Controller Application Form

Please fill in the form below. We will review it and get back to you shortly.

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Please read & agree to the declaration

I understand I will have access to the charity’s constitution and operating handbooks through the member website https://nwbb-lancs.org/members/ and agree to abide by those rules and procedures.

I am aware of the Charity’s Privacy Policy https://nwbb-lancs.org/privacy-policy/ and agree to have my address, telephone numbers, and email address kept on a ‘Restricted’ database available to members and managers solely for the purposes of operating the charity. I note that all of my personal data will be erased within 12 months of ceasing to be a member of NWBB Lancs & Lakes.

I understand that the reputation of the Charity, in the eyes of the NHS and public supporters, is of paramount importance. I am not aware of anything in my personal situation that might conflict with the interests or reputation of NWBB Lancs & Lakes.

Accepted file types: pdf, jpg, jpeg, png, Max. file size: 512 MB.
Please upload a head and shoulders picture for your ID badge (a 'selfie' taken on your phone is fine)
Accepted file types: pdf, jpg, jpeg, png, Max. file size: 512 MB.

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