Important Information about Nominations to the Trustee Board

For Proposer and Candidate: Please Read Carefully

·  The Proposer must be a current CPRE Voting Member listed on the CPRE Company Register of Voting Members (company no. 4302973). If you wish to check your membership status, please contact Jenny Bulman on 020 7981 2802.

·  The Candidate must be a member of CPRE before standing for election or co-option by the Board, so if not already a member, must join CPRE before the closing date for nominations below.

·  Employees of CPRE, and those who have been so employed during the 12 months prior to the AGM, may not stand for election.

·  The nomination form should be accompanied by a brief CV and a statement from the Candidate, not exceeding 200 words, on why you are interested in the position and how your skills and experience will help to address the particular issues facing the Board in the coming years.

·  Candidates will be expected to sign a declaration of eligibility to become a Board member when you are nominated (the declaration accompanies this note). If you are unsure of your eligibility to stand for election, and wish to discuss this please contact Helen Turner, Company Secretary, on 020 7981 2805 or email .

·  Completed nomination forms, together with the CV, candidate’s statement and signed declaration of eligibility, should be e-mailed to or sent by post to; Jenny Bulman, CPRE, 5-11 Lavington Street, London, SE1 0NZ and must arrive before 5.00pm on Friday 29 June 2012

·  Nominations will be accepted by fax on 020 7981 2899.

·  All nominations received will be acknowledged. Please check with Jenny Bulman, by emailing her at: on by telephone on 020 7981 2802 if you have not received an acknowledgement.

CPRE registered office 5-11 Lavington Street London SE1 0NZ

Registered in England and Wales as a Company Limited by Guarantee Number 4302973

Registered with the Charity Commission for England and Wales Number 1089685


CPRE Nomination

Please read all the accompanying information

To be completed in BLOCK CAPITALS by the Proposer

I, (full name)

Address

Postcode

Telephone (day) (evening)

Membership number if known

Nominate (full name)

For nomination as General Board Member

Signed Date

Print name ______

To be completed in BLOCK CAPITALS by the Candidate

I, (full name)

Address

Postcode

Telephone (day) (evening)

Membership number if known

Accept nomination as General Board Member

Signed Date

Print name ______


CANDIDATE’S DECLARATION OF ELIGIBILITY TO BE A CHARITY TRUSTEE AND A COMPANY DIRECTOR

Nomination for CPRE General Board Member

I, ______(print name)

declare that:

·  I am over age 18.

·  I am not an undischarged bankrupt.

·  I have not previously been removed from trusteeship of a charity by a Court or by the Charity Commission.

·  I am not subject to a disqualification order under the Company Directors Disqualification Act 1986.

·  I have not been convicted of an offence involving deception ordishonesty (unless the conviction is spent).

·  I am, in the light of the above, not disqualified by the Charities Act 1993 (section 72) from acting as a charity trustee.

·  I undertake to fulfil my responsibilities and duties as a Board member of CPRE in good faith and in accordance with the law and within CPRE's objectives / mission.

·  I do not have any financial interests in conflict with those of CPRE (either in person or through family or business connections) except those which I will formally notify / have formally notified in a conflict of interest statement. I will specifically notify any such interest at any meeting where Board members are required to make a decision which affects my personal interests, and I will absent myself entirely from any discussion on the matter and not vote on it.

Signed: ______

Date: ______

May 2012