Your first name
Your last name
Your email address
Contact phone number
Do you have Skype?
If yes, what is your Skype name?
Please describe your vocational background
Please tell us something about your interests
What are you good at and enjoy doing?
What experience or skills can you bring to our governing body?
Have you ever been successfully convicted or sued?
If yes to the above, please give details
Do you meet any of our special conditions?
Foreign born national
Former rough sleeper
How long doi you wish to serve as a Qultura trustee?
When is the best time to contact you to discuss this application?
Please check the required fields
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