Employment Application Form – Teaching

Part 1.

We are committed to safeguarding and promoting the welfare of children and young people and expect all staff and volunteers to share this commitment. Please ensure that you complete all sections of the application. Please note that providing false information will result in the application being rejected, withdrawal of any offer of employment, summary dismissal if you are in post, and possible referral to the police. Please note that checks may be carried out to verify the contents of your application form. Please complete the form in black ink or type. CVs are not accepted.

FULL CHRONOLOGICAL HISTORY

SECONDARY EDUCATION & QUALIFICATIONS

HIGHER EDUCATION

PROFESSIONAL COURSES ATTENDED AS A TEACHER

  • Part 1.
  • Part 2.
  • Part 3.
  • Part 4.
  • Part 5.

Vacancy Job Title

Vacancy Job Title

Part 1. INFORMATION FOR SHORTLISTING AND INTERVIEWING

Initials

Surname or Family name

1. Letter of Application – Please enclose a letter of application.

2. Current/ Most Recent Employment: IF TEACHING

Name, address and telephone number of school

1. Type of school

2. Type of school – e.g. Community, Aided, Foundation, Academy, Free School, Independent etc.

Job title – Please enclose a copy of your current job description

Subjects/age groups taught

Date appointed to post

Salary

Date available to begin new job

3. Current/ Most Recent Employment: IF NON-TEACHING

Name, address and telephone number of school

Job title – Please enclose a copy of your current job description

Date appointed to post

Salary

Date available to begin new job

FULL CHRONOLOGICAL HISTORY

Please provide a full history in date order, most recent first, since leaving secondary education, including periods of any post-secondary education/training, and part-time and voluntary work as well as full time employment, with start and end dates, explanations for periods not in employment or education/training, and reasons for leaving employment.

Example 1.

Job Title or Position

Name and address of school, other employer and description of activity

Number on roll and type of school, if applicable

Full Time or Part Time

Date From

Date To

Reason for leaving

Example 2.

Job Title or Position

Name and address of school, other employer and description of activity

Number on roll and type of school, if applicable

Full Time or Part Time

Date From

Date To

Reason for leaving

Example 3.

Job Title or Position

Name and address of school, other employer and description of activity

Number on roll and type of school, if applicable

Full Time or Part Time

Date From

Date To

Reason for leaving

Please enter a continuation here, if necessary

SECONDARY EDUCATION & QUALIFICATIONS

Example 1.

Name of School/College

Date From

Date To

Qualifications Gained with Date

Example 2.

Name of School/College

Date From

Date To

Qualifications Gained with Date

Example 3.

Name of School/College

Date From

Date To

Qualifications Gained with Date

Please enter a continuation here, if necessary

HIGHER EDUCATION

Example 1.

Names and Addresses of University or College and/or University Education Department

Date From

Date To

Full Time or Part Time

Courses/subjects taken and Passed

Date of Examination and Qualifications Obtained

Age Groups for which Trained

Example 2.

Names and Addresses of University or College and/or University Education Department

Date From

Date To

Full Time or Part Time

Courses/subjects taken and Passed

Date of Examination and Qualifications Obtained

Age Groups for which Trained

Example 3.

Names and Addresses of University or College and/or University Education Department

Date From

Date To

Full Time or Part Time

Courses/subjects taken and Passed

Date of Examination and Qualifications Obtained

Age Groups for which Trained

Please enter a continuation here, if necessary

PROFESSIONAL COURSES ATTENDED AS A TEACHER

Example 1.

Subject

Organising Body

Date From

Date To

Duration

Example 2.

Subject

Organising Body

Date From

Date To

Duration

Example 3.

Subject

Organising Body

Date From

Date To

Duration

Please enter a continuation here, if necessary

OTHER RELEVANT EXPERIENCE, INTERESTS AND SKILLS

Please describe here.

REFERENCE DECLARATION In compliance with the General Data Protection Regulation (GDPR), we would like to ensure that you are aware of the data we will collect and process when requesting your references. Reference requests sent to your referees will ask the referee to confirm as a minimum: The referee’s relationship with the candidate Details of the applicant’s current post and salary Performance history All formal time-limited capability warnings which have not passed the expiration date All formal time-limited disciplinary warnings where not relating to safeguarding concerns which have not passedthe expiration date All disciplinary action where the penalty is “time expired” and relate to safeguarding concerns Details of any child protection concerns, and if so, the outcome of any enquiryWhether the referee has any reservations as to the candidate’s suitability to work with children. If so, the school will ask for specific details of the concerns and the reasons why the referee believes the candidate may be unsuitable to work with children. By signing the below I consent to my named referees being contacted in accordance with the above.

By checking the box below I consent to my named referees being contacted in accordance with the above.

Date

You have the right to withdraw your consent at any time and can do so by informing our organisation’s Data Protection Officer that you wish to withdraw your consent.

REFEREES Please provide details of two people to whom reference may be made. The first referee should normally be your present or most recent Headteacher or equivalent person. If you are not currently working with children please provide a referee from your most recent employment involving children. Referees will be asked about all disciplinary offences which may include those where the penalty is “time expired” if related to children. Referees will also be asked whether you have been the subject of any child protection concerns, and if so, the outcome of any enquiry. References will not be accepted from relatives or from people writing solely in the capacity of friends.

First referee

Title and Name

Address and post code

Telephone number

Email address

Job Title

Relationship to applicant

Second referee

Title and Name

Address and post code

Telephone number

Email address

Job Title

Relationship to applicant

It is normal practice to take up references on shortlisted candidates prior to interview. This is in line with the most recent version of Keeping Children Safe in Education statutory guidance. Please indicate whether you give your consent for references to be requested before interview, by ticking the appropriate boxes below

Reference 1:

Reference 2:

This section will be separated from Part 1 on receipt. Relevant responses may be verified prior to shortlisting and/or used for administration purposes but will not then be used for selection purposes. If you are called to interview you may be asked about the answers you have given to questions 15 to 19 and question 14 if relevant to the job.

11. PERSONAL INFORMATION

Surname or family name

All forenames

Title

Current Address

Postcode

Home telephone number

Mobile telephone number

Email address

DfE reference number

Do you have a current full driving licence?

Do you require sponsorship (previously a work permit)?

If YES please provide details under separate cover.

12. COMPULSORY DECLARATION OF ANY CONVICTIONS, CAUTIONS OR REPRIMANDS, WARNINGS OR BIND OVERS It is the School’s policy to require all applicants for employment to disclose any previous ‘unspent’ criminal convictions and any cautions which have not expired, or any pending prosecutions. In addition, the job you are applying for is exempt from the provisions of the Rehabilitation of Offenders Act 1974 (exceptions order 1975) which requires you to disclose all spent convictions and cautions except those which are ‘protected’ under Police Act 1997 – Part V and the amendments to the Exceptions Order 1975 (2013) and are not subject to disclosure to employers on DBS certificates and cannot be taken into account. Guidance on the filtering of “protected” cautions and convictions which do not need to be disclosed by a job applicant can be found on the Disclosure and Barring Service website. If you are invited to interview you will be required to disclose your criminal record on an “Invitation to Interview” form and bring the completed form to interview. If the job involves contact with children up to age 8 you will also be required to make a Disqualification Declaration. The information you give will be treated as strictly confidential. Disclosure of a conviction, caution, bind-over order, warning or reprimand will not automatically disqualify you from consideration. Any offence will only be taken into consideration if it is one which would make you unsuitable for the type of work you are applying for. However, offences relating to children may make you unsuitable since this is a “regulated position” under the Criminal Justice & Courts Services Act 2000. 13. PROHIBITION FROM TEACHING In accordance with the requirements of the School Staffing (England) (Amendment) Regulations 2013, any future appointment is subject to a check with the Department for Education to ensure that you are not subject to a prohibition order or an interim prohibition order. 12. DATA PROTECTION ACT The information collected on this form will be used in compliance with Data Protection regulations. By supplying information, you are giving your consent, if appointed, to the information being processed for all employment purposes as defined by statute. The information may be disclosed, as appropriate, to the governors, to Occupational Health, to the Teachers Pensions Agency, to the Department for Education, to pension, payroll and personnel providers and relevant statutory bodies. This form will be kept strictly confidential but may be photocopied and may be transmitted electronically for use by those entitled to see the information as part of the recruitment process. When the recruitment process is completed, your form will be stored securely for a maximum of six months then securely destroyed, unless you are employed as a result of this recruitment process in which case this application form will be retained as part of your personnel record. 13. NOTES (a) Under the Criminal Justice & Courts Services Act 2000 it is an offence for an individual who has been disqualified from working with children to knowingly apply for, offer to do, accept, or do any work in a ‘regulated position’. The position you are applying for is a “regulated position”. (b) Canvassing, directly or indirectly, an employee or governor will disqualify the application. (c) Candidates recommended for appointment will be required to provide a satisfactory Enhanced DBS certificate and complete a pre-employment medical questionnaire and may be required to undergo a medical examination. (d) This organisation is under a duty to protect the public funds it administers, and to this end may use the information you may provide as part of the recruitment process for the prevention and detection of fraud. It may also share this information with statutory bodies responsible for auditing or administering public funds for these purposes. 15. DECLARATION I certify that, to the best of my knowledge and belief, all particulars included in my application are correct. I understand and accept that providing false information will result in my application being rejected or withdrawal of any offer of employment, or summary dismissal if I am in post, and possible referral to the police. I understand and accept that the information I have provided may be used in accordance with paragraph 13 above, and in particular that checks may be carried out to verify the contents of my application form.

By checking the box below I consent to the declaration above.

PART 3 EQUALITY AND DIVERSITY MONITORING This section will be separated from part 1 and part 2. Collection of equality information is solely for monitoring purposes to ensure that our policies and procedures are effective. We also collect this data in accordance with the general and specific public sector equality duties under the Equality Act 2010. Any data you enter onto this monitoring form will only be used for monitoring purposes and will not be used in assessing and or scoring your application or during the interview process. This information is kept fully confidential and access is strictly limited in accordance with the Data Protection Act.

Ethnic Group

Ethnic Group

Religion

Any other religion?

Sexual Orientation

Gender

Personal relationship

Disability – Do you consider that you have a disability? Please tick

My disability is: