EXTERNAL Trustee Application Form

EXTERNAL Trustee Application Form

Please email THIS FORM WITH CV to:

or TO: CUSU, 17 MILL LANE, UNIVERSITY OF CAMBRIDGE, CAMBRIDGE CB2 1RX.

Deadline: 5pm, FRIDAY 10TH MARCH 2017*

Thank you for your interest in the trustee vacancy at Cambridge University students’ union. This form should be submitted with a CV before the closing date.

We welcome candidates from diverse backgrounds. We particularly welcome applications from those from Black, Asian and an ethnic minority backgrounds, as they are under-represented within Cambridge University Students' Union at this level. We are happy to discuss any reasonable adjustments individuals may require in the recruitment process, on commencement, or upon appointment.

Contents:

Page 2:Personal Details

Page 3: Consent and Declaration

Page 4:Information on the Suitability of your Application

Page 5: References

Page 6:Equalities Monitoring Form

All received applications to become an External Trustee will be considered by a sub-committee of the Board of Trustees. Two candidates will be recommended to the Union’s Council (the students’ union’s governing body). We will likely conduct interviews with short-listed applicants. Interviews will be held between 10th and 20th March 2017. We may interview candidates before the close of applications.

CUSU is committed to creating an organisation in which all members and volunteers/employees are respected, discrimination is not tolerated and diversity is encouraged. Selection for position/role, promotion, training or any other benefit will be on the basis of aptitude and ability.We welcome applications from individuals with disabilities and are committed to ensuring fair treatment throughout the selection process. We will make adjustments to enable applicants to compete to the best of their ability wherever it is reasonable to do so. Applicants can declare a disability at any time. We also offer this form in alternative formats – all correspondence to:

TRUSTEE APPLICANT DETAILS

Personal Details of APPLICANT

Name
ADDRESS
CONTACT DETAILS / TELEPHONE (DAY)
TELEPHONE (EVENING)
EMAIL

please list the days/times you are not available for interview during the period, including evenings[1]:

TRUSTEE BOARD MEETINGS - AVAILABILITY

Dates of Board meetings are normally configured around Board members and may take place during weekday afternoons or evenings (6pm-8pm) during the University of Cambridge Term-Time (with one additional meeting mid-July).

2017 provisional dates are weeks commencing: 13Mar; 08May; 10Jul; 16Oct; 04Dec.

As far as able, please indicate your general availability using Yes (Y), No (N) or Possibly (P) below:

MON / TUES / WEDS / THURS / FRI
Morning
Afternoon
Evening

APPLICANT DECLARATION & DATA CONSENT

The information you provide, along with requested attachments, will be used to process your application. It will not be passed to third parties or used for other purposes than those required for trustee selection and legal precedent. If you are successful, we will keep your form. If you are unsuccessful, we will destroy it six months after the close of this trustee selection process. Security procedures are in place for protecting your data in accordance with the principles of the Data Protection Act 1998. Your details may be stored electronically in a password-protected system and/or as paper copies in secure storage. Please read the statements below and then sign and date to confirm your acceptance of them.

DECLARATION

I declare that:

-I am a not member of CUSU (i.e. a current student of the University of Cambridge).

-I am over the age of 18.

-I am not:

•An undischarged bankrupt.

•Someone previously removed from trusteeship of a charity by a Court or the Charity Commission.

•Under a disqualification order under the Company Directors’ Disqualification Act 1986.

•Someone previously convicted of an offence involving deception or dishonesty (unless the conviction is spent).

-I am, in the light of the above, not disqualified from acting as a charity trustee.

-I understand that as a trustee of CUSU I will be excluded from employment by CUSU and its subsidiary companies.

I further declare that:

-I have read the above Data Consent paragraph, and I understand and accept how CUSU will use and store my personal data.

-I confirm that the information I give in my trustee application and any supporting documents is correct and complete.

-I understand that failure to disclose any relevant information or the provision of false information may lead to a removal of any appointment to trusteeship approved.

-I understand that CUSU may check all or any of the information provided as part of my application or given in references.

SIGNED / DATED / ___ / ___ / ______

* emails accepted as ‘digital signature’.

information on the suitability of your application

We have provided information to potential applicants on the role of trustee and the candidates we are looking for in our External Trustee Application Pack. Please read this document prior to submitting thisapplication form and your CV.

WHAT ARE YOUR MOTIVATIONS FOR APPLYING TO SUPPORT CUSU AS A TRUSTEE?

what experience and expertise would you bring to the board of trustees at cusu?

what do you see as the role of an external trustee at cusu?

REFERENCES

Please provide details of two people (not relatives) who will each provide a work-related/professional reference.

First reference

Name
Position & organisation (if applicable)
Relationship to you
Telephone number
E-mail address
May we contact this referee during the selection process? / Yes No

Second reference

Name
Position/Current Role & organisation (if applicable)
Relationship to you
Telephone number
E-mail address
May we contact this referee during the selection process? / Yes No

EQUAL OPPORTUNITIES MONITORING (OPTIONAL)

1

Advertising Source

Where did you first learn about this vacancy?

Gender

What is your gender? / Female
Male
Other
Prefer not to say

*** This form is not used in the selection process. ***

Date of Birth

What is your date of birth? / __/__/____
Prefer not to say

Nationality

Which country defines your national identity? / Country: ______
Prefer not to say

1

Ethnic Origin

HESA tells us what categories we have to use when we collect ethnicity data. In addition, the Equality and Human Rights Commission recommends these categories. Our use of these categories does not mean that CUSU thinks that they are the most appropriate.

What is your background? / White:
British
Irish
White background – other
Mixed:
White and Black Caribbean
White and Black African
White and Asian
Mixed background – other
Asian or Asian British:
Indian
Pakistani
Bangladeshi
Asian background – other / Black or Black British:
Caribbean
African
Black background – other
Chinese:
Chinese
Arab
Arab
Gypsy or Traveller
Gypsy or Traveller
Other ethnic group:
Other ethnic group
Prefer not to say:
Prefer not to say

Disability

HESA tells us what categories we have to use when we collect disability data. Our use of these categories does not mean that the CUSU thinks that they are the most appropriate.

Do you regard yourself as in any way disabled? / Yes
No
Prefer not to say
If yes, what is the nature of your disability? / Please tick the appropriate box. If you experience more than one type of impairment, please tick the box next to all of the types that apply. If your disability does not fit any of these types, please tick other.
Specific learning disability (such as dyslexia or dyspraxia)
General learning disability (such as Down’s Syndrome)
Cognitive impairment (such as autistic spectrum disorder or resulting from head injury)
Long-standing illness or health condition (such as cancer, HIV, diabetes, chronic heart disease, or epilepsy
Mental health condition (such as depression or schizophrenia)
Physical impairment or mobility issues (such as difficulty using arms or using a wheelchair or crutches)
Deaf or serious hearing impairment
Blind or serious visual impairment
Two or more impairments and/or disabling medical conditions
A social/communication impairment such as Asperger’s
syndrome/other autistic spectrum disorder.
Other type of disability not listed above

Religious beliefs

What are your religious beliefs? / Buddhist
Christian
Hindu
Jewish / Muslim
No religion
Sikh / Spiritual
Any other religion or belief
Prefer not to say

Sexual orientation

What is your sexual orientation? / Bisexual
Gay man
Gay woman / lesbian
Heterosexual
Other
Prefer not to say

Gender identity

What is your gender identity? / Gender identity is the same as the gender originally assigned at birth
Gender identity is different to the gender originally assigned at birth
Prefer not to say

1

[1] Note that alternative arrangements may be made should strong applicants be unable to attend interview.