Board Member Application Form Please remember to enclose your CV and supporting statement with this form. DECLARATION OF INTEREST Please tick the relevant box (True or False) as applicable: True False Entitlements, Payments and Benefits Policy - Declaration 1 I have not leased or sold a property to Viewpoint 2 The same can be said, as far as I am aware, for my spouse/partner, and all other members of my immediate family I do not occupy, rent or lease a property owned or managed 3 by Viewpoint I am not, as far as I am aware, related to any of Viewpoint’s 4 Board Members or employees (past or present) I am not an employee, owner or controller of a company or 5 other organisation with which Viewpoint has a contractual relationship and the same can be said, as far as I am aware, for my spouse/partner and all other members of my immediate family I am not a member of any other housing associations or 6 I do not work for a housing association. If you do, please 7 give details of the housing association’s area of operation and your position. I am not an or controller of more than 2% of a company 8 the shares in which are publicly quoted or more than 10% of any other company 9 I am not disqualified from being a director or a trustee 10 I to have a Criminal Records Bureau check if so required If you answered to any of the above questions, please include details of the ‘False’ circumstances in the space provided:
Board Member Application Form Please remember to enclose your CV and supporting statement with this form. DECLARATION OF INTEREST Please tick the relevant box (True or False) as applicable: Entitlements, Payments and Benefits Policy - Declaration True False 1 I have not leased or sold a property to Viewpoint 2 The same can be said, as far as I am aware, for my spouse/partner, and all other members of my immediate family 3 I do not occupy, rent or lease a property owned or managed by Viewpoint 4 I am not, as far as I am aware, related to any of Viewpoint’s Board Members or employees (past or present) 5 I am not an employee, owner or controller of a company or other organisation with which Viewpoint has a contractual relationship and the same can be said, as far as I am aware, for my spouse/partner and all other members of my immediate family 6 I am not a member of any other housing associations or 7 I do not work for a housing association. If you do, please give details of the housing association’s area of operation and your position. 8 I am not an or controller of more than 2% of a company the shares in which are publicly quoted or more than 10% of any other company 9 I am not disqualified from being a director or a trustee 10 I to have a Criminal Records Bureau check if so required If you answered ‘False’ to any of the above questions, please include details of the circumstances in the space provided:
BM%20application.docx