PLYMOUTH COLLEGE APPLICATION FORM
Please use block capitals and black ink
Post Applied For: / Job ID:(Office use only)
Surname: / Preferred Title:
First Name(s): / Date of Birth:
LETTER OF APPLICATION [optional if covering letter preferred]
In support of your application you are asked to write a statement giving your reasons for applying for this post. Include any information that you consider relevant to this application, addressing the key areas in the person specification. Please continue on an additional sheet if required.
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Surname: / First Name(s): / Job ID:(Office use only)
1. PERSONAL DETAILS
Address:
Postcode: / Email:
Telephone (home): / Telephone (work):
Mobile: / Preferred method of contact:
2. ACADEMIC AND PROFESSIONAL QUALIFICATIONS
School / College / University / Other / From / To / Subject. Qualifications. Grades. Honours
Graduate and Postgraduate
Qualifications
Higher Education
A Levels
Higher Education
GCSEs :
Professional Qualifications
3. PRESENT APPOINTMENT (or most recent):
Post Held:
Role:
School / College / Company
Address:
Date Appointed: / Salary
Notice Required / Consent to contact place
of employment: Yes No
4. PREVIOUS APPOINTMENTS (please start with most recent)
Name of Employer / Status
Full or Part Time / Title of post / Responsibilities / Salary / Period of Service
From To
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Surname: / First Name(s): / Job ID:(Office use only)
5. PROFESSIONAL DEVELOPMENT
Please give details of courses relevant to this application:
Course Title / Provider / Duration / Dates
6. OTHER RELEVANT WORK EXPERIENCE (please start with most recent)
Nature of Occupation / Employer / Period of Service
From To
7a) DECLARATION BY APPLICANT
As this post is classified as having substantial access to children, appointment will be subject to a police check of previous criminal convictions. You are required, before appointment, to disclose any conviction, caution or binding over including ‘spent convictions’ under the Rehabilitation of Offenders Act 1974 (Exemptions) Order 1975. Disclosure will only be required following interview if it is considered that you are the most suitable candidate for the post.
Please state whether you have enhanced clearance by the Disclosure and Barring System
Please attach a copy of your certificate and give details below:
Date, number, clearance reference:
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Surname: / First Name(s): / Job ID:(Office use only)
7b)
I appreciate that I must declare in this application any close relationship with a member of the school’s Governing Body, or with a member or senior official of the organisation that has responsibility for the school. I understand that failure to disclose such a relationship may result in my disqualification.
7c)
I declare that the information I have given on this form is correct and I understand that failure to complete the form fully and accurately could result in an incorrect assessment of salary and / or exclusion from short listing, or may, in the event of employment, result in disciplinary action or dismissal.
7d)
UK Residence. Please state that you have been resident in the U.K. during the last 5 years and if you have any periods of more than 12 months at any one time outside of the UK. Please list reasons.
7e)
Breaks from working/teaching with children. Have you had a break of 3 months or more in the last 3 years from roles with substantial access to children? This refers to single or multiple 3 month periods not single days, weeks or months or more in total.
Yes No (Please circle)
If Yes please give details of dates and reasons for these breaks.
Signed
Dated:
8. REFERENCES
N.B. References will only be sought for short listed candidates.
May we approach your referees without further reference to you? YES / NO
The first reference should be your present or most recent employer.
(i) / (ii)
Name: / Name:
Position: / Position:
Address: / Address:
Telephone No: / Telephone No:
In what capacity do you know the above? / In what capacity do you know the above?
If you were known to either of your referees by another name, please give details:
WS
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