Application form Application form 1. Personal information Surname * First name(s) * Preferred name Title Dr Mr Mrs Miss Ms Other Other, please state Address * Postcode * Preferred telephone number * How many years have you been a customer of Longhurst Group? * 2. Behaviours and skills The following key behaviours are displayed by those who perform well as members of the Longhurst Group Customer Forum. Please tick three which you think are your strongest qualities * Analysing information Questioning Active Listening Identifying continuous improvement in services Applying relevant knowledge Team working Time Management Leadership and motivation Building lasting relationships with others Self-management 3. Experience and knowledge The following areas of experience and knowledge are useful for members of the Customer Forum. Please tick the ones which you can bring to the group. Feel free to tick as many you need to, as we welcome a wide range of experience and knowledge. * Repairs and property improvements Allocating properties Tenancy management and enforcement of tenancy conditions Income collection Neighbourhood and community management Customer services, including complaints Equality and diversity Performance management Value for Money Customer involvement and empowerment Leaseholder services Care and Support Services Other Other, please say what 4. Relevant experience/qualifications Please give us details of any relevant employment, community and/or voluntary experience, qualifications you have which you feel will benefit the Customer Forum. * 5. Longhurst Group Customer Forum Please tell us the reasons for your interest in becoming a member of the Customer Forum? * 6. Declaration Are you known or related to any staff member, Director or Board Member of the Longhurst Group? * Yes No If yes, please tell us more details. Are you a Board Member or staff member of another housing provider? * Yes No If yes, please tell us more 7. Consent The information which you’ve given us will be processed and held on computer. It will only be used for recruitment and selection purposes. I confirm that to the best of my knowledge the information contained on this form is accurate. *
