Co-option Application Form – October 2022

THE LEIGH PARISH COUNCIL

Coombe Bank, Tewkesbury Road, Coombe Hill, Gloucester GL19 4AU – LeighPC@hotmail.co.uk (Clerk).

Co-Option Application Form

Name …………………………………………………………………………………..

Address for Correspondence …………………………………………….

……………………………………………………………………………………………..

………………………………………………………….. Postcode …………………

Tel …………………………………………. Mobile …………………………………..

Email Address ………………………………………………………

Please detail any experience you have that may be relevant to the role of Parish Councillor (if necessary, please continue on a separate sheet or paper).

……………………………………………………………………………………………………………..

………………………………………………………………………………………………………………

Please detail reasons as to why you would like to become a Councillor and what you think you can contribute to the community whilst serving on the Council. (if necessary, please continue on a separate sheet of paper).

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Signed …………………………………………………… Date ………………………………………..

Please return your completed form and the Co-Option Eligibility form to the Parish Clerk, address as above.