Application for Appointment

Please write in block letters in black ink or type.

Your name:
Post for which you are applying:

Personal Details

Please note that in an attempt to avoid any possible discrimination, all personal details have been requested on a separate sheet and will not be made available for use during shortlisting. Your application will be processed within the terms specified by the Data Protection Act 1998. By completing this form, you hereby explicitly consent to the College collecting, holding and otherwise processing personal data, including ‘sensitive’ personal data relating to you, for the purposes necessary within our recruitment and selection process. Any personal information that you provide will remain confidential.

Present or most recent Employment

Other Information

Present Employer: / Date Appointed:
Date Left: (if applicable)
Employer’s Address: / Present Position:
Reason for Leaving:
Annual Salary:
Are you in receipt of
Professional Standards Payment: Yes/No
If so, what level: 1, 2 or 3
(If appointed, you will be asked to provide evidence) / Period of Notice Required:
Main Areas of Responsibility:
Do you hold QTS status? YES / NO / For what age range are you trained to teach?
Subjects taught/able to teach:
Have you completed your NQT year? YES / NO / PARTIALLY / N/A
DfES Reference Number:

Previous teaching posts (most recent first)

Employer / Position / From / To /

Reason for leaving

Previous non-teaching employment (most recent first)

Employer / Position / From / To /

Reason for leaving

Secondary Education

From / To / Name of School / Examinations Passed
Date Subjects Grade

Higher/Further Education and Teacher Training

(If you are appointed, you will be required to produce evidence of your qualifications)

From / To / Full or Part time / College/Organisation/Course / Qualification & Subject obtained (if any)

Professional Training

Please list other education and training courses attended, including in-service training

From / To / College/Organisation/Course / Qualifications obtained
(if any)
Additional Information
Please use this page to demonstrate how you meet the requirements of the post as described in the job description and person specification. You should include details of any relevant experience and any other facts about yourself that you consider relevant, in order to indicate your suitability for the post. You may use up to three sides of A4.
Please do not submit a CV.
Additional Information
Continued

Page 1 of 6

Teaching Applications Only

Student Achievement Data Sheet

Please complete the following table with data for the last three years’ student outcomes which you have directly taught. If you shared groups please indicate this on the sheet. If you have not been teaching for three years then complete as many years as possible.

Name of institution / Course Title / Shared group? / Completion Year / Level / Starters / Completers / Suc % / Ach % / Ret % / High Grades %
Sir George Monoux / Maths A2 / N / XX/YY / 3 / 100 / 90 / 90% / 100% / 90% / 30%

Please make sure you return this completed data sheet with your application form.

Page 1 of 6