Woolsery Primary School Governor Self-Nomination Form

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Please use this for to let us know that you are interested in becoming a school governor with us. Please do not fill out this form on another person's behalf - thank you.

Please confirm your eligibility to serve as a parent governor: *

This is the list of rules of eligibility to serve as a Governor. Please confirm your legal eligibility by ticking each statement.

I am not subject to a backruptcy restriction order, a debt relief order or an interim debt relief order

I have not had my estate sequestrated and the sequestration order has not been discharged, annulled or reduced

I am not subject to a disqualification order or disqualification undertaking under the Company of Directors Disqualification Act 1986

I am not subject to a disqualification order under Part 2 of the Companies (Nothern Ireland) Order 1989

I am not subject to a disqualification undertaking accepted under the Company Directors Disqualification (Northern Ireland) Order 2002

I am not subject to an order made under Section 429(2)(b) of the Insolvency Act 1986 (failure to pay under a County Court administration order)

I have not been removed from the office of charity trustee for a charity by the Charity Commissioners or High Court on grounds of any misconduct or mismanagement, or under Section 34 of the Charities and Trustees Investment (Scotland) Act 2005 from participating uin the management or control of any body

I am not included in the list of people considered by the Secretary of State as unsuitable to work with children

I am not disqualified from working with children or subject to a direction under Section 142 of the Education Act 2002

I am not disqualified from registration for childminding or providing day care

I am not disqualified from registration under Part 3 of the Childcare Act 2006

I have not received a sentence of imprisonment (whether suspended or not) for a period of not less than three months (without the option of a fine) ini the five years before applying to become a governor

I have not received a prison sentence of two-and-a-half years or more in the 20 years before applying to become a governor

I have not at any time received a prison sentence of five years or more

I have not been fined for causing a nuisance or disturbance on school premises during the five years prior to my application to become a Governor

I agree to allow a Disclosure and Barring Service (DBS) check to be carried out in my name

Required

Which type of Governor would you like to nominate yourself for? *

Parent Governor

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