Declaration of Interests
INTRODUCTION
The presence of the National Lottery Sports Fund within Sport England’s operations requires that colleagues are not exposed to allegations of conflicts of interests in discharging their responsibilities under the National Lottery Act 1993. Relevant information should be recorded on this form and this will ensure that any potential conflicts of interest are considered. Details are also sought for immediate family (i.e. spouse/partner, children and parents) as allegations of conflicts of interest may extend to the influence of close relatives.
MEMBERSHIP OF OR INVOLVEMENT WITH SPORTS CLUBS AND GOVERNING BODIES OF SPORT
Please provide full details of any memberships or involvements which are current or have expired in the last five years.
Self or Immediate Family Member / Name of Organisation / Nature of involvement / Current or expired?
MEMBERSHIP OF OR INVOLVEMENT WITH OTHER RELATED ORGANISATIONS
This category includes any organisation which might be eligible to apply to the Sport England for Lottery or Exchequer funding such as schools, schools organisations, community associations, local authorities, youth organisations.
Please provide full details of any current membership, employment or other involvement or any that have expired in the last five years.
Self or Immediate Family Member / Name of Organisation / Nature of involvement / Current or expired?COMMERCIAL INTERESTS
These would include commercial interests in companies owning, operating or providing sports facilities or services. Please provide details of any involvements that are current or have occurred in the last five years.
Self or Immediate Family Member / Name of Organisation / Nature of involvement / Current or expired?DECLARATION
I confirm that to the best of my knowledge and belief the information given above is correct and complete. Please note that if you give any information that is false, or if you withhold any information Sport England may withdraw any offer of employment that has been made or, if already appointed, you may be dismissed.
I undertake to update the record if and when any changes take place.
Full Name : Signature:
Date:
DECLARATION OF INTERESTS