TRUSTEE DECLARATION
Bolton le Sands Village Hall
Reg no 700264 – June2018
Trustee eligibility and responsibility
By completing and signing this form, you declare that you:
• are willing to act as a trustee of the organisation named above
• understand your organisation’s purposes (objects) and rules set out in its governing document
• are not prevented from acting as a trustee because you:
• have an unspent conviction for an offence involving dishonesty or deception
• are currently declared bankrupt (or subject to bankruptcy restrictions or an interim order)
• have an individual voluntary arrangement (IVA) to pay off debts with creditors
• are disqualified from being a company director
• are subject to an order made under section 429(2) of the Insolvency Act 1986
• have previously been removed as a trustee by us, the Scottish charity regulator or the High Court due to misconduct or mismanagement
• have been removed from management or control of anybody under section 34(5)(e) of the Charities and Trustee Investment (Scotland) Act 2005 (or earlier legislation)
• are disqualified from being a trustee by an order of the Charity Commission under section 181A of the Charities Act 2011
You also declare that:
• the information you provide to the Charity Commission is true, complete and correct
• you understand that it’s an offence under section 60(1)(b) of the Charities Act 2011 to knowingly or recklessly provide false or misleading information
• your organisation’s funds are held in its name in a bank or building society account in England or Wales
• you will comply with your responsibilities as trustees – these are set out in the Charity Commission guidance ‘The essential
trustee (CC3)’
• (if applicable) the primary address and residency details you provide in a charity registration application are correct
and you will notify the Charity Commission if they change
Personal benefit
If your organisation pays (or will pay) any trustee for being a trustee OR any trustee or person connected to them for providing goods and services, you declare that this will:
• be in the organisation’s best interests
• be lawful and authorised
• help the organisation carry out its purposes (or be a necessary by-product of it carrying out its purposes)
Specific Insurance requirements
To the best of my knowledge I have NOT;
Been subject to any County Court Judgements
Had any insurer decline, cancel, or refuse to renew insurance
Been convicted/charged/cautioned in respect of any criminal offence
Ever been prosecuted for failure to comply with any Health and Safety or Welfare or Environmental Protection legislation.
Been declared bankrupt or disqualified from being a company director or involved in any company that went into receivership, liquidation or administration.
Signed …………………………………………….
Date………………………………………
Name…………………………………………….
Address………………………………………….
……………………………………………………
……………………………………………………
……………………………………………………
Post code……………………………………..
Tel………………………………………………
Mob…………………………………………….
Email………………
GDPR MAY 2018
Your privacy is important to us, and we want to communicate with Bolton le Sands Village Hall (Community Centre) users in a way which has their consent, and which is in line with UK law on data protection. As a result of a change in UK law, we now need your consent to how we contact you. Please fill in the contact details you want us to use to communicate with you.
You can grant consent to all the purposes; one of the purposes or none of the purposes. Where you do not grant consent, we will not be able to use your personal data; (so for example we may not be able to let you know about forthcoming events). You can find out more about how we use your data from our “Bolton le Sands Village hall (Community Centre) Privacy Notice” which is appended to this notification.
You can withdraw or change your consent at any time by contacting the Bolton le Sands Village hall (Community Centre) Data Controller as detailed below. Your information is held by the Centre’s Data Controller and is made available to the Trustees and Officers in so far as is necessary for the performance of their duties. The records are password protected and securely stored in accordance with the new regulations. The Centre does not divulge this information to any other person or Third Party under any circumstances. Consent may be withdrawn at any time by notice to the Data Controller.
Bolton le Sands Village hall (Community Centre) Data Protection Consent Form:
Organisation/Resident…………………………………………………………………………
Full Name…………………………………………………………………………..
Postal Address……………………………………………………………………………
…………………………………………………………………………….
…………………………………………………………………………….
Post Code………………………………
Email………………………………………………………..
Contact Telephone Numbers …………………………………………
I consent to the Bolton le Sands Village hall (Community Centre) contacting me by:
Email: Yes/No
Post: Yes/No
Telephone: Yes/No
Telephone or Text: Yes/No
Bolton le Sands Village hall (Community Centre): To keep me informed about my membership, news, conferences, and other events and activities at the Bolton le Sands Village hall (Community Centre)
Signed……………………………………………….date…………………..
PLEASE RETURN THIS COMPLETED FORM TO
T.I.Birnie
“Manderley” 12 Grange View Bolton le Sands Carnforth LA5 8JQ blescommunitycentre@gmail.com
Please note you can unsubscribe at any time by contacting the Data Controller