Village News & Notices 
(19th November 2006)
NOTICE OF VACANCY IN OFFICE OF COUNCILLOR
PARISH OF CHURCHILL AND BLAKEDOWN - BLAKEDOWN WARD
Application Form
The casual vacancy on the Parish Council has not been filled and any applicants have until Wednesday 6th December to get their applications to the Clerk to the parish Council. The application form can be printed, or downloaded from here, by right clicking the icon below and selecting the appropriate link 'save as' option.
PARISH COUNCIL OF CHURCHILL AND BLAKEDOWN
APPLICATION FOR CO-OPTION TO THE ABOVE COUNCIL TO FILL A CASUAL VACANCY FOR A COUNCILLOR
Please complete this form and return to the Clerk by the Wednesday 6th December 2006.
Clerk Roger Gurney
Address 56 Malvern Road, Powick, Worcester WR2 4RT
If successful, you will be required to complete an entry in the Parish Council's Register of Members' interests. This involves putting your address, employment, relevant major shareholdings and membership of charities, pressure groups, political parties etc on public record.
| Full name of candidate | Mr / Mrs / Ms First name Other names Surname |
| Address of candidate | |
| Will you be at least 21 years old on the date of co-option? |
Yes / No |
| In order for your eligibility to be confirmed, please tick any of the following that apply to you |
1. __ My name is on the current electoral register. (The Clerk can verify this for you.) 2. __ I have lived in the parish or within 3miles/4.8kms of the parish boundary (as the crow flies) for at least 12 months. 3. __ My main place of business is based in the parish. 4. __ I own property within the parish. |
| Please indicate in no more than 100 words why you would like to join the Parish Council |
|
| Signed | I am not aware of any disqualification to my serving as a Councillor. ............................................................................................ |