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School Governor Application Form
Thank you for considering volunteering for the role of a school governor. If you could please
complete all sections of the form to ensure we find you the right school for you. If you are
having difficulty completing the application, please contact School and Governor Support on
01642 526420.
SECTION A: Personal Details
Surname: Title:
Forename(s):
Address:
Email Address:
Daytime Contact Number:
Evening Contact Number:
SECTION B: Employment details
Employment status:
Occupation:
Employer:
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SECTION C: Experience of being a governor
Are you currently, or have you ever been a school governor? Yes No
If yes, please indicate below:
1. School: Dates from/to:
Type of governor: Positions held:
2. School: Dates from/to:
Type of governor: Positions held:
3. School: Dates from/to:
Type of governor: Positions held:
4. School: Dates from/to:
Type of governor: Positions held:
SECTION D: Supporting experience
What interests you in becoming a school governor? (Your statement should be no more than
100 words).
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SECTION D: Supporting experience continued
Please provide details of any experience, skills, knowledge and interests you have that you
believe would support your application. This should include any experience in a professional
capacity and personal.
SECTION E: Preferences
I would like to be considered for appointment as:
E.g. Parent, Community, Local Authority, or Sponsor Governor
(Please specify which school(s) you are interested in)
Which school would you like to be considered for?
Please state if there is a school you would NOT like to be considered for:
How did you hear about becoming a School Governor?
E.g. local press, school, Stockton on Tees Borough Council website
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SECTION F: Declaration
School and
Governor Support Service use your data in accordance with the General Data
Protection Regulations (GDPR) which is in line with our privacy notice and can be accessed via
the following link https://www.stockton.gov.uk/children-and-young-people/information-for-
school-governors/.
I confirm that:
I consent to
School and Governor Support Service recording and processing the
information provided in this form.
My commitment to the 7 Nolan Principles of Public Life (Appendix 1).
I have read and understood ‘Qualifications and Disqualifications’ and I am not
disqualified from selection as a governor (Appendix 2).
Name:
Signature:
Date:
Please return
your completed form either by email to governor.admin@stockton.gov.uk
or in the post to:
School and Governor Support Service
Education Centre
Bishopton Road West
Stockton Sixth Form College
Stockton-on-Tees
TS19 0QD
If you require any further assistance, you can call us on 01642526420.
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Appendix 1: The seven Nolan Principles of Public Life
The seven principles are outlined below:
1. Selflessness – Holders of public office should act solely in terms of the public interest.
They should not do so in order to gain financial or other benefits for themselves, their
family or their friends.
2. Integrity – Holders of public office should not place themselves under any financial or
other obligation to outside individuals or organisations that might seek to influence them
in the performance of their official duties.
3. Objectivity – In carrying out public business, including making public appointments,
awarding contracts, or recommending individuals for rewards and benefits, holders of
public office should make choices on merit.
4. Accountability – Holders of public office are accountable for their decisions and
actions to the public and must submit themselves to whatever scrutiny is appropriate to
their office.
5. Openness – Holders of public office should be as open as possible about all the
decisions and actions they take. They should give reasons for their decisions and
restrict information only when the wider public interest clearly demands.
6. Honesty – Holders of public office have a duty to declare any private interests relating
to their public duties and to take steps to resolve any conflicts arising in a way that
protects the public interest.
7. Leadership – Holders of public office should promote and support these principles by
leadership and example.
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Appendix 2: School governor qualifications and disqualifications
General
A governor must be aged 18 or over at the time of their appointment.
A person is disqualified from being a governor if the following apply:
The person is a registered pupil;
Has failed to attend the Governing Body meetings for a continuous period of sixth
months, beginning with the first meeting they had failed to attend, without apologies
being accepted.
Bankruptcy
His/her estate has been sequestrated and the sequestration had not been discharged,
annulled or reduced or he/she is the subject of a bankruptcy restrictions order or an
interim debt relief restrictions order.
Disqualification of company directors
Is subject to a disqualification order or disqualification undertaking under the Company
Directors Disqualification Act 1986, a disqualification order of the Companies Directors
Disqualification (Northern Ireland) Order 2002, a disqualification undertaking accepted
under the Company Directors Disqualification (Northern Ireland) Order 2002 or to an
order made under section 429 (2) of the Insolvency Act 1986 (failure to pay under
county court administration order).
Disqualification of charity trustees
Has been removed from the office of charity trustee for a charity by an order made by
the Charity Commissioners or High Court on the grounds of any misconduct or
mismanagement, or under section 34 of the Charities and Trustees Investment
(Scotland) Act 2005 from being concerned in the manage mentor control of anybody;
Persons whose employment is prohibited or restricted
Is included in the list kept under section 1 of the Protection of Children Act 1999(b) (list
of those considered by the Secretary of State as unsuitable to work with children);
Is disqualified from working with children under sections 28 and 29 or 29A of the
Criminal Justice and Court Services Act 2000;
Is disqualified from registration under Part 2 of the Children & Families (Wales)
Measure 2010 for childminding or providing day care; or
Disqualified from registration under Part 3 of the Childcare Act 2006(e);
Is barred from regulated activity relating to children in accordance with section 3(2) of
the Safeguarding Vulnerable Groups Act 2006;
Is subject to a direction of the Secretary of State under section 142 of the Education Act
2002 (or any other disqualification, prohibition, or restriction which takes effect as if
contained in such a direction);
Is subject to a direction of the Secretary of State under section 128 of the Education
and Skill Act 2008.
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Criminal Convictions
Has been sentenced to 3 months or more in prison (whether suspended or not and
without the option of a fine) within the last 5 years before becoming a governor or since
becoming a governor (whether in the UK or elsewhere);
Has received a prison sentence of 2½ years or more within the last 20 years before
becoming a governor;
Has at any time received a prison sentence of 5 years or more;
Has been convicted and fined for causing a nuisance or disturbance on education
premises during the5 years prior to or since appointment or election as a governor and
has been sentenced to a fine;
A conviction for an offence given by a court outside the UK, which would not have
constituted an offence in the UK must be disregarded.
Refusal to make an application for a criminal records certificate
He/she refuses a request by the clerk to the governing board to make an application for
a criminal records certificate.
Disqualification criteria for categories of governor
A person eligible to be a staff governor in a school is disqualified from being a Local
Authority appointed governor.
A person who is an elected member of the Local Authority or paid to work at a school
for more than 500hours in any school year cannot be elected or appointed as a parent
governor at that school.
A person is disqualified from nomination or appointment as a partnership governor of a
school if he/she is;
a parent of a registered pupil at the school;
eligible to be a staff governor of the school;
an elected member of the local education authority, or
Employed by the Local Authority in connection with its functions as a local education
authority.
Upon ceasing to work at the school, a staff governor of a school will be disqualified from
continuing to hold office as such a governor.
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