Expression of interest form

Section 1: About You

Your full name / Organisation name

* required

Maximum 255 characters

0/255

First line of address

* required

Maximum 255 characters

0/255

Your postcode

* required

Maximum 255 characters

0/255

Your email address

* required

Your mobile phone number

Maximum 255 characters

0/255

Your date of birth (optional)

Maximum 255 characters

0/255

Section 2: Expression of interest

There are no right or wrong answers to the following three questions. You can write as much or as little as you like.

If you would prefer to record a 2-3 minute video instead of writing you can do so and upload that instead of providing a written response.

Video upload: If you have chosen to send a recording rather than answering the below questions, please add it here.

Optional

What is you or your organisation's connection to Tilbury?

Maximum 5,000 characters

0/5,000

For example: I live here / I work here / my children go to school here etc

What would you or your organisation bring to the Board?

Maximum 5,000 characters

0/5,000

Think about what you know, who you know in the community, or anything you've done - formal or informal. For example: I'm a parent/I volunteer locally/I know lots of young people/I understand what its like to struggle with housing or work/I run a local group.

10.

Why do you want to get involved?

Maximum 5,000 characters

0/5,000

What matters most to you about Tilbury? What would you most like to see or improve?