GURU NANAK SIKH ACADEMY
SPRINGFIELD ROAD HAYESMIDDLESEX UB4 0LT
Telephone: 020 8573 6085 Fax: 020 8561 6772
Website:email:
Founder: Sant Baba Amar Singh Ji
Principal: Rajinder Singh Sandhu
APPLICATION FORM
Post applied for :1. PERSONAL DETAILS (Block Capitals)
Surname: ……………………………………………………. / First Names: …………………………………………………Title Mr/Mrs/Miss/Ms: ……………………………….. / Former Names (if applicable) ………………………
Date of Birth: ……………………………………………… / ………………………………………………………………………
Home Address: …………………………………………… / Term Time Address (if different): ………………..
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Tel: ………………………..…Fax: …………………………. / E-Mail Address: ……………………………………………..
DCSF Reference Number: …………………………. / National Insurance Number: …………………………
If not a European citizen please state if you require a work permit YES NO
2. EDUCATION/QUALIFICATIONS
Details of all courses studied, including those not completed successfully, must be given. It is a requirement of the DfEthat applicants for teaching posts possess GCSE or equivalent passes in English and Mathematics at Grade C or above.
Secondary School or College of Education / From / To / Examinations passed with grades / DateUniversity or Institution of equivalent status / From / To / Degree pass/Class obtained Honours Main and Subsidiary subjects / Date
College, Department of Education / From / To / Qualifications obtained/Main and Subsidiary subjects / Date
Age group for which trained:
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Date of successful completion of Induction year/Probationary Period (if applicable):
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LEA where Induction year/Probationary Period was completed:
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Details of special qualifications on the basis of which Qualified Teacher Status is claimed, including membership of professional institutions gained by examination:
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3. PRESENT POST
Title of present post (indicate any key responsibilities)…………………………………………………………………………………………………………………………………………………..
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Date Appointed ………………………………………………………………………………………………………………………..
Current Salary £ …………………….. Point on MPS/UPS/LS (state which) …………………………………
School/College/Employer
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Address
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LEA (if applicable) …………………………………………………………………………………………………………………….
Tel: ……………………..Fax: ………………………..E-Mail Address ………………………………………………………..
Notice Required
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4. PREVIOUS TEACHING POSTS(list in reverse chronological order)
Post / FT/PT / Scale / School / AgeRange / Subjects Taught / From / To5. OTHER EMPLOYMENT
Name and Address of Employer / Dates / FT/PT / Details of Post Held6. IN-SERVICE COURSES
Please give details of all courses attended of at least one day over the last five years.
Description of Course / Month / Year7. LEISURE ACTIVITIES AND SPECIAL INTERESTS
Please give details of your recreational and cultural interests, voluntary work and any other special skills you have developed which may be relevant to the post and to your work with young people
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8. GENERAL STATE OF HEALTH
Have you ever suffered from any serious illness or injury? YES NO Please give details
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Please give dates and duration of you last illness
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Please give details if you have a disability which you would like to make known to us
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9. ADDITIONAL SPACE
Please use this space for any information you have not had the space or opportunity to enter under other headings
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10. REFEREES
These should be persons of appropriate standing with direct knowledge of your professional work and should include your present employer. If you are applying for a first teaching post you should include your Course Tutor and the Headteacher of a school where you have completed teaching practice.
i) Name ……………………………………………………….. / ii) Name ………………………………………………………Status …………………………………………………………… / Status ………………………………………………………….
Address …………………………………………………………
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Email: …………………………………………………………. / Tel:……………..…......
Fax: ………………………......
Email: ………………………………………………………….
11. LETTER OF APPLICATION
You are invited to supply, in a letter below, supporting information, including the reason for your application. Please highlight the skills, experience and educational background which would indicate your suitability forthe post and the personal contribution that you can make. You should relate the information you give to the details of the post that have been sent to you.
Applicants should note that the Guru Nanak Sikh Academy welcomes applications for posts from persons of all religious and ethnic backgrounds. However applicants should note that it is an Academy which is committed to sustaining the Sikh religion and culture. As such, all members of staff are required to wear head covering, although there is considerable flexibility as to the nature of this. The Academy has a strict non-smoking policy.
Please indicate that you have read and understood the foregoing.
Signature of Applicant: ………………………………………………….… Date:…………………………………..……
Please send the completed application form with your letter of support to
GURU NANAK SIKH ACADEMY LIMITED
You are invited to supply,in a letter BELOW, supporting information, including the reason for your application. Please highlight the skills, experience and educational background which would indicate your suitability forthe post and the personal contribution that you can make. You should relate the information you give to the details of the post that have been sent to you.(Please use additional sheets as required).