Health & Social Care Working Group Co-Chair Expression of Interest Form

First name

Last name

Phone

Birthday

Day

Month

Year

Address Line 1:

Address Line 2:

Town/City:

Postcode:

Why do you want be a Health and Social Care Working Group Co-Chair? Please tell us what interests you about this role and what you hope to contribute.

What skills, knowledge, and experience would you bring to the Co-chair role? This could include lived experience, community involvement, professional experience, or voluntary work.

Have you been involved in any community groups, organisations, or networks? Please tell us: 1) The name of this group, 2) What your role was 3) What you learned or or contributed through involvement.