Application for Appointment LEA/Community School Governor

Name

Title
If Other, please specify
First name(s) *
Surname *

Address

If you live in North Lincolnshire just enter your post code in the box below and then click on the "Lookup address" button. If you live outside North Lincolnshire, or your address is NOT SHOWN in the list or is incorrect, you will need to type your address in the boxes provided. In this case please supply as much information as possible.

Post code Please input your post code using capitals and include a space between the first and second parts e.g. DN17 5TY.


Prefix e.g. first floor flat.
House name/number
Street
Town/Village
County

Contact details

Home telephone number *

Work telephone number

E-mail address

Application details

Please select which category you are interested *

Please select which category you are interested

LEA (Appointed by the Children & Young Peoples cabinet member)

Community (Appointed by the governing body of the school)

Both

I wish to be considered for appointment to the governing body of the following school(s) in order of preference;

Preference 1 *

Preference 2

Preference 3

Preference 4

Please state briefly why you wish to be a governor and why you have chosen the above school(s) *

Please detail below any relevant skills and/or experience you have, especially that which shows previous involvement with schools *

You should mention here any schools at which you are already a governor

If you are a parent, please state which school(s) your children attend

If you are appointed would you;

Attend meetings regularly

Yes No

Visit the school occasionally during school hours

Yes No

Attend, during your first year following appointment, the Roles, Responsibilities and Relationships course

Yes No

Declaration

I understand that the above information will be kept on the computer database held by the Governor’s Section for the purposes of generating mailing lists and other reports. The database enables the Council to provide an efficient administrative support to the governing body and undertake statutory duties in relation to the appointment of governors.

I confirm that I am not disqualified from holding office for any of the reasons contained in Schedule 6 – School Governance (Constitution) (England) Regulations 2003 – Qualifications and Disqualifications.

I also confirm that I am not eligible to stand in a staff governor election at any of the listed schools.

I agree *

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