Governor's Application Form
Thank you for your interest in becoming a local governor or trustee at Tudor Grange Academies Trust.
Applicant Details
Name
*
Prefix
First Name
Last Name
Any previous names
Gender
Please Select
Male
Female
Prefer not to say
Home address
*
Home Postcode
*
Home Telephone
-
Area Code
Phone Number
Mobile Telephone Number
*
Please enter a valid phone number.
Format: (00000) 000000.
Email address
*
example@example.com
Work address
(please include company name. This is for information only, we will only write to your home address)
Work Postcode
Occupation
Employment and Relationship to School
Name of school (if currently a teacher)
Former school name and date of retirement (if retired teacher)
Details of your relationship to any pupil, staff member, or governor at any Trust school
Governorship History
Current Governorship
Previous Governorships
Reasons for Applying
*
Role applied for
*
Community Local Governor
Staff Local Governor
Parent Local Governor
Trustee
Parent/Staff Local Governor - Personal statement (maximum 250 words)
Parent Local Governors are elected from the school's parent community; Staff Local Governors are elected from the school's staff community. You are asked here to include information about you which would be added to the ballot form to enable voters to decide upon their preferred candidate.
0/250
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Referees
Referee 1 Name
*
Prefix
First Name
Last Name
Referee 1 Address
*
Referee 1 Email
*
example@example.com
Referee 1 Postcode
*
Referee 2 Name
*
Prefix
First Name
Last Name
Referee 2 Address
*
Referee 2 Email
*
example@example.com
Referee 2 Postcode
*
School Age Children
Details of any children of school age and schools attended
Preferred School and Your Availability
Preferred Location
*
The Robert Smyth Academy
Tudor Grange Academy Kingshurst
Tudor Grange Academy Redditch
Tudor Grange Academy Solihull
Tudor Grange Academy Worcester
Tudor Grange Primary Academy Haselor
Tudor Grange Primary Academy Hockley Heath
Tudor Grange Primary Academy Langley
Tudor Grange Primary Academy Meon Vale
Tudor Grange Primary Academy Perdiswell
Tudor Grange Primary Academy St James
Tudor Grange Primary Academy Yew Tree
Tudor Grange Samworth Academy
Tudor Grange Academies Trust - Board of Trustees
Date from which you are available to serve as a Governor
*
-
Day
-
Month
Year
2 digit day, 2 digit month, 4 digit year
Date
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Equality and Diversity Monitoring
Collection of equality information is solely for monitoring purposes to ensure that our policies and procedures are effective. We also collect this data in accordance with the general and specific public sector equality duties under the Equality Act 2010. Any data you enter onto this monitoring form will only be used for monitoring purposes and will not be used in assessing and or scoring your application or during the interview process. This information is kept confidentially and access is strictly limited in accordance with the General Data Protection Regulation 2018 (GDPR) as outlined in section 13
Disability
*
Please Select
Yes
No
Prefer not to say
Please give details of any special needs provision you would require
Ethnicity
*
Please Select
White - British / English / Welsh / Northern Irish / Scottish
White - Irish
White - Traveller of Irish Heritage
White - Gypsy / Roma
White - Any other White background
Mixed - White and Black Caribbean
Mixed - White and Black African
Mixed - White and Asian
Mixed - Any other Mixed background
Asian or Asian British - Indian
Asian or Asian British - Pakistani
Asian or Asian British - Bangladeshi
Asian or Asian British - Chinese
Asian or Asian British - Any other Asian background
Black or Black British - Black-Caribbean
Black or Black British - Black-African
Black or Black British - Any other Black background
Other ethnic group - Arab
Other ethnic group - Chinese
Other ethnic group - Any other ethnic group
Prefer not to say
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Skills Audit and Additional Interests
The skills audit consists of a series of statements. Rate your level of agreement with each statement on a scale of 1-5, with 1 indicating strong disagreement, and 5 indicating strong agreement.
Strategic Leadership
I am/have been a governor or trustee in another school or board member in another sector
1
2
3
4
5
I am/have been the Chair of a board or committee
1
2
3
4
5
I have an awareness of national education policy (e.g. school funding, curriculum, teaching and learning)
1
2
3
4
5
I have experience of the school’s local community
1
2
3
4
5
I understand the difference between strategic and operational decisions
1
2
3
4
5
I have experience and expertise in strategy development
1
2
3
4
5
I understand the principle of stakeholder engagement, e.g. seeking views and evaluating feedback from parents and staff to support the decision-making process
1
2
3
4
5
I understand the principles of risk management: how to prioritise, assess and mitigate against risks
1
2
3
4
5
Accountability
I have worked with leaders to establish expectations for improvement
1
2
3
4
5
I understand the elements that make up a broad and balanced school curriculum
1
2
3
4
5
I can interpret data and statistics relating to pupil progress and outcomes and use it to identify areas for development
1
2
3
4
5
I am confident I know enough to ask questions and challenge leaders on matters relating to educational outcomes
1
2
3
4
5
I have experience of financial planning: budgeting, monitoring and compliance
1
2
3
4
5
I understand how the financial efficiency of schools is measured and compared to similar schools
1
2
3
4
5
I know how staff are recruited to schools
1
2
3
4
5
I understand how staff pay decisions impact the school’s budget
1
2
3
4
5
I have experience of preparing for and responding to inspection and oversight
1
2
3
4
5
I understand the national performance measures that are used to monitor school performance
1
2
3
4
5
People
I regularly refer to professional advice to inform my own judgements
1
2
3
4
5
I know how to build the knowledge I need to be effective in my governance role
1
2
3
4
5
I seek to resolve misunderstanding at the earliest opportunity in order to avoid conflict
1
2
3
4
5
I can build consensus through clearly presenting my views
1
2
3
4
5
I have built strong collaborative relationships with members of the board
1
2
3
4
5
Structures
I understand how the strategic role of a governing board differs from the management responsibilities carried out by senior leaders in schools
1
2
3
4
5
I understand the distinct responsibilities of the board’s committees
1
2
3
4
5
Compliance
I am aware of the legal duties and responsibilities of a governor/trustee, e.g. the safeguarding of children and in respect of pupils with special educational needs and disabilities
1
2
3
4
5
I feel able to speak up if I am concerned about non-compliance
1
2
3
4
5
Evaluation
I have identified the areas where I need to develop my knowledge and skills as a governor/trustee
1
2
3
4
5
I seek out opportunities to improve my practice (attending training, learning from others)
1
2
3
4
5
Curriculum areas of interest
Other skills
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Disqualifications
A person shall be disqualified from holding office or continuing to hold office as trustee/local committee member if they:
become incapable by reason of illness or injury of managing or administering their own affairs;
are absent without the permission of the trustees from all meetings held within a period of six months, and the trustees resolve that their office be vacated;
have been declared bankrupt and/or their estate has been seized from their possession for the benefit of their creditors and the declaration or seizure has not been discharged, annulled or reduced;
are the subject of a bankruptcy restrictions order or an interim order;
are subject to a disqualification order or a disqualification undertaking under the Company Directors Disqualification Act 1986;
are subject to an order made under section 429(2)(b) of the Insolvency Act 1986 (failure to pay under county court administration order);
cease to be a trustee by virtue of any provision in the Companies Act 2006;
are disqualified from acting as a trustee by virtue of section 178 of the Charities Act 2011 (or any statutory re-enactment or modification of that provision);
are otherwise found to be unsuitable by the Secretary of State;
have been removed from the office of charity trustee or trustee for a charity by an order made by the Charity Commission or the High Court on the grounds of any misconduct or mismanagement in the administration of the charity for which they were responsible; or to which they were privy; or which they, by their conduct, contributed to or facilitated;
have, at any time, been convicted of any criminal offence, excluding any that have been spent under the Rehabilitation of Offenders Act 1974 as amended, and excluding any offence for which the maximum sentence is a fine or a lesser sentence except where a person has been convicted of any offence which falls under section 178 of the Charities Act 2011;
have not provided to the chair of trustees a criminal records certificate at an enhanced disclosure level under section 113B of the Police Act 1997.
Declaration of Eligibility
*
I acknowledge the eligibility criteria and declare that I am eligible to serve. I declare I will be aged 18 or over at the date of election or appointment.
I do not declare that I am eligible
Signature
*
Declaration of Eligibility
*
Please verify that you are human
*
Recipient email
example@example.com
School code
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