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Recruitment Application

APPLICATION FORM for Employment

Position Applied for:	*
Where did you learn of this post?	*

Personal Details
Title:	*
Surname:	*
First Name(s):	*
Maiden Name or Previous names (if applicable):
DFE Number (if applicable):
Social Insurance No:	*
Email:	*
I.D. Number:	*
Address:	*
Post Code:	*
Mobile number:	*
Work number:	*

Education Secondary Schools
Secondary Schools	From (dd/mm/yyyy)	To (dd/mm/yyyy)	Qualifications	Year Awarded (yyyy)
*	*	*	*	*

Full-Time Higher Education
Secondary Schools	From (dd/mm/yyyy)	To (dd/mm/yyyy)	Degree (Type, Class/Division)	Year Awarded (yyyy)
*	*	*	*	*

Part-Time Education
Secondary Schools	From (dd/mm/yyyy)	To (dd/mm/yyyy)	Other Qualifications, including post-16	Year Awarded (yyyy)
*	*	*	*	*

Recent Training
Recent Training (i.e. teaching courses, First Aid, ICT)	Qualifications	Year Awarded
*	*	*

Details of current or last teaching post:
Employer:	*
School or College:	*
Descripton of Post:	*
Date Appointed (dd/mm/yyyy):	*
Full or Part-Time:	*
Date Left (if appropriate)(dd/mm/yyyy):	*
Period of Notice:	*
Reason for leaving your last post or wishing to leave your current post:	*

Details of Previous Employment in Education Please list all relevant employment in chronological order (most recent first) with precise dates wherever possible. For periods of part-time employment the fractional equivalent of full-time should be given. This information will be used to assess the salary and it is important that you give as full information as possible.
Employer and School or College	Post and Grade	Full or Part-time (fraction)	Date From (dd/mm/yyyy)	Date To (dd/mm/yyyy)

Details of Previous Employment outside Education Please list in chronological order giving precise dates wherever possible. For periods of part-time employment the fractional equivalent of full-time should be given.
Employer and School or College	Post and Grade	Full or Part-time (fraction)	Date From (dd/mm/yyyy)	Date To (dd/mm/yyyy)

Periods not accounted for above Please give details:	Date From (dd/mm/yyyy)	Date To (dd/mm/yyyy)

Do you have ANY criminal convictions, cautions or warnings? If YES, you must record full details in a separate, sealed envelope marked with your name and 'Confidential: Criminal Record Declaration' and enclose it with your application. An offer of appointment will be subject to satisfactory Police clearance.	*
Are you subject to any legal restrictions in respect of your employment? If YES, please provide details separately.	*
Do you require a work permit? If YES, please provide details separately.	*
Are there any special arrangements which we can make for you if you are called for an interview? If YES please specify.	*
Please draft how you meet the requirements set out in the job description for this role.	*

Confidential References

Give here details of two people to whom reference may be made. The first referee should normally be your present Headteacher.
If you are not currently working with children please provide a referee from your most recent employer involving children. Referees will be asked about disciplinary offences relating to children.
References will not be accepted from relatives or from people writing solely in the capacity of professional friends.

Reference 1
Address & Postcode	*
telephone Number	*
Email Address	*
Job Title	*
Relationship to Applicant	*

Reference 2
Address & Postcode	*
telephone Number	*
Email Address	*
Job Title	*
Relationship to Applicant	*

Data Protection

The information you have provided on this form will be stored and processed by the School but will not be disclosed to any outside Agency, unless we are legally obliged to do so.
Forms from successful applicants will be used by the School as a basis for your personnel record. Forms from unsuccessful applicants who have not requested that their details be held for consideration for any future vacancies will be destroyed.

Declaration

*I hereby certify that the information given above is correct to the best of my knowledge and belief. Please note that providing false information is an offence and could result in your application being rejected,summary dismissal if you are selected or possible referral to the police.

APPLICATION FORM for Employment

Position Applied for:

*

Where did you learn of this post?

Personal Details

Education Secondary Schools

Full-Time Higher Education

Part-Time Education

Recent Training

Details of current or last teaching post:

Details of Previous Employment in Education

Details of Previous Employment outside Education

Periods not accounted for above

Do you have ANY criminal convictions, cautions or warnings?

Are you subject to any legal restrictions in respect of your employment?

Do you require a work permit?

Are there any special arrangements which we can make for you if you are called for an interview?

Please draft how you meet the requirements set out in the job description for this role.

Confidential References

Reference 1

Reference 2

Data Protection

Declaration