*1.Please select the CBI Regional or National Council you wish to apply for(Required.)

East MidlandsEast of EnglandLondonNorth EastNorth WestNorthern IrelandScotlandSouth East and Thames ValleySouth WestWalesWest MidlandsYorkshire and the Humber

*2.Please enter your contact details(Required.)

Full name

Company

City/Town

Email Address

3.Current role title

*4.Is your company classed as an SME? (under 250 employees, turnover under £25million)(Required.)

Yes

No

*5.Please select what sector your company operates in(Required.)

Aerospace and DefenseAgricultureForestry and FishingAutomotive and TransportationBanking and FinanceBusiness and Management ServicesChemicalsComputers/High TechConstruction and Building MaterialsConsumer ServicesEducationElectronicsEntertainmentTravel and LeisureFood and BeverageHealthcareInsuranceManufacturingMining, Quarrying and DrillingProfessional ServicesPublic Sector and GovernmentReal EstateRental and LeasingRepair and MaintenanceRetailCommunications and PublishingUtilities and EnergyWholesaleOther not listed

*6.Personal Statement: Please give 150 word statement on why you should be elected to the CBI Council, please try and highlight any relevant experience you might bring to the role. This will appear on your ballot and will be seen by CBI members voting in the Council elections. (Required.)

*7.Transparency of the CBI Council: In the interest of transparency, the CBI is keen to show who sits on our formal governance bodies. If elected, do you give permission for the CBI to display your name, job title and company on the CBI website in relation to you being a member of the CBI Council?(Required.)

Yes 

No

*8.Equal opportunity monitoring: What is your gender?

It’s important that our Council represents the wider UK business community and attracts a diverse range of applicants, we ask these questions in order to monitor and track our progress. Personal data gathered will be treated in confidence and in accordance with GDPR.(Required.)

MaleFemaleNon-Binary Prefer not to sayOther 

*9.Equal opportunity monitoring: What is your ethnicity?(Required.)

WhiteMixed or Multiple ethnic groupsAsian or Asian BritishBlack, African, Caribbean or Black BritishPrefer not to sayOther (please specify)