 16. Date of application

Date