Expression of interest form

Name:

Email address:

Telephone contact:

Suitability for the role

Please outline how you meet the requirements of the person specification and your motivation for applying for the role (no more than one page).

A register of interests form is overleaf. Please return to recruitment@scie.org.uk by 5pm on Monday 3 June 2019.

Register of interest

1. Employment

2. Other employment

3. Public appointments

4. Membership of any professional bodies, special interest groups or mutual support organisations

5. Political activities

6. Charitable activity

7. Significant shareholdings

8. Any other relevant interests

Name:

Signature:

Date: