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Your Voice Your Town - Town Team Member Application Form

Thank you for your interest in becoming a Town Team member and leading community-powered change in the Borough of Ealing. This application should only take 10 minutes to complete. If you want to find out more information about Your Voice Your Town and the Town Team, please go to Your Voice, Your Town

If you have any questions, please get in touch with Tan Afzal via email at afzalt@ealing.gov.uk or call or text 07525893580 and we will arrange for someone to support you. Closing date for applications is 11:45pm Sunday 21 June 2026.



A. About You
1.Your full name(Required.)
2.Your contact email address(Required.)
3.Your contact phone number(Required.)
4.Your home address including postcode(Required.)
Equality and Diversity: We want to ensure that Town Teams are inclusive and made up of people from a range of different backgrounds. This will also help the Town Team understand and reach a more diverse set of people within their towns.
5.What is your age?(Required.)
6.What is your gender?(Required.)
7.Which of the following best describes your sexual orientation?(Required.)
8.Do you consider yourself to have a disability or long-term health condition?(Required.)
9.What is your ethnic group?(Required.)
10.What is your religion or belief?(Required.)
B. Your application to the Town Team: this is your chance to tell us a little about yourself
11.Which town are you applying to join as a Town Team member? (select one)(Required.)
12.Do you want to join the Town Team as (select each role that applies). Please state the name and address of the organisations in question 13 below.(Required.)
13.Please state the name and address of the local community organisation, faith organisation and/or business
Your connections and affiliations: we want to make sure that people are representative of a wide range of groups and views in a town.
14.What, if any, organisations or groups (whether formal or informal) are you associated with either as a member, supporter, volunteer, trustee, or employee? E.g. sport teams faith group, community group, resident association.(Required.)
15.Why do you want to join the Town Team? In 200 words or less, tell us why you’d like to join a town team.
For example:
what motivates you to get involved in your local community
what you would like to help make happen locally
how you would like to work with others
what you could bring (skills, experience, knowledge or ideas)

Town Teams focus on working together to take action on shared priorities and support community-led change.
This role is about working together to make a difference, rather than promoting individual projects or lobbying the council.(Required.)
16.Are there any adjustments or support that would help you take part in the Town Team?
(For example: meeting times, online options, caring responsibilities, accessibility needs, or locations.)
17.If you are not selected for the Town Team, would you be interested in getting involved in other Your Voice, Your Town activities? (such as events, working groups, or projects)?(Required.)
18.How did you hear about this opportunity?
Thank you for completing your application, we look forward to reading it and you can expect to hear back from us by Friday 24 June 2026.