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Tenant Scrutiny Group Application Form

Thank you for your interest in becoming part of the Cunninghame Scrutiny Group. Please complete the application form below and our Community Participation and Engagement Officer will get back to you on receipt of your completed form.

Cunninghame Scrutiny Group Application Form

Name *

First

Last

Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Phone

Email *

Gender

Male
Female
Prefer not to say

Age Group

16-25
26-39
40-59
60+

Why would you like to get involved in the Cunninghame Scrutiny Group?

Please give details

Please detail any skills you have such as hobbies, interests and work experience.

Please give details

Are you a member of a Registered Tenants Organisation or other tenants/community group

Yes
No

If "Yes" please tell us the name of the group

Are you available and willing to attend meetings or visits at different locations with Cunninghame Housing Association's area of operation

Yes
No

If not, please let us know why. We can help and will pay all reasonable travel costs.

When are you available to take part in the Cunninghame Scrutiny Group?

Weekday Morning
Weekday Afternoon
Weekday Evening
Weekends

Please tick all that apply

Are you willing to sign a code of conduct

Yes
No

I will take part in any relevant support or training

Yes
No

I can commit up to 5 hours per month

Yes
No

I will uphold confidentiality as declared in the Code Of Conduct

Yes
No

I am committed to improving housing service to make a difference

Yes
No

I am good at listening and respecting the views of others

Yes
No

I am good at working as part of a team

Yes
No

Do you have any particular needs that we should be aware of? For example: Mobility, Information needs, hearing or sight impairments or any special dietary requirements?

Yes
No

If "Yes" Please give details

Signature

By typing your full name in this box you agree to being contacted for the purposes of this application.

Application Date

Please enter todays date

Cunninghame Housing Association is governed by a voluntary Board of Management and is a not-for-profit Registered Social Landlord and charity operating in North Ayrshire, East Ayrshire and Dumfries and Galloway.

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