Application Form - Governance

Please click on all statements that apply to you:
Please click on areas you have sound experience or skills:


Data Protection
The information that you provide on this form will be used by the Middlesex Learning Partnership (the data controller). Your data will be used in accordance with the principles set out in the Data Protection Act 1998, which protects the right to privacy of individuals whose personal details are held by the data controller. If successfully appointed, we may share your details with the London Borough of Hillingdon regarding training opportunities and for providing details about our governing body.

Eligibility to serve as a trust governor/director/member
This position may give you privileged access to children and it will be necessary for you to undergo Disclosure and Barring Service Screening (DBS check).

You must confirm that you are not disqualified from serving as a trust governor/director/member. A summary of all the disqualification criteria can be found below. It is an offence to serve as a school governor/director/member whilst disqualified.

Schedule 6 of the Constitution Regulations covers the qualifications and disqualification for governorship. A person is disqualified from holding or from continuing to hold office as a governor/director/member if he or she:

  • Is detained under the Mental Health Act 1983 during their period of office;
  • Fails to attend the governing body meetings – without the consent of the governing body – for a continuous period of six months, beginning with the date of the first meeting missed (not applicable to ex-officio governors);
  • Is subject to a bankruptcy restriction order or an interim order;
  • has had their estate sequestrated and the sequestration order has not been discharged, annulled or reduced;
  • is subject to:
    • a disqualification order or disqualification undertaking under the Company Directors Act 1986
    • a disqualification order under Part 2 of the Companies (Northern Ireland) Order1989
    • a disqualification undertaking accepted under the Company Directors Disqualification (Northern Ireland) Order 2002
    • an order made under section 492(2)(b) of the Insolvency Act 1986 (failure to pay under county court administration order);
  • has been removed from the office of charity trustee or trustee for a charity by the Charity Commissioners or High Court on grounds of any misconduct or mismanagement, or under Section 34 of the Charities and Trustees Investment (Scotland) Act 2005 from participating in the management or control of anybody;
  • is included in the list of people considered by the Secretary of State as unsuitable to work with children;
  • is disqualified from working with children or subject to a direction under section 142 of the Education Act 2002;
  • is disqualified from registration for childminding or providing day care;
  • Is disqualified from registration under Part 3 of the Childcare Act 2006;
  • has received a sentence of imprisonment (whether suspended or not) for a period of not less than three months (without the option of a fine) in the five years before becoming a governor/director/member or since becoming a governor/director/member has received a prison sentence of 2.5 years or more in the 20 years before becoming a governor/director/member;
  • has at any time received a prison sentence of five years or more;
  • has been fined for causing a nuisance or disturbance on school premises during the five years prior to or since appointment or election as a governor/director/member;
  • refuses to allow an application to the Disclosure and Barring Service for a criminal records certificate.