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Christian Malford C. of E. Primary School Church Road, Christian Malford Wiltshire SN15 4BW Tel/fax: 01249 720496 Email: [email protected] [email protected] A Diocese of Bristol Academy Trust School To the Returning Officer at Christian Malford CofE Primary School Completed nomination forms must be returned to school by 15 January 2015. We the undersigned, being the parents or guardians of children attending the school, wish to nominate Full name of candidate:.......................................................... .................................................... (BLOCK CAPITALS) Address of candidate:.......................................................... ...................................................... .................................................................... ................................................................... .................................................................... ................................................................... as a Parent Local Board Member of the above named school. Signed: ............................................................ ............................ (Proposer) Proposer name……………………………………………………………. Date ............................................................... ..............................

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Christian Malford C. of E. Primary SchoolChurch Road, Christian MalfordWiltshire SN15 4BW

Tel/fax: 01249 720496Email: [email protected] [email protected]

A Diocese of Bristol Academy Trust School

To the Returning Officer at Christian Malford CofE Primary School

Completed nomination forms must be returned to school by 15 January 2015.

We the undersigned, being the parents or guardians of children attending the school, wish to nominate

Full name of candidate:..............................................................................................................(BLOCK CAPITALS)

Address of candidate:................................................................................................................

.......................................................................................................................................

.......................................................................................................................................

as a Parent Local Board Member of the above named school.

Signed: ........................................................................................ (Proposer)

Proposer name…………………………………………………………….

Date .............................................................................................

Signed: ......................................................................................... (Seconder)

Seconder name…………………………………………………………….

Date .............................................................................................

The person nominated should:

a) sign this form in order to show their willingness to stand as a candidate and to serve as a local board Member and as confirmation that you are not disqualified from standing (see attached).

b) submit with this form a brief statement of themselves, their skills and experience and why they wish to serve as a local board member (maximum 100 words). This statement will be included on the voting slip if a ballot is held.

Signed ........................................................................................(Nominated person)

Date ...............................................................................................