SUNNINGWELL PARISH PLAN

NAME_________________________________________________________________

ADDRESS______________________________________________________________

_______________________________________________________________________

TEL___________________________________________________________________

FAX___________________________________________________________________

EMAIL ________________________________________________________________

I WISH TO BE A MEMBER OF THE STEERING GROUP_______

I WISH TO BE A MEMBER OF A SPECIAL INTEREST WORKING GROUP _______

THE WORKING GROUP WHICH AREAS I AM INTERESTED IN ARE:

Leisure/Recreation/Health and wellbeing ________

Housing ________

Transport and Traffic ________

Community and its Facilities ________

Crime ________

Countryside and the Environment ________

Community History/Our church and chapel ________

Other _________

I CAN OFFER THE FOLLOWING SKILLS / EXPERIENCE:

Computer/desktop/web skills ________

Financial skills ________

Designing questionnaires ________

Delivering collecting information ________

Knowledge of local history ________

Knowledge of local services ________

Other skills/experience _________

Signature………………………………….Date………………………………….

Please complete and return to Ruth Macdonald