Nomination form for parent, teacher & staff governor

I would like to nominate myself/or*

NAME _____________________________________________________________________________________
_____________________________________________________________________________________
ADDRESS__________________________________________________________________________________
_____________________________________________________________________________________
Tel No.

Home________________________________ Work ______________________________

as parent/teacher/staff governor* at
SCHOOL ___________________________________________________________________________________

I am a parent/guardian* of
NAME OF CHILD _________________________________________________________________________
SIGNATURE ______________________________________________________________________________
If you are nominating someone else, please check first that they are willing to
stand and ask them to sign below:
Signature of nominee _____________________________________________
Signature of proposer ____________________________________________
Signature of seconder ____________________________________________
Date

______________________________________________________________