Governor Form – Inspire Learning Trust

Personal Details

Title and Full Name

Address Including Post Code

Telephone Number

Email Address

Do you hold an Enhanced Disclosure and Barring Check (formerly known as CRB)

If yes, please provide:

Date of Check

Disclosure Number

Where did you hear about the Trust or our Schools / College?

Which school/college are you applying to be a governor at?

Are you applying to be a parent governor or co-opted governor (non-parent)?

If a parent governor, please list your child’s / children’s name(s), year group and school.

Personal Details

Position Held

Name and Address of Employer

Dates employed (From, to)

Reason for Leaving

References

Please provide the details of two referees. Please note these people cannot
be related to you, your spouse or civil partner. One should be your last or current employer.

Name

Email

Postal Address

Telephone Number

Capacity in which they know you

Name

Email

Postal Address

Telephone Number

Capacity in which they know you

Skills / Experience Audit

The Trust needs governors with a range of skills and experience to develop strategy, ensure sound financial performance, monitor risk and help to improve educational performance. Please indicate in the grid below which of the following areas you have skills or experience in.

Employer be Title

Please give a brief description of the level of experience / skill you have in the areas you have identified above and state how these will support the Trust.

Please give a brief description of other community / voluntary work or skills and expertise not listed that you have which would benefit the Trust?

Why do you want to become a governor?

Have you had any previous contact with Inspire Learning Trust, Oakwood High School, Sitwell Junior School or Thomas Rotherham College? If you have, please provide details of this.

Declaration of Eligibility

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Declaration of Eligibility

I agree