Authority Governor application form

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There is a problem

About you

First name

Surname

Previous names (if applicable)

Address

Building and street

Town or city

County

Postcode

Phone

Occupation

Employer

Branch, site or office location

Would you prefer to be appointed to a school near to:

Home

Work

Either

What are your travelling criteria for governing duties - distance, time, willing to travel, preferred town, near a station?

Do you have a preference for a particular school?

Applications are welcomed from volunteers wishing to serve as a governor in a faith school. If you have a preference for a school with a particular ethos, please state this:

Do you have school-age children? (you may be eligible to be a Parent Governor)

Yes

Which school do they attend?

Please outline your reasons and motivations for showing an interest in becoming a school governor.

Key skills and abilities

Knowledge

Experience

Personal attributes

Other

Do you have any particular skills you can bring to a governing board such as administration, finance, human resources, strategic planning, conflict resolution?

Have you been a school governor before?

Yes

Please state which school(s). We will seek a reference from the head/chair at the school you were a governor at.

References

Please provide two referees, either business or personal that you have known for 2 years:

Referee 1

Name of first referee

Phone

Referee 2

Name of second referee

Phone

Proposer

For applications where the prospective school is known, please state the name of the proposer (Chair, Headteacher, Local Councillor or someone of similar standing).

Name

Phone

Declaration for eligibility as a school governor

Confirmation * I declare that all of the information I have given on this form is correct. If you knowingly give false information, your access to this information may be withdrawn.

I have read and understood the declaration for eligibility, and confirm that I am eligible to be a school governor.

Full name *

How can we help you?

Authority Governor application form

There is a problem

About you

References

Referee 1

Referee 2

Proposer

Declaration for eligibility as a school governor

Keep me posted

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How can we help you?

Authority Governor application form

There is a problem

About you

References

Referee 1

Referee 2

Proposer

Declaration for eligibility as a school governor