Foundation Governor Nomination Form

Foundation Governor Nomination Form

To be used for new nominations and re-appointments.
Dear Colleague,

This nomination form is the first step to appointing a foundation governor at a Diocese of Leeds maintained Church of England school. In order to successfully complete the form you will need to know the following information
- First name and last name of the applicant.
- The applicant's email address.
- Who the applicant is replacing, if applicable.
- The responsible body for appointing the foundation governor. ie; DBE or PCC.
- The rationale for why this applicant will make a good foundation governor.
- If you are unsure of the appointing body, please refer to a valid copy of the school's Instrument of Government for maintaned schools.
Thank you,

The Diocesan Board of Education Team

The Church of England Diocese of Leeds

Part 1- To Be Completed By The Nominating Authority
Please enter the name of the school*
Please enter the postcode of the school
Who is the appointing body for this nomination?*
Please select appointing body from the drop-down menu
Please provide your name.*

First NameLast Name
Please provide your email address.*
example@example.com
What is your role within the school?
Please select your role from the drop-down menu
How long have you known the applicant?*
Please list in years and months
In what capacity do you know the applicant?*
For example: as a friend, co-worker, or member of the church
What is your role within the church? (If applicable)

I am the PCC ChairI am the PCC secretaryI am the IncumbentNot a member of the PCC
Name of Parish:
List the parish where you are a member of the PCC (If applicable).
Is the applicant applying for the role of foundation governor for the first time at this school?*

YesNo, this is an application for a re-appointment
Please enter the name of the applicant that you are nominating*

First NameLast Name
Please enter the email address of the applicant*
This email address will be used to send the application form to the applicant.
Date of PCC meeting where nomination was approved?

DayMonthYear
Date

Part 1 continued- To be completed by nominating Authority
Has a skills audit of the governing board been conducted?*

YesNo
We recommend that a skills audit takes place regularly. The skills audit helps the board to identify the skills it currently has in possession, and where it might be lacking. The recruitment of new governors provides an opportunity to address gaps.

In nominating this applicant you need to be sure that they are adding value to the skill set of the board.
Why would the applicant make a good foundation governor? *
NB* Please reference how this person demonstrates the values, skills and understanding required of a Foundation Governor, including how they will contribute to preserving and enhancing the school’s distinctive Christian character.
Part 2- Declarations to be completed by the nominating Authority
I confirm that the Headteacher, Chair of Governors and Incumbent approve of the applicant named above.
I declare the information provided on this form is true and complete to the best of my knowledge and belief. I understand that any false information may cause the nomination and appointment to be withdrawn.
I understand that the information I provide in this form will be held and maintained by Leeds Diocesan Board of Education. I understand that my data will be used in accordance with the principles set out in the General Data Protection Regulation (GDPR) 2018 and will be shared with schools or any other body involved with the recruitment and/or regulation of schools and school governors.
Signature of nominating authority*

Clear
Date*

DayMonthYear
Date
If you require further information about the application process please contact the Diocesan Education Team by email at info.ed@leeds.anglican.org marked to the attention of the School Governance Administrator.
End of form

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Foundation Governor Nomination Form

Part 1- To Be Completed By The Nominating Authority

Part 1 continued- To be completed by nominating Authority

Part 2- Declarations to be completed by the nominating Authority

End of form