Job Application

"*" indicates required fields

I am applying for*

Personal Information

Title*

Forename(s)*

Surname*

Former name:

Including maiden name

Preferred name:

Address:*

How long have you lived at this address?*

If less than 5 years please provide all previous addresses for past 5 years.

Previous addresses

Please list 5 years of address history and how long you lived at each address

Contact Information

Home telephone

Mobile telephone*

Email*

General Information

Do you have Qualified Teacher Status?*

Yes

Do you hold a current UK driving licence?*

Yes

Please provide full details of membership of any professional bodies*

Academic and Vocational Qualifications

Please provide details of all academic and vocational qualifications*

Award/Qualification

Awarding Body

Date Obtained

Grade (if appropriate)

Professional Development

Long Courses (Attended during the last 3 years)*

Name of Course (and award if gained)

Provider

Ftime/Ptime or Seconded

From

Short Courses (Attended during the last 3 years)*

Name of Course

Provider

Ftime/Ptime or Seconded

From

Outside Interests*

Further Education and Career History

Please provide full details of all positions held and of all training/further education, employment, self-employment and unpaid work since leaving secondary education. Please start with your current or most recent employer and in each case the reason for leaving employment. Please provide explanations for any periods not in employment, further education or training.

Career History*

Current Salary

Salary (basic) if appropriate*

Please indicate spine point

Additions

(Please indicate responsibility points, London Allowance etc)

Total Salary

Further Details

Please set out in detail below a statement in support of your application, which addresses the criteria in the person specification for this post.*

Please confirm if you know any existing employee, volunteer or Governor at the School and if so, please provide full details of how you know them.*

Referees*

Please provide at least two professional referees. One referee should be your current or most recent employer. Please include their name, address, position, phone number and email address.

Data Protection

The information that you provide on this form will be used to process your application for employment. The personal information that you provide will be stored and used in a confidential manner to help with our recruitment process. More details as to how we will process your data is set out in the Recruitment Privacy Notice and Data Protection Policy. If you succeed in your application and take up employment with the School, the information will be used in the administration of your employment. We may check the information provided by you on this form with third parties.

Declaration

As the job for which you are applying involves substantial opportunity for access to children, it is important that you provide us with accurate answers. You should be aware that the School will institute its own checks on successful applicants with the Disclosure and Barring Service (DBS), and, where appropriate, a check of the Barred List maintained by the DBS, and any offer of appointment will be made conditional on obtaining such satisfactory checks I have not been disqualified from working with children, I am not prohibited from working with children, and I am not subject to any sanctions imposed by a regulatory body (e.g. the General Teaching Council for England, or the Teaching Regulation Agency). I declare that the information I have given in this Application Form is accurate and true. I understand that providing misleading or false information will disqualify me from appointment or if appointed, may result in my dismissal.

Personal Declaration*

I confirm that I have read and agree with the Data Protection statement and declare that the information I have provided is accurate.

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