Liberal Democrat Council Candidate Application Form

This form does not capture and save any data online. Data is stored locally on your computer for 120 minutes, or until you clear the fields. When you print / save the output, and send it to us, your data will remain confidential, and will be used for approval purposes.

Section 1A – Personal & Contact Details

Your Full name *

Address *

Postcode *

Date of birth

Mobile number

Home telephone

Email *

Section 1B – Public Social Media Profiles & Online Presence

Please select and give details of any social media / online platforms you use publicly. Fields will appear when selected.

Facebook

Twitter / X

Bluesky

Instagram

Personal Website

Other Social Media

Section 2 – The Liberal Democrats

Party membership number (if known)

Local party (if known)

How long have you been a party member? (Approximately)

Have you ever been a member of another political party? No Yes

If yes, please give further details

Section 3 – Standing in this election

Which type of seat are you seeking approval for? Target Development Paperless (Short Form)

Paperless candidates (i.e. non-target wards, where we anticipate minimal campaign commitments) are not required to complete Sections 4, 5 and 6. If you wish to provide more information about your experience, skills, or any adjustments we may need to make, please select "Development" (or "Target" if appropriate).

Which ward(s) are you interested in (if any)?

Have you held office within the Liberal Democrats (if so, what)?

Have you stood for election to public office before (if so, when and where)?

Section 7 – If elected

The Liberal Democrats have group standing orders for council groups. The Liberal Democrats also require their councillor to contribute an agreed portion of their councillor’s allowance to the party, as detailed in the contribution policy. Liberal Democrat councillors are also expected to support their colleagues.

I have read the standing orders and I accept them, including the clause on supporting the group line*

I agree to abide by the councillor contribution policy *

I agree to support other Liberal Democrats standing for election *

Section 8 – Qualification to stand for election

Please indicate all that apply: *

British citizen Commonwealth citizen Citizen of the Republic of Ireland Citizen of any other EU member state

Please indicate all that apply: *

Registered as a local government elector Owner or tenant of land (12 months) Principal/only place of work (12 months) Resident in area (12 months)

Disqualification

The following circumstances may disqualify a person from standing for election:

Bankruptcy.
Imprisonment.
Politically restricted posts.
Surcharged By District Auditor.
Corrupt or illegal practices.

I confirm I am not barred from standing due to any of these reasons *

Section 9 – Full disclosure

Any details given will remain completely confidential within the approval process. Disclosure may not prevent approval - but non-disclosure of an issue which later becomes known could lead to cancellation of approval.

Are there any matters, which might cause political embarrassment if they became known, or any other information that you would like to disclose at this stage?

Section 10 – Signature

Your Full Name *

Signature (please draw below) *

Date *