Appointment of Academy Trust Members

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Name

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Please choose one or more of the declarations below that best fits your current church commitment

I confirm I am currently a communicant member of the Church of England.
I confirm I am a member of the electoral roll within the Church of England.
I confirm I am a regular worshipper at Church of England Services.
I confirm that I am a regular worshipper within one of the member churches of Churches Together in Britain and Ireland.
I am a Christian who is not a regular worshipper at any of the above but am committed to the tenets of the Apostles Creed.
Non of the above

Please provide names and email addresses for two referees, one of whom should be from your local clergy team.

Name of Academy Trust Applying To

Please indicate what qualifications and skills you have to help hold the Trust Board to account and support them in their role

Members have a general duty to exercise their powers, to further the academy trust’s charitable purposes, which in the majority of trusts is ‘to advance for the public benefit education in the United Kingdom’. In trusts which include Church academies, Members must also ensure that the religious character of the Church academy is preserved and developed as part of ensuring the charitable objects of the trust are met. The Foundation appointment will be ratified by DLET and will receive training and support so that they can provide expertise, support and challenge relating to the preservation and development of the religious character of Church Academies in the academy trust.

Eligibility for appointment as Academy Trust Member

I confirm I have read and agree to the declaration below.

I am not disqualified from serving as a school governor/director.

I am aged 18 or over at the date of this application.

I am not bankrupt or subject to a disqualification order under the Company Directors Disqualification Act 1986 or the Insolvency Act 1986.

I have not been removed from an office of a charity trustee or trustee for a charity by an order made by the Charity Commissioners or the High Court.

I am not included in the list (List 99) of teachers and workers with children or young persons whose employment is prohibited or restricted.

I am not disqualified from being the proprietor of any independent school or for being a teacher or other employee in any school.

I have not received a sentence of imprisonment, suspended or otherwise.

I have not been fined, in the five years prior to applying to become a DCM for causing a nuisance or disturbance on educational premises.

Furthermore:

I am willing to serve as DCM, if appointed by the Diocesan Board of Education.

I agree to support and maintain the Christian Foundation and Voluntary Status of Church of England Schools within the Trust and to support the principles underlying the schools' Trust Deeds, by ensuring the schools are distinctively Christian, and that Christian values, principles and beliefs are central to their ethos, curriculum, relationships and work.

I agree to familiarise myself with my duties as a DCM and the work of the school and to attend any training and conferences as directed by the LDBE.

I agree to undertake a Disclosure and Barring Service check.

If at any time, I consider that I can no longer be bound by the terms of this Declaration, I confirm that I will immediately submit in writing my resignation.

I consent to the information I have given on the application form being held on file under the terms of the General Data Protection Regulations 2018.

I agree
I disagree

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