Hackney Community Law Centre Nomination for Board of Directors

Hackney Community Law Centre
Nomination for Board of Directors
Important

Please note that only individual members of the Law Centre may stand for election to the Board of Directors.
Hackney Community Law Centre are keen to encourage nominations for Board of Directors positions, but do require potential new Board of Directors members to have met with the Chair or Manager before they can be elected. Therefore if you apply for nomination to the Board of Directors you will be contacted to discuss the responsibilities of the role of Board of Directors member prior to the AGM.
I hereby apply for nomination to the Board of Directors of Hackney Community Law Centre at its Annual General Meeting on 28 November 2016.

I declare that I am (please delete as appropriate) an individual member/an authorised representative of a Representative Member.

I declare that I am not disqualified from acting as a charity trustee through being an undischarged bankrupt, having been convicted of an offence involving dishonesty or deception, by being disqualified from a company directorship, or by removal as a trustee of another charity by the Charity Commissioners.
Name of nominee: (Block capitals)
Organisation (if appropriate):
Address:

Telephone (Day): (Evening):
Email address:
Signed: Dated:

This application must be returned to the registered office of Hackney Community Law Centre by email to [e-mail] by post to 8 Lower Clapton Road, London E5 OPD no later than 5pm on Monday 21 November 2016. Applications received after that date will not be accepted.

If elected, the following information will be required by law in order to complete a Notice of Appointment as a Director, as required by the Companies Act. It would be helpful if you provide the information at this stage, but your application will not be affected in any way should you decline to do so.
Date of Birth:
Nationality:
Occupation:
Details of other Directorships:

HACKNEY COMMUNITY LAW CENTRE
APPLICATION/RENEWAL OF MEMBERSHIP

This form can be used to apply/renew individual membership.

Individual Membership

Name:

Address: Postcode:

Important

Please note that you are only eligible for membership of the Law Centre if normally live or work in the London Borough Hackney and/or your intentions in relation to the Law Centre are in sympathy with the objects of the Law Centre.

• 
  I apply to become a individual member of Hackney Community Law Centre
  

• 
  I confirm that I live and/or work in the London Borough of Hackney and/or that my intentions in relation to the Law Centre are in sympathy with the objects of the Law Centre.
  

• 
  I undertake to pay upon demand the sum of £1.00 (one pound) towards the debts and liabilities of Hackney Community Law Centre if and when necessary.
  

Sign:

Date: