SHOREHAM PORT APPLICATION FORM

POSITION: NONEXECTUTIVE DIRECTOR (NED)

Personal Details
Title / Surname / First Name
Supporting information
Please provide any relevant details which are not on your accompanying CV
Evidence of skills/key competencies
We are seeking to assess whether you have the skills and competencies to undertake the role of Non-Executive Director. We are looking for clear evidence and concrete examples drawn from your professional experience.
Demonstrate through your recent experience how this will enable you to fulfil the NED role at Shoreham and why you wish to become a NED of the Port.
Describe a recent challenging experience which demonstrates your leadership style and explain why it was challenging for you.
Describe a group situation in which you had to balance either your strongly held views/specialist skills versus wider contrary considerations. What was the outcome?
Trust ports represent a range of stakeholders. Describe and evaluate your experience of dealing with stakeholder groups.
What do you believe makes a good Non-Executive Director?
What do you believe are the key issues facing Shoreham Port over the next five years and what evidence supports your views?
Declaration
I declare that the details given on this application, my cv and any other associated documents provided by me are to the best of my knowledge and belief, true and complete. In addition to the information requested, I have disclosed in my accompanying letter any other information which is relevant to my suitability as a non-executive director; for example, any convictions or bankruptcies or anything such as business interests or personal relationships which might lead to a conflict of interest or bring Shoreham Port Authority into disrepute. I realise that failure to disclose relevant information or the provision of inaccurate or misleading information may result in either the offer of appointment being withdrawn or the appointment being terminated.
I accept that the appointment may be subject to checks [SC1]and I agree to the port undertaking such checks if I am offered the position of non-executive director. In addition, references will be required.
I give my permission for all or part of this application to be held on both computerised and manual records.
Signed / Date

CONFIDENTIAL

[SC1]What are these checks?