KING EDWARD'S SCHOOL

Edgbaston Park Road

Birmingham B15 2UA

Email:

APPLICATION FOR EMPLOYMENT

Please use black ink and block letters when completing this form by hand

Position applied for

PERSONAL DETAILS

Surname / Forenames
Mr/Mrs/Ms/Other / Date of Birth
Address
Postcode
Telephone Numbers: Home
Work (if it may be used)
Mobile / Email
DfES number (if applicable) / National Insurance Number

SECONDARY EDUCATION

Schools attended from age 11 / Dates / Qualifications Gained
From / To / SubjectLevel / Grade / Date

HIGHER EDUCATION

Name of College or University / Dates / Qualifications Gained
From / To / Title and Subject / Class & Level / Date

OTHER TRAINING AND PROFESSIONAL QUALIFICATIONS

Professional Body/Course / Membership Grade/Qualification / Date

PRESENT OR MOST RECENT EMPLOYER

Name
Address
Postcode
Starting Date / Present salary/grade
Leaving Date (if applicable) / Job Title
Duties/responsibilities

PREVIOUS APPOINTMENTS (with dates, in reverse chronological order, please)

Name of Establishment / Dates / Main Responsibilities
From / To

RECREATION, SPECIAL INTERESTS AND OTHER RELEVANT INFORMATION (Continue on a separate sheet if necessary)

PLEASE USE THIS SPACE TO PROVIDE FURTHER INFORMATION TO SUPPORT YOUR APPLICATION

CRIMINAL RECORD

Have you ever been convicted of a criminal offence?Yes / No

If 'yes', please describe below

This post is exempt from the Rehabilitation of Offenders Act and all convictions, cautions, bind-overs, including those regarded as spent, must be declared. The successful applicant will be required to apply for an enhanced disclosure from the Disclosure and Barring Service.

If offered this position, will you continue to work in any other capacity?Yes / No

If 'yes', please give details below

REFERENCES

Please give names, addresses and position of two persons, including present or most recent employer, to whom confidential reference may be made.

Name
Position / Name
Position
Address
Postcode
Daytime Telephone Number
Email address / Address
Postcode
Daytime Telephone Number
Email address

RECRUITMENT POLICY

It is the Governors' policy to employ the best qualified personnel and provide equal opportunity for the advancement of employees including promotion and training and not to discriminate against any person because of race, colour, sexual orientation, age, religion or belief, marital status or disability.

DECLARATION

I declare that the information given on this form is, to the best of my knowledge, true and complete and I understand that any false information may be sufficient cause for rejection or, if employed, dismissal without notice. I also confirm that I am not on List 99 or otherwise disqualified from working with children. I further authorise the Governors to obtain references to support this application and release the Governors and referees from any liability caused by giving and receiving information. I agree that the information given on this form may be used for registered purposes under the Data Protection Act, 1984.

Signature Date

Updated Feb 2014