Parent Governor Application Form

Applicant's Details

Name of applicant:* Email address of applicant* Name of child at Eckington School* Child's year:*

Details of Sponsor 1

Name of sponsor 1:* Name of sponsor 1's child at Eckington School:* Year group of sponsor 1's child:

Details of Sponsor 2

Name of sponsor 2:* Name of sponsor 2's child at Eckington School:* Year group of sponsor 2's child:

Supporting Statement

Please upload a document stating, in no more than 200 words, why you want to be a Parent Governor. This will be used if there are more than two candidates and a ballot of parents is held. No file chosen

Declaration

I am a parent or carer of a child who attends Eckington School during this academic year.

I declare that I do not work for Eckington School/Chorus Education Trust for more than 500 hours per year.

If you are directly employed by Derbyshire County Council or are a current or recent county councillor, please provide details below: