This form should be used for foundation governor nominations. The recommendation may be for a new appointment or a recommendation that an individual whose term is expiring continues for another term. In both instances all questions should be answered as fully as possible.

The applicant will be notified of the outcome by letter after the next scheduled DBE Committee meeting. New foundation governors are appointed subject to a satisfactory application being made to the Disclosure and Barring Service for a criminal records certificate. This is undertaken by the school.

The appointment is also conditional on the completion of the LDBE induction course for both new appointments and re-appointments within 6 months of receiving the conditional letter of appointment.

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Name *

First

Last

Position (Incumbent or PCC Role) *

Email *

Phone *

Name of Nominee *

First

Last

Name of School for Nominee to be Considered for Appointment *

School Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

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Type of School *

• Voluntary Aided (VA)
• Voluntary Controlled (VC)
• Academy (Church Majority Governance)
• Academy (Church Minority Governance)

Is this a new appointment or a renewal of an existing appointment? *

• New appointment
• Renewal

The DBE policy is that foundation governors and LAC foundation members should only serve for a maximum of 3 terms (12 yrs) except under very special circumstances. Please give any information you wish to be considered to support this re-appointment if applicable.

How long have you known this person?

Please choose one or more of the statements below that best fits this persons current church commitment *

• currently a communicant member of the Church of England.
• member of the electoral roll of a Parish within the Church of England.
• regular worshipper at Church of England Services.
• regular worshipper within one of the member churches of Churches Together in Britain and Ireland.
• a Christian who is not a regular worshipper at any of the above
• Non of the above

Foundation governors and LAC members are the guardians of the Church of England foundation of the school and must ensure that the distinctive Anglican and Christian ethos of the school is encouraged and supported throughout its local community and is reflected in policies and protocols, its curriculum and activities. Please confirm that you have met with the nominee to discuss this specific aspect of the role and are satisfied that they are suitably qualified. Please give details to support this. *

Foundation appointments have the same core objectives as any other member of the governing body / LAC as set out in the Department for Education’s Governance Handbook; Setting Vision, ethos and strategic direction along with the Headteacher; Holding the head teacher to account for teaching, achievement, behaviour and safety. Challenging and strengthening their leadership; Ensuring finances are managed well leading to probity, solvency and effective use of resources. Please state why you are nominating this person and what appropriate skills they have *

What additional qualities and experiences would the nominee provide to enhance the work of the school governance *

The Headteacher and/or Chair of Governors / LAC has been consulted about the suitability of this nomination *

• Yes
• No

The LDBE will not make any appointment which does not have the prior approval of the Head and Chair. Please give details to support your decision not to consult on this occasion.

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

Date *

Submit