North Yorkshire & York Forum (NYYF)
St James Lodge
Registered Charity number 1138552
Company Limited by Guarantee No. 7364452 (England)
Declaration of Interest Form
Appointment to the role of Chair
Are you connected to voluntary or community organisation, or social
enterprise (as a Trustee, volunteer or paid staff) operating in North Yorkshire
or York? If yes, please state organisation name:
Why do you want to become Chair of the North Yorkshire and York
What experience and expertise would you bring to the role of Chair?
How would you facilitate the Forum in delivering against the current agenda?
Please provide the name and contact details of two referrees:
Declaration by Trustees
All members of the Board of Trustees of North Yorkshire and York Forum are
asked to sign the following declaration confirming that they are not disqualified
to be a Trustee and that they would accept office as a trustee if offered.
I declare that I am not disqualified from acting as a charity Trustee and that:
I am aged 18 years or over at the date of this election or appointment.
I am not incapable of acting by reason of mental disorder within the
meaning of the Mental Health Act 1983.
I do not have an unspent conviction relating to any offence involving
deception or dishonesty.
I am not an un-discharged bankrupt nor have I made a composition or
arrangement with, or granted a trust deed for, my creditors (ignore if
discharged from such an arrangement).
I am not subject to a disqualification order under the Company
Directors Disqualification Act 1986 or to an order made under section
429(b) of the Insolvency Act 1986.
I have not been removed from the office of charity Trustee or Trustee
for a charity by an Order made by the Charity Commissioners or the
High Court on the grounds of any misconduct or mismanagement nor
am I subject to an order under section 7 of the Law Reform
(Miscellaneous Provisions) (Scotland) Act 1990, preventing me from
being concerned in the management or control of any relevant
organisation or body.
I undertake to fulfil my responsibilities and duties as a Trustee of the
North Yorkshire and York Forum in good faith, in accordance with the
law, within the Forum’s charitable objectives and policies.
I do not have any financial interests in conflict with those of the North
Yorkshire and York Forum (either in person or through family or
business connections) except those which I have formally notified in a
conflict of interest statement. I will specifically notify any such interest
at any meeting where Trustees are required to make a decision which
affects my personal interest and I will absent myself entirely from any
decision on the matter and not vote on it.
Full name (please