Please complete the form below to nominate yourself as a Parent Trustee. * required field Your surname * First name(s) * Name by which you are known * A contact telephone number * Your e-mail address * Date of Birth (this is required for DBS) * Home Address (including postcode) * Full name of child(ren) at NGHS * Pliease tick to confirm you have read the letter from Mr Jones and are not subject to any of the conditions listed which preclude you from becoming a governor * Please tick: I confirm that I wish to nominate myself to the post of Parent Governor. I understand that this is a voluntary role and I consent to my name and statement being shared with other parents if a ballot is requited *