Interim Executive Application Form

Please fill in the application form below if you are interested in becoming an Interim Executive. Eligibility to join our network of Interim Executives, includes currently holding relevant Senior Management experience (Director/Chief Executive level) and/or understanding of the third sector and a demonstration of a wide range of leadership skills and experience.

Once we have received your application, we will be back in touch to request a CV and to let you know the outcome and next steps.

In the meantime, if you would like to discuss the Interim Executive Service further or have any specific questions, please contact Phili Wetton or call 0131 243 2755.

The form consists of a series of questions relating to you and your professional background. Your answers will provide useful information when connecting you to a host organisation.

My Contact Details

Name *

Job title *

Contact address *

Country *

Address 1 *

Address 2

Town/City *

County

Postcode *

Phone number *

Email *

Personal and professional qualities, skills and interests

- How would you describe yourself in terms of:

Skills *

Provide a brief summary of professional skills & experiences, giving details of particular areas of expertise you could share with the host organisation.

Training *

Have you undergone any Interim Executive training to date? Yes / No. If Yes, please provide details:

Interests *

(personal and/or professional)

What do you hope to gain from being an Interim Executive? *

Tell us about your current or previous professional role(s) *

Please tell us about your experience in a Chief Executive/leadership role.

Host organisation expectations and preferences

Do you have any preferences for a host organisation that we should take into account when matching you? *

Is there anything else about your experiences and/or geographical location that might help us match you with a host organisation? *

Practical considerations

Do you have PVG Scheme membership? *

Yes

Do you have your own transport? *

Yes

When would you be available to start as an Interim Executive? *

How many days per week could you work for a host organisation? *

What is the maximum length of time you could commit to a host organisation? *

References

Please provide the names and contact details of two referees for host organisations to contact should they be required:

Referee 1

Referee 2

Data Protection Statement

By completing this application and clicking on the “submit” button, I agree to the information I have provided being viewed by ACOSVO staff, held on the ACOSVO database and shared with potential match host organisations and consent to ACOSVO holding my data to contact me about my participation in the Interim Executive Service.

For our full privacy statement and description of your rights please follow the link to our privacy policy.