Become a Governor

Personal Information

It is recommended that, to support your application, you familiarise yourself with the Academy Trust Handbook and the Academy Trust Governance Guide.

Mr/Ms/Mrs/Miss/Dr/Mx* First name* Surname* House/Flat number* Street name* Town County Postcode* Daytime telephone number* Evening telephone number Email*

Current or most recent employment or voluntary role

Position/Title* Date from* Date to* Organisation name* Organisation address* Organisation telephone number* Brief description of duties*

Governance experience and knowledge (if any)

Are you currently, or have been, a governor at any other school or organisation?*YesNo

If yes, please give details

Relevant training or Continuing Professional Development (CPD)

Have you had any relevant training or CPD that may support your application?*YesNo

If yes, please give details If yes, relevance to governance Date from Date to

Skills and knowledge

Governance is a collective responsibility and governing boards are made up of people who bring a diverse range of skills, knowledge and experience.

No single governor is expected to have experience in all the areas below, and training will be provided as part of a full induction.

Are there any other skills or experiences that you have gained which could support you in the role of governor?

Understanding of governance

Please provide a brief summary of your understanding of the role of a school governor.*

Reasons for applying

Please outline your reasons for showing an interest in becoming a school governor at The Hollyfield School.*

Suitability for the role of governor

Have you ever been removed from the membership of a governing board or board of directors?*YesNo

If yes, please provide details

Do you have any criminal convictions?*YesNo

If yes, please provide details.

Please note, all governors are required to undertake an enhanced Disclosure and Barring Service (DBS) check within 21 days of appointment.

References

Please provide the names and addresses of two people who know you will and can provide confirmation of the information included in this application.

Please include, where possible, your current or last employer/ organisation you have most recently volunteered with.

1. Referee name* Job title (if applicable) Organisation* Organisation address* Organisation telephone number* Organisation email* Relationship to you* Length of relationship* 2. Referee name* Job title (if applicable) Organisation* Organisation address* Organisation telephone number* Organisation email* Relationship to you* Length of relationship*

Declaration statement

I can confirm that the information provided in this application form is accurate and that I have not, and will not, withhold information from any representative of The Hollyfield Secondary School and Sith Form or its governing board.

I can confirm that I am not disqualified from holding office for any of the reasons set out in the Every Child, Every Day Trust's Articles of Association (please see item 15).

Signature* Date* How did you hear about the role?* If Other, please give details