Application Form

Please complete and return this form if you’d like to stand for the position as a Member Nominated Trustee Director (MNTD).

Surname *

Forename(s) *

Home address *

Email Address *

Phone Number *

National Insurance number *

Please give details to support your application. For example, you may include the reasons why you wish to stand, current or previous job title and location, any relevant experience or skills etc (maximum of 250 words). *

I’m a member of the Horizon Pension Scheme. *

I’m willing to serve as a Member Nominated Trustee Director and confirm that I wish to be considered as part of the Trustee’s interview process. I’ve read ‘Who can become an MNTD?’ and I confirm that I’m not disqualified from acting as a Trustee. *

I understand that as a Member Nominated Trustee Director my responsibility is to ensure that the Scheme is operated in accordance with the Rules, the interests of all members are protected and that I will not act in the interests of any particular constituency. In performing the role in a proper manner, I accept that I’ll undertake the training required for a Trustee. *

Date *

Submit

Please submit this form no later than 30 April 2024.