Personal informationTitle (Required)-select-MissMsMrsMrMxDrPlease enter below Your First Name (Required)Your Surname (Required)Date of Birth (Required)Day -select-12345678910111213141516171819202122232425262728293031Month -select-JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecemberYear -select-1920192119221923192419251926192719281929193019311932193319341935193619371938193919401941194219431944194519461947194819491950195119521953195419551956195719581959196019611962196319641965196619671968196919701971197219731974197519761977197819791980198119821983198419851986198719881989199019911992199319941995199619971998199920002001200220032004200520062007200820092010201120122013201420152016201720182019202020212022202320242025AddressYour Address (Required)Your Post Code (Required)Which Subsidiary Board are you interested in joining? (Required)-select-Fyne Initiatives Fyne FuturesFyne Energy Please enter below Contact DetailsContact Telephone Number (Required)Email Address (Required)Declaration of InterestsAre connected or involved with any business that provides or is contracted to any of the Fyne Group? If "Yes" please provide details (Required)Are you a Fyne Homes Tenant or Service User? (Required)No Yes - Select from below Yes No Are you related or closely connected to a member of the Management Committee, Subsidiary Boards or a member of staff who is employed by the Fyne Group? If "yes" please provide names and relationship (Required)Employment, Experience and KnowledgeAre you employed? If "yes" please provide employer details and job title (Required)Please describe why you are interested in joining the Subsidiary Board? (Required)If you are successful in becoming a member of the Subsidiary Board, what would be your priority during your first year? (Required)Are you (or have you been) involved in other voluntary work? If "yes" please provide details: (Required)Please describe which part of Subsidiaries work you are especially interested in and why? (Required)Please describe how your experience would help you carry out the duties described in the statement of responsibilities for Board Members? (Required)Additional Information and Signature Please add any additional details you feel may support your application Declaration I hereby apply to become a member of the above selected Subsidiary Board. I agree to support their aims and objectives. I am over 16 years old. (Required)
