Customer Committee Application

Thank you for your interest in joining our Customer Committee

You can read about the role and responsibilities here.

Please take some time to complete your application with as much detail as possible.

Applications close on Sunday, 19 July 2026. We’ll get back in touch after this date.

Customer Committee Application Form

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URL

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Title*

Name*

First name Surname/Family name

Address*

Street Address Address Line 2 Town/city Postcode

Phone number*

Email address*

How many years have you been a customer of Salix Homes?*

Do you consider yourself to have a disability or impairment (pysical or mental) which affects your day to day activities?*

Yes

If yes, in the space below, please let us know what adjustments, if any, are required for the interview process and attendance at Customer Committee meetings.

Please provide details of any relevant employment, community and/or voluntary experience you have which you feel will benefit the Customer Committee.*

Please tell us what knowledge and skills you have that you feel will benefit the Customer Committee.*

Please tell us more about any relevant training courses you’ve attended. These could be formal qualifications or courses that you have attended, or more informal training.*

Please tell us why you would like to be a member of Salix Homes' Customer Committee.*

Are you currently employed by Salix Homes?*

Yes

Are you related to, or do you have a close connection with anyone who works at Salix Homes or is a Board or Committee Member of Salix Homes?*

Yes

If yes, please give details.

Are you a Board Member or employee of another housing provider?*

Yes

If yes, please give details.

Please tell us about any convictions or charges outstanding of all offences, or alleged offences, including driving offences. If you accidently tell us about a conviction which is regarded as ‘spent’, it’ll be ignored.

Where did you hear about this role?*

I confirm that to the best of my knowledge the information contained on this form is accurate.*

I confirm

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