Apply to become a school governor

Please tick the box to confirm you have read the above document.
I have read the disqualification regulations document and match all the criteria specified.
About you
Title
Name

First

Last
Address 1
Address 2
Town / City
County
Postcode
Telephone number
Mobile number
Email

Please tick if you are prepared to be a Governor at the following types of school
CommunityCatholicChurch of EnglandMethodistNo preference

You may select more than one
Please tick the type(s) of Governing Body you be interested in
NurseryPrimarySecondarySpecialNo preferenceA specific school

You may select more than one
If you have chosen a specific school please state which school, the reasons you are interested in it and if you have a current or previous association with it
Please state the geographical areas of Wigan you would be interested in

Please outline the skills, knowledge and experience that you would bring to a Governing Body. Include how they would contribute to their work. If you are applying for a specific school please outline how you meet the skills, knowledge and experience published in the desirable criteria of the Governing Body.

Declaration
I would like to register an interest in being appointed as a School Governor as indicated on this form. I agree to the information contained within this application form being shared with relevant parties in order to secure your governor appointment. I have read the grounds for disqualification from being a School Governor and I am not disqualified on any of these grounds. If I am successfully appointed I agree to undergo an Enhanced Criminal Record Bureau Check.
Name

First

Last
Date