Trustee Nomination Application

Thank you for your interest in applying to join the Board of Third Sector Dumfries and Galloway (TSDG).

TSDG is a third sector interface, funded by the Scottish Government to support and represent voluntary, charity and community groups and social enterprises in the south west of Scotland. It is a charity governed by a board of trustees.

Nominations for a trustee must be made by third sector organisations that are members of TSDG.

The candidate must agree to the nomination and should submit a personal statement of no more than 250 words in support of their nomination later in this form.

Candidates should demonstrate that they understand:

The role of the third sector
The role, function and authority of a third sector interface
The roles, responsibilities and accountability of charity trustees

Nominations should be made using this form and should be supported by an office bearer. An election may be required at the AGM if more nominations are received than spaces available.

Nominating Member Organisation / Group

Name of member organisation

If incorporated please use registered name

If known by another name, please submit below

Address

Email address

The above-named organisation wishes to nominate:

as a candidate for the board of Third Sector Dumfries and Galloway.

To be completed by the candidate

Name

Address

Telephone Number

Email address

Declaration of Eligibility (to be confirmed by nominated candidate)

I am not disqualified from being a trustee by:

Conviction for offence involving dishonesty
Disqualified as a company director
Undischarged bankruptcy
Removed by the Court
Removed by Charity Commission
Conviction under bribery legislation
Conviction under proceeds of crime legislation
Conviction for perverting the course of justice
Terrorism or association with proscribed terrorist group
Misconduct or negligence as a public official
Disobedience with an order of Court
Sexual offences subject to notification

I do not have any financial interests in conflict with Third Sector Dumfries and Galloway (either in person or through family or business connections) except those which I have formally notified in the conflict-of-interest section below.

I sign below to confirm all of the above and that my application to become a trustee for Third Sector Dumfries and Galloway is genuine and honest and the work I carry out will be in the best interests of the charity.

Supporting statement from candidate

Please indicate below any possible conflicts of interest you might have if you became a trustee of TSDG.

Signature of candidate

Signature/name of office bearer from supporting organisation

Contact Information