This information is appropriate for Governing Bodies working to the following Governing Body Constitutions – School Governors (Constitution) (England) Regulations 2007 Stakeholder Governing Body Model – Governing Bodies constituted under the 2012 Regulations (Smaller Governing Body Model) will also find this form useful but will need to change names of governor categories to match the 2012 Constitution Regulations. Governors’ Notification Form Please will all governors complete this form. We will gold your details on our central database. School Name Name Governor’s Address Governor’s Postcode Date of Birth Tel Number Mobile Email Are you a governor at another school? Yes No Name of School Occupation/ Employer eg: Derby City Council Do you work at a School? Yes No Name of School Type of Sponsor Associate Parent Community Governor Member Authority Foundation Partnership Head Head Non- Teaching Teaching Staff Staff Role Chair Vice-Chair Clerk Designated Training Link Child Looked After Literacy Governor Protection Children Numeracy Performance SEN Management Date appointed End of Term Date Newsletter receipt is, by default, email. If you would prefer a postal copy tick here Data Protection All information provided will be treated in confidence, in accordance for the Data Protection Act 1998 and used for purposes of Governor Support. It may be shared with La staff and elected members of Derby City Council who will use it to contact you in emergencies or for consultation purposes in your capacity as a governor. For Office Use only: Database ID __________ Induction pack __________ List 99 ________
This information is appropriate for Governing Bodies working to the following Governing Body Constitutions – School Governors (Constitution) (England) Regulations 2007 – Stakeholder Governing Body Model Governing Bodies constituted under the 2012 Regulations (Smaller Governing Body Model) will also find this form useful but will need to change names of governor categories to match the 2012 Constitution Regulations. Governors’ Notification Form Please will all governors complete this form. We will gold your details on our central database. School Name Governor’s Name Governor’s Address Postcode Date of Birth Tel Number Mobile Email Are you a governor at another school? Yes No Name of School Occupation/ Employer eg: Derby City Council Do you work at a School? Yes No Name of School Type of Governor Sponsor Associate Member Parent Community Authority Foundation Partnership Head Head Teaching Staff Non- Teaching Staff Role Chair Vice-Chair Clerk Designated Governor Training Link Child Protection Looked After Children Literacy Numeracy Performance Management SEN Date appointed End of Term Date Newsletter receipt is, by default, email. If you would prefer a postal copy tick here Data Protection All information provided will be treated in confidence, in accordance for the Data Protection Act 1998 and used for purposes of Governor Support. It may be shared with La staff and elected members of Derby City Council who will use it to contact you in emergencies or for consultation purposes in your capacity as a governor. For Office Use only: Database ID __________ Induction pack __________ List 99 ________