HasmoneanHigh School
2-4 Page Street
London
NW7 2EU
Tel: 020 8203 4294 (Ext. 312)
Fax: 020 8202 4527
/ /

Please complete this form in black ink, accurately and in full. Please write in block capitals.

APPLICATION FOR APPOINTMENT:

PERSONAL DETAILS (Block capitals please)

Surname and Title: / Date of Birth:
Forenames: / Address:
HomeTel. No:
Mobile Tel. No:
Email Address: / Post Code:
Nat. Insurance No. / Nationality:

PRESENT EMPLOYER

Present Employer: / Superannuation scheme (if any):
Address:
Position/Duties:
Date of Appointment:
Present Salary/Wages:
Notice required by your employer:

PREVIOUS EMPLOYMENT

Names and addresses of employers: / Posts held: / Dates
1 / FROM / TO
2 / FROM / TO
3 / FROM / TO

Please continue on a separate sheet if necessary.

SECONDARY SCHOOL EDUCATION

Schools / From / To / Qualifications at GCSE
or equivalent / Exam
Board / Grade / Date
School / From / To / Qualifications at ‘A’ Level
or equivalent / Exam
Board / Grade / Date

HIGHER EDUCATION (in chronological order)

Educational Establishment / From / To / Qualifications obtained (include main subjects) / Grade / Date

PROFESSIONAL TRAINING COURSES ATTENDED/OTHER TRAINING(during last 5 years)

Course Title/Brief Description / Date / Organising Body

REFERENCES

Please give names and addresses of two persons or companies to whom reference may be made.
One referee must be your present employer or, if you are unemployed, your last employer.
REFERENCE 1 REFERENCE 2
MR / MRS / MS / MISS
Address:
Position:
Tel. No:
Email Address:
/ MR / MRS / MS / MISS
Address:
Position:
Tel. No:
Email Address:
Providing false information is an offence and could result in the application being rejected or summary dismissal if the applicant has been selected, and possible referral to the police.
DECLARATION
Signature of Applicant: / Date:
When are you available to take up the post if appointed?
Canvassing members of the school Governing Body, directly or indirectly, will disqualify the candidate concerned.