National Trust for Scotland
APPLICATION FORM

ELECTION OF TRUSTEES

Candidates are asked to complete the matrix table and questionnaire below and return the document (along with a current photograph) to Nicola Whyte, Governance Manager, Hermiston Quay, 5 Cultins Road, Edinburgh EH11 4DF, by no later than5pm onWednesday 22nd April 2015. Thereafter you will be contacted concerning further arrangements for the election process.

Candidates should use the matrix to show their suitability for trusteeship, as referred to in the accompanying information.

To begin with, please complete the following details:

Title: / Forenames: / Surname:
Current Address:
Telephone No: / Mobile: / e-mail:
Trust Membership Number and number of years as a Trust member
Have you ever been involved with the Trust’s governance before? Is so, please tell us in what capacity, when, and for how long?

In the matrix table which follows, you should rate your knowledge / experience/ skill level for each between 1 and 4, using the following grading:

1 – Basic knowledge / experience/ skill
2 – Working knowledge / experience/ skill
3 – Well developed knowledge / experience/ skill
4 – Specialist knowledge / experience/ skill

You should then use the accompanying spaces to describe your reasons for this rating and to indicate evidence to confirm it(maximum 50 words per box).

If you are not filling this form out electronically and require extra space, please use a separate sheet.

Area of Knowledge / Rating
1-4 / Evidence/Comments (maximum 50 words per box)
GENERIC SKILLS
Team Working
Leadership and Chairing Groups
Strategic Planning
Communication
Experience of Volunteer / Membership Culture
Commitment to the Trust
SUSTAINABILITY
Governance & Risk Management
Finance & Investment
Fundraising including experience of a major campaign
Business Management, Entrepreneurship or Commercial Acumen within similar sized organisation
Legal Expertise
Knowledge of Government & Public Sector
Human Resources & Remuneration Issues
CONSERVATION
Built Heritage
Natural Heritage
Professional Experience / Management of Countryside & Wildlife
Collections
Environment
Gardens
ACCESS & LEARNING
Education, Learning & Interpretation
Visitor Management & Customer Care
Marketing, Promotion & Communications
Volunteering & Volunteer Management

From these areas of knowledge, please indicate which three you consider to be your strongest areas of knowledge or specialisms.

1 .

2.

3.

The information in the next two boxes (as well as the photograph submitted) will be published with the ballot paper:

Please provide a statement setting out what you consider to be your relevant skills and experience for the role (not exceeding 100 words):
Please tell us what contribution you wish to make to the Trust (not exceeding 100 words):

Please indicate which regions of Scotland you have a knowledge of or interest in:

CANDIDATE DETAILS AND DECLARATION

I wish to stand as a candidate for the office of Trustee of the National Trust for Scotland and I confirm that I am a fit and proper person[1] to act as a charity trustee.

Signature

Date

PROPOSER DETAILS AND DECLARATION[2]

Name:

Address:

Postcode: Phone:

Email:Membership No:

I am not a family member of the candidate. I know the candidate and consider him/her to be a suitable person to be a charity trustee.

Signature:

Date:

SECONDER DETAILS AND DECLARATION

Name:

Address:

Postcode: Phone:

Email:Membership No:

I am not a family member of the candidate. I know the candidate and consider him/her to be a suitable person to be a charity trustee.

Signature:

Date:

The National Trust for Scotland for Places of Historic Interest or Natural Beauty is a charity registered in Scotland, Charity Number SC 007410

[1] Upon election to the Board of Trustees, the successful candidate will be asked to sign a declaration confirming that they are a fit and proper person. This is a statutory compliance. Further information can be found at

[2]The proposer and seconder may be contacted by the Trust to confirm their support.