Governor Application Expression of Interest Version: June 2015 Governor Application Thank you for your interest in becoming a Governor at a Tauheedul Education Trust School. Tauheedul Education Trust (TET) is a not-for-profit multi-academy trust. TET is part of the Tauheedul Foundation (TF), a charity based in Blackburn, Lancashire. TF’s roots in the Muslim faith have inspired its goal – to improve the educational opportunities and life chances of young people locally, nationally and globally. TET runs a growing network of primary and secondary schools in the North, Midlands and London. It also develops education partnerships and delivers “turn around” support to underperforming schools. Educational excellence and social mobility are at the heart of everything we do. We work particularly in areas of deprivation. We have many years of experience of helping children and young people – Muslims and non-Muslims – to raise their aspirations and achieve outstanding results. We believe that every child and every community is unique. We work hard to make sure that each and every pupil in our schools – regardless of their faith, race, gender, background or starting point – achieves their potential and goes on to university or a career of their choice. We also work hard to make sure that all our schools become part of the communities they serve and that they tackle local priorities. School governors play a hugely important role in making sure that every young person is given the best education, opportunities and experiences possible. They work as a team, overseeing the work of the school, acting as “critical friend” to the senior leadership team and holding the school to account for performance and development. We seek to recruit people of all faiths and none who share the ethos and values of the Trust and who can bring experience and leadership to support and challenge our schools. We offer training and support to help governors fulfil their roles successfully. Our governors’ network helps all our governors to learn from each other and to share experiences and ideas. The information that you provide within this form will allow us to assess your skills and personal suitability to act as a Governor for a Trust school and also to match you to a school that has a vacancy. If your initial expression of interest is successful you will be asked to complete a Suitability Declaration that will be processed within guidance from the Department for Education. This enables the undertaking of checks upon individuals to ensure that only suitable people are involved in governing schools. It is the Trust’s Policy that, where an individual is deemed unsuitable, they will be informed that it is not assessed to be in the interests of the Trust to progress their application for Governorship. Fuller reasons may not be provided. If you refuse to provide any of the information requested you will be unable to apply to be a Governor of a Tauheedul Education Trust School. Please provide the information set out below (using BLOCK CAPITALS if completing by hand) Page 2 of 6 Section One – Personal Information Title: Click here to enter text. First name: Click here to enter text. Surname: Click here to enter text. Email Address: Click here to enter text. Contact Telephone Number: Click here to enter text. Date of Birth: Click here to enter a date. Place of birth: Click here to enter text. (Town/City & Country) Section Two – Commitment School / Region1 you wish to be considered for: Click here to enter text. Phase of School you are interested in: Primary ☐ How did you find out about our Governor Vacancies? Click here to enter text. Have you ever been or are you currently a Governor? Yes If yes please provide details Prior School 1: 1. Name 2. Town / City 3. Type of Governor ☐ To: Click here to enter a date. Click here to enter text. From: Click here to enter a date. Are you committed to: 1 No ☐ Click here to enter text. From: Click here to enter a date. Prior School 2: 1. Name 2. Town / City 3. Type of Governor Secondary ☐ To: Click here to enter a date. Yes ☐ No ☐ attend evening meetings (at least 7 per year); read all paperwork circulated; attend training sessions; become involved and get to know the school; help the local community and increase learning opportunities; attend additional events as required; respect confidentiality at all times? North West; Midlands and London. Page 3 of 6 Section Three – Personal experience to evidence your suitability for the position of Governor. In this section please outline your experiences, skills and qualifications from your: Current and previous occupation Involvement with voluntary groups Community work/activities Interests Click here to enter text. Section Four – Experience and Skills Please tick all that apply Financial Planning / Accounting ☐ Presentation, Training and Development ☐ Community Development ☐ ☐ ☐ ☐ ☐ ☐ ☐ Mediating / Counselling Strategic Planning / Problem Solving Research and Statistics / Data Analysis Teaching Legal Care work / Social work / Special needs Health and Safety / Building Maintenance / Security Contracting Services / Purchasing / Negotiation ☐ ICT / Computers ☐ ☐ ☐ ☐ ☐ ☐ ☐ Marketing / PR Project Management Administration / Secretarial Public Speaking / Event Organisation Human Resources / Recruitment Faith ☐ Other (Please state): Click here to enter text. Section Five – Current / Previous Occupation If retired state most recent occupation Occupation: Click here to enter text. Employer: Click here to enter text. Date employed from: Click here to enter a date. Date employed to: (if applicable) Click here to enter a date. Previous employer: (if less than 3 years) Click here to enter text. Section Six – Potential conflicts of interest Are you related by birth, marriage or otherwise to anyone who is, or is envisaged to be: - a Director of the Tauheedul Education Trust, - a Governor of any one of its schools, Yes ☐ No ☐ If Yes, please provide full details: Click here to enter text. Page 4 of 6 - an employee of any of its Schools/Central Office, or - a supplier of services to any of its Schools/Central Office? Section Seven – Referees Please provide details of two character referees. Your referees should know you well in a personal and/or professional capacity. They must not be a Director of the Tauheedul Education Trust or a member of your immediate family. Referee One: Click here to enter text. 1. 2. 3. 4. Name Address Town / City County 5. Postcode Referee Two: Click here to enter text. 1. 2. 3. 4. Name Address Town / City County 5. Postcode Section Eight – Equalities Monitoring Tauheedul Education Trust is committed to having an inclusive representation of Governors for its Schools. We positively welcome applications from all members of the community. How would you describe yourself: Gender Male ☐ Female ☐ Age 18-30 ☐ Ethnicity White / White British ☐ Asian / Asian British ☐ Mixed ☐ Black / Black British ☐ 31-50 ☐ 51-65 ☐ 66+ ☐ Other Ethnic Group (please state) Click here to enter text. Religion and Beliefs No religion ☐ Christian (all denominations) ☐ Muslim ☐ Buddhist ☐ Hindu ☐ Jewish ☐ Sikh ☐ Any other religion (please state) Click here to enter text. Disability Do you consider yourself to have an impairment of this type? The law states that a person is disabled if they have “a physical or mental impairment which has a substantial long term adverse effect on a person’s ability to carry out normal day-to-day activities”. Yes ☐ No ☐ If Yes, please tick any of the following descriptions that may apply to you: Mobility difficulty ☐ Learning difficulty ☐ Hearing difficulty ☐ Visual difficulty ☐ Mental health issues ☐ Other (please state) Click here to enter text. This information will be handled sensitively to ensure you are supported as you wish. Page 5 of 6 Section Nine – Declaration I confirm that the information provided is correct to the best of my knowledge and that I consent to it being used for the purpose of carrying out due diligence and vetting checks for the purpose of establishing that I am a suitable person to be a Governor of a Tauheedul Education Trust school. Signed: …………………………………………………………………………………………………….. Name: Click here to enter text. Date: Click here to enter a date. Please ensure all sections are fully complete before submitting your form Please return to: Hanif Mangera Tauheedul Education Trust Shadsworth Road Blackburn BB1 2HT or scan and email from your email account (with signature) to: hanif.mangera@tetrust.org For the purposes of the Data Protection Act 1998, the Tauheedul Education Trust is the data controller for personal information supplied on these forms and for ensuring that this information is processed under the terms of the Act. The Trust will hold all personal information you supply securely and will only make it available to those who need to see it as part of the application process. All personal information supplied in this form will be destroyed when it is no longer needed for the purpose of the due diligence process. Page 6 of 6