Thank you for applying for the role of Interim Chief Executive with Charity .

We are looking for an experienced Interim Chief Executive who has led complex, multi-site organisations delivering services to the public.

Thank you very much for considering this role. We hope that you have found all of the information and insight you need in the candidate information pack and we hope to see you soon. If you have any problems with the application process please don’t hesitate to contact the team.

We pride ourselves on the quality of service that we deliver and in line with this, our colleagues will conduct themselves in a respectful manner and we would ask the same of our candidates towards our colleagues. Our partnership with candidates is of utmost importance to us and any concerns raised with regard to inappropriate behaviour on either side will be handled in a serious and appropriate manner.

PLEASE FILL IN YOUR DETAILS BELOW

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Interim Chief Executive

Charity
South West

THE ROLE

Thank you for applying for the role of Interim Chief Executive with Charity .

Equal Opportunities & Diversity Monitoring Form

Gender

Age

Disability

Do you consider yourself to be a disabled person?

Ethnic Origin

Sexual Orientation

Religion or belief

Caring Responsibilities: Do you have caring responsibilities?

If yes, do your caring responsibilities exceed twenty hours a week? Please tick all that apply:

Marital / Civil Partnership Status

Starfish is committed to progressing first-time non-executives. If you are applying for a non-executive / trustee appointment, will this be your first appointment of this nature?

Signature:

Date:

London

Leeds

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Interim Chief Executive

Charity South West

THE ROLE

Thank you for applying for the role of Interim Chief Executive with Charity .

Equal Opportunities & Diversity Monitoring Form

Gender

Age

Disability

Do you consider yourself to be a disabled person?

Ethnic Origin

Sexual Orientation

Religion or belief

Caring Responsibilities: Do you have caring responsibilities?

If yes, do your caring responsibilities exceed twenty hours a week? Please tick all that apply:

Marital / Civil Partnership Status

Starfish is committed to progressing first-time non-executives. If you are applying for a non-executive / trustee appointment, will this be your first appointment of this nature?

Signature:

Date:

Charity
South West