Authority Governor application form

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About you

Please demonstrate how you would meet the person specification criteria for becoming a Local Authority Governor.

When answering these questions please refer to the:


Please provide two referees, either business or personal that you have known for 2 years:

Referee 1

Referee 2


For applications where the prospective school is known, please state the name of the proposer (Chair, Headteacher, Local Councillor or someone of similar standing).

Declaration for eligibility as a school governor

Please make sure you have read and understood the declaration for eligibility as a school governor before confirming your application.

I declare that all of the information I have given on this form is correct. If you knowingly give false information, your access to this information may be withdrawn.