This form is for people who wish to register as new members of our Virtual Citizens' Panel.

To qualify you must be aged 16 or over and live in Charnwood. Borough councillors are not allowed to join the panel because of the possible conflict of interests.

You will notice that this form contains some monitoring questions that we ask in order to comply with requirements of The Public Sector Equality Duty as outlined in The Equality Act 2010. 

We stress as a public body that it is important for us to gather this information to ensure we provide facilities and services that meet the needs and expectations of all sectors of the community, however there is a 'Prefer not to say' option if you feel uncomfortable answering any of the questions.

If you have any questions about the Citizens' Panel or the form please contact us on:

Please complete as much information as possible on this form. Some fields are mandatory, so must be completed. They are marked with an asterisk.

Data protection

We may also use this information within the council to exercise functions of a public nature in the public interest; it will not be used outside of the council.