SOLIHULL METROPOLITAN BOROUGH COUNCIL
INDEPENDENT REMUNERATION PANEL

APPLICATION FOR MEMBERSHIP

Applicants must read the Information for Applicants printed at the end of this form

Surname

	
First names

	
Address	

	

	

	

Telephone	

	
Email	

	
I am over 18 Please tick	

	

	
Occupation

Please set out here any background information to support your application including reasons why you wish to be considered for appointment:

	
Please set out here any connection you have or at any time in the past have had with the Council other than as a council tax payer or as a recipient of Council services:

	
If you are or have been actively connected with a political party please give details:

	
Please give details of any local voluntary organisations with whom you are actively
involved:

	

Declaration:

I confirm that I have read the Information for Applicants and declare that the information given in this form is correct and that I am not disqualified from being or becoming a Member of a district, county or London Borough Council

Signed .......................................................... Date: .............................................................

This form, when completed, should be sent to:

Head of Legal & Democratic Services, Solihull Metropolitan Borough Council 

Email: legal@solihull.gov.uk

Or by post in an envelope marked "Independent Remuneration Panel" to:

Head of Legal & Democratic Services 
Solihull Metropolitan Borough Council
Council House
Solihull
B91 3QB

THANK YOU FOR COMPLETING AND RETURNING THIS FORM

Closing date – 30th April 2025