Council Candidate Application Form

The information on this form is confidential and will be treated as such.

Please indicate whether you meet the following eligibility requirements:

Please indicate if any of the following apply to you (please note you will not be able to stand for electionif you answer yes to any of the following questions):

This includes a suspended sentence. Please note that you may also be disqualified from holding office, by order of the court, if you have incurred illegal expenditure (when acting as a councillor) of over £2,000 and if you have been found guilty of corrupt or illegal practices under the Representation of the People Act (1983) or the Audit Commission Act (1998).

Please indicate whether you are prepared to accept the following conditions:

If you have any queries regarding the above, please contact your local Conservative Association for further information

(Other than motoring offences) If yes, please give details.

Please give the names of 2 Conservative Party members who would be prepared to give you a reference if required:

Referee 1

Referee 2

Declaration

I confirm that the statements made in this application are, to the best of my knowledge, accurate and I authorise the Conservative Party to make such further confidential enquiries relating to the application as may be considered necessary.