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Expression of Interest Form

Please complete this short form to express an interest in joining our Scrutiny Panel.

Once we have received your completed form a member of the Customer Engagement Team will be in touch to discuss this in more detail.

1.

Name

* required

Maximum 255 characters

0/255

2.

Address

* required

Maximum 255 characters

0/255

3.

Telephone number (mobile and/or landline)

Maximum 255 characters

0/255

4.

Email address

* required

Maximum 255 characters

0/255

5.

Occupation/employment status

* required

Maximum 255 characters

0/255

6.

What interests and motivates you to apply for this role?

* required

Maximum 20,000 characters

0/20,000

7.

Please tell us about any experience you have of reviewing services or data, or providing feedback. For example this may be as part of a committee, project group or as a mystery shopper. Please note; this is not an essential requirement of the role and applicants without this experience will still be considered

* required

Maximum 20,000 characters

0/20,000

8.

Other information: Please use this section to provide any further information about yourself or this role that you feel is relevant.

Maximum 20,000 characters

0/20,000