APPLICATION FOR APPOINTMENT TO THE CORPORATION OF HULL COLLEGE GROUP – CHAIR ELECT (GOVERNOR)
This form may be photocopied when it reaches the College and it would therefore be helpful if you could please complete it in black ink or completed electronically.
PART 1
personal Details
a.TitleMrMrsMissMsDrOther (specify)Please circle one
b.Surname
c.First Name
- Home Address
Mobile Phone Number
E-mail address
- Address for correspondence (if different from above)
E-mail address
- What is your present profession/occupation? Please give a summary overview of your role/responsibilities. If retired please state “Retired” followed by your former profession/occupation and again a summary overview of your former role/responsibilities.
- Please describe briefly why you wish to become the Chair Elect atHull College Group.
- Please describe briefly your relevant skills and experience for the role of Chair Elect
- If you have ever been a member of a college governing body or made a previous application to be a member of the Corporation of HullCollege, please give details.
- Please give the name of any relative, including spouse, partner and their close relatives, who are Members of the Corporation or employees of Hull College. Please include details of past serving Governors and/or employees since 1993 giving details of their position held, dates of office or employment where possible.
- Are you an employee, or a student, at Hull College? If ‘Yes’ please give details.
- Do you have any previous experience in the education sector? If so, please provide a summary.
PART 2
skills
The Collegeis keen to understand as much as possible about you, your skills, and expertise. This section of the application form has been designed to enable the College to match your skills and expertise to the range of committee activities and functions of the governing body.Please note that the skills matrix is used as an indicative guide only when considering your application and no specific experience in education is necessary to become a Governor or Co-optee. The College needs Governors with a range of skills to set strategy, ensure sound financial performance, monitor risk and to develop the College as a business.
We would be grateful if you could consider the following boxes ticking those which best reflect your abilities and experience in each area.
Significant experience / Working knowledge / No/little experience
SETTING STRATEGY
Strategic Planning at Board Level
Working in Collaborative Partnerships
Working with Local Community Organisations
QUALITY IMPROVEMENT
Quality Assurance Systems
Data Analysis including Self-Evaluation and/or Impact Assessment
Monitoring or Implementing Customer Service Feedback
Target Setting and Monitoring Performance Against Target
BUDGETS AND FINANCIAL PLANNING
Accountancy and Financial Matters
Educational or Public Funding
Developing Financial and Strategic Planning for an Educational or Commercial Institution
Estates and Property Matters including
Risk Monitoring and Management
HUMAN RESOURCES/EMPLOYMENT
Personnel/Human Resources
Appointing/Appraising Senior Staff
Workforce Training and Development
Workforce Planning or Implementing Change Management
BUSINESS SKILLS
Sales/Marketing
Implementing and Monitoring Equality and Diversity
Communications
IT (including Information, Learning and Communications Technology)
Interpersonal Skills
Leadership Experience
Negotiating Skills
Purchasing (Including Competitive Tendering)
Legal Services (Including Company or Charity Law)
Please detail any voluntary or community role with which you are associated for example Magistrate, Local Elected Councillor, School/College Governor etc.
PART 3
DECLARED INTERESTS, CONVICTIONS AND ANY CIVIL MATTERS
- Does your employer (or ‘you’ if self-employed or former employer if you are ‘retired’) have any current or intended contractual arrangements with the College for the supply of goods and/or services that you are aware of? If so, please give details of the nature of the contract(s) and the value(s).
- Please give details of any criminal convictions that you have, whether spent or not under the Rehabilitation of Offenders Act 1974. (Please note that it is standard procedure for all Governors, and applicants, to complete a request for disclosure with the Criminal Records Bureau).
Offence / Penalty or Order of the Court / Court / Date of Conviction
c.Please give details of any criminal or civil proceedings in which you are, or expect to be, a party.
d.Please give details of any police cautions to which you have been subject.
e.Have you ever been declared bankrupt on, or entered into a voluntary arrangement with creditors? If ’Yes’ please give details.
f.Have you ever been a director of a company which has been placed into liquidation or administration? If ’Yes’ please give details.
g.Are you a member of any organisation whose aims and objectives are not consistent with the College's duty to promote good race relations and to oppose all forms of discrimination? If ’Yes’ please give details.
REFERENCES
If successful in your application you will be asked give details of two people who are prepared to provide a written reference in support of your application. It is expected that these referees should have known you for at least three years.DECLARATIONS
Please tick either Yes or No. You may be asked this question again, if you are called for an interview.
Is there anything in your private or working life, or in your past, or to your knowledge in that of any member of your family or close friends, which, if it became generally known, might bring you or the College into disrepute, or call into question your integrity, authority or standing as a member of the Corporation?
Yes No
I have read the Guidance Notes. If appointed, I will be able to carry out my fair share of duties described in the Guidance Notes and undertake the required training. The information, which I have given, is true and complete to the best of my knowledge and belief.
Signed ______Date ______
(Please complete signature in block capitals if the form is being completed electronically)
The application will be treated in strict confidence and only shared with individuals who are part of the application process.
The completed application form should be sent to the Head of Legal and Governance via:
Head of Legal and Governance
Queen’s Gardens
Wilberforce Drive
Hull
HU1 3DG
Or emailed to:
If you have any queries with your application or you require an application form or any of the supporting information in an alternative format, please do not hesitate to contact:
Lottie Thompson
Head of Legal and Governance (Clerk to the Corporation)
Tel: 01482 381945 or 07538113402
Email:
Hull College, Queen’s Gardens, Wilberforce Drive, Hull, HU1 3DG
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This page is left intentionally blank so that the following Equality and Diversity Monitoring form can be separated from the application form.
Please continue to Equality and Diversity Monitoring Form overleaf.
Hull College Corporation
THIS APPLICATION FORM IS CONFIDENTIAL WHEN COMPLETED
Updated June 2017
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IN STRICT CONFIDENCE Governor and Co-optee Application Form
Equality and Diversity Monitoring Form
Why are we asking you for this information?
At Hull College Group we are committed to promoting the health and well-being of our Governors and
Co-optees and to ensuring all are well supported during their time with us. This information will help us to do this and to understand more about the diversity of those applying to be Governors and Co-optees. It will also enable Governors to set clear targets which promote the interests and opportunities of under-represented groups. We want to ensure that no one is disadvantaged when applying or carrying out their duties as a Governor or Co-optee.
All information will be kept strictly confidential by the Clerk. It will be separately stored from the record of applicants who successfully become Governors and Co-optees. The data will be collected together anonymously to provide overall numbers of people who are in the various categories. The questions follow protected characteristics under the Equalities Act 2010 and use census definitions where appropriate.
This sheet will be separated from your application form and the information it contains will not be used for shortlisting or at any other stage of the selection process.
This form is available in different formats on request.
1. What is your ethnic group?A. White
English / Welsh /
Scottish/Northern
Irish/ British
Irish
Gypsy or Irish
Traveller
Any other White
background / B. Mixed/multiple ethnic groups
White and Black
Caribbean
White and Black
African
White and Asian
Any other
Mixed/multiple
ethnic background / C. Asian / Asian British
Indian
Pakistani
Bangladeshi
Chinese
Any other Asian
background / D. Black / African / Caribbean
Black British
African
Caribbean
Any other
Black/African/
Caribbean
E. Any other ethnic group
Arab
Any other ethnic group
F.Prefer not to say
2. What is your age group?
Under 18
18 - 30 / 31 - 40
41 - 50 / 51 – 60
61+
Prefer not to say
3. What is your sex/gender?
Male Female Prefer not to say
4. What is your Sexual Orientation ?
Heterosexual
Gay man
Lesbian/gay woman
Bisexual / Other – please specify………..
Prefer not to say
5. What is your religion, faith or belief?
No religion
Christian (including Church of England,
Catholic, Protestant and all other Christian
denominations)
Buddhist
Hindu
Jewish / Muslim
Sikh
Any other religion, please specify:
…………………………………….
Prefer not to say
6. Marriage and Civil Partnership
Are you: Married In a registered same-sex Civil Partnership Other
Prefer not to say
7. Disability
Would you describe yourself as having a disability or health problem?
Yes No Prefer not to say
If yes, please tick the relevant box below
Visual Impairment
Hearing Impairment
Disability affecting mobility
Other physical disability
Mental Health Difficulty
Multiple disabilities
Profound/complex disabilities
Other medical condition (i.e.
epilepsy, asthma, diabetes)
Emotional and/or behavioural
Difficulties
Mental Health difficulty
Temporary Disability (i.e. after accident,
illness)
Other, please specify:
………………………………………..
Prefer not to say / Would you describe yourself as having a learning difficulty?
Yes No Prefer not to say
If yes, please tick the relevant box below:
Moderate Learning Difficulty
Severe Learning Difficulty
Dyslexia
Dyscalculia
Other Specific Learning Difficulty
Autism spectrum disorder
Asperger’s Syndrome
Multiple Learning Difficulties
Other, please give details
………………………………………………
Prefer not to say
8. Health & Well-being related support needs
Do you have any health and well-being needs not mentioned earlier?
E.g. are you a carer or are responsible for family members with particular needs?
Yes No Prefer not to say
If you answer ‘yes’, you may find it helpful to discuss your needs with the Chair or Clerk if you are appointed.
Hull College Corporation
THIS APPLICATION FORM IS CONFIDENTIAL WHEN COMPLETED
Updated June 2017
Page 1 of 11