EXECUTIVE, LOCAL ACTION GROUP

							                         APPLICATION TO STAND FOR ELECTION

                                       EXECUTIVE CHAIR
Name:

Organisation (If applicable):


Background & Reasons for Applying (suggest maximum of 300 words)




Experience and skills in any particular sectors:




Your contact details:



Please return by email or post by 5.00pm on Thursday 24TH MAY 2012 to:
Hannah Lovegrove, Chalk & Cheese, DCC, County Hall, Dorchester DT1 1XJ
Email: Hannah.m.lovegrove@dorsetcc.gov.uk
Copy To: s.e.harbige@dorsetcc.gov.uk                  Tel: 01305 228699




        The European Agricultural Fund for Rural Development: Europe investing in rural areas