Application form for Advisory Board Chair

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Advisory Board Chair application

Please read the recruitment pack prior to completion of the form.

For an informal chat about the role, contact Dave Wilson on 07732 683477, or email dave.wilson@healthwatchhalton.co.uk

Name

Phone

Address

Address 2

City/Town

County

Post Code

Why would you like to become Chair of the advisory board?

What people skills would you bring to this role?

Maximum of 500 words.

What experience, either employed or voluntary, do you have of the local health and social care services within Halton?

Maximum of 500 words.

What knowledge or experience of connecting with people who are not always heard do you have?

Maximum of 500 words.

What experience of working with people, communities and teams do you have?

Maximum of 500 words.

What knowledge and or experience of health and care system, voluntary organisations and/or policy writing do you have?

Maximum of 500 words.

If you have any experience of being in a group or Board, please let us know here:

Maximum of 500 words.

What involvement with or access to local communities do you have that you are able to bring to the role:

Maximum of 500 words.

Please tell us which age category you fall into.

Please tell us your gender

Is you gender identity the same as your sex recorded at birth?

Please tell us which sexual orientation you identify with

Please select your ethnicity

Marital and civil partnership status

What is your religion or belief?

Do you have a disability?

Do you have a long term condition?

Are you a carer?

Thank you for taking the time to apply for this role.

Please press the 'Submit' button below.