Offer to Continue to Serve the Church as a Foundation Governor

All parts of this form must be completed, please use capital letters.

Where the form has been pre-populated, please make any corrections

School / College:

Surname:

Christian name:

Christian name by which you are known:

Title:

Date of Birth:

Home address:

Telephone (home)

Telephone (work)

E-mail:

ADDITIONAL INFORMATION REQUIRED

Please give details of all service as a governor, starting with the current:

Name of School or College / Governor type / From / To

Total years service on current governing body/ bodies: ……..

Total years service as a foundation governor for the Diocese of Westminster ………

Please give details of all governor training undertaken in the last 4 years:

Type of Training / Provider / Dates

ELIGIBILITY

I have read the Diocesan Criteria and declare that:

I meet the general criteria for appointment for a further term of office as a foundation governor in the Diocese and wish to be considered for such an appointment. YES  NO 

I meet the specific criteria for appointment for a further term of office as a foundation governor at the school named overleaf and wish to be considered for such an appointment. YES  NO 

I do not meet the specific criteria for appointment for a further term of office as a foundation governor in the Diocese but wish to be considered for such an appointment and attach a letter detailing the exceptional circumstances.

YESNO

Signed…………………………………………………… Date…………………………..

Part IV- Other Information

Please tick ONE box only:

a)I declare that I meet the criteria for re-appointment and wish to be considered for a further term of office as a foundation governor at the school on this form  another school in the diocese 

OR

b)I do not meet the diocesan criteria for re-appointment to the same governing body. 

(If you have ticked this box, please fill in the additional sheet attached to this form)

Experienced Governors: Willingness to Serve in Other Capacities

We are always looking for experienced governors familiar with various topics (e.g. admissions, exclusions, local knowledge) who are willing to serve on a variety of bodies across the diocese. As an experienced governor, please indicate whether you might be interested in serving the diocese in any of the capacities listed below. (Please feel free to tick more than one box. If you tick any of these boxes, we will contact you to give you further details).

  • Member of a School Organisation Committee 
  • Member of a Local Authority Overview and Scrutiny Committee 
  • Member of an LEA Admissions Forum 
  • Member of an Admission Appeal Committee 
  • Member of an Exclusion Appeal Committee 
  • Clerk to a Governors’ Exclusion Committee 
  • Clerk to an Admissions Appeal Committee 
  • Member of an additional governing body 
  • Additional Foundation Governor for a school in Special Measures

Part V- Declaration

I wish to continue to serve the Archdiocese of Westminster in the ministry of Foundation Governor.

If reappointed I am able and willing to give priority to my duties as governor and will undertake:

  • To preserve and develop the Catholic character of the school or college;
  • To ensure that the school or college is conducted in accordance with its trust deed;
  • To uphold the teachings of the church and the policies of the diocese; and
  • To participate in appropriate training

I consent to the information given on this form and other information collected in connection with it being held and processed by the Archdiocese of Westminster.

Signed ………………………………………………………… Date………………………………..

Please return this form to: The Foundation Governor Coordinator

Archdiocese of Westminster Education Service

Vaughan House

46 Francis Street

London SW1P 1QN