Committed to Equal Opportunities Associate Staff Application Form

Committed to equal opportunities Associate Staff Application Form

and attainment through merit

Please complete this form in black or typescript, so that if necessary it may be photocopied.

The completed form should be enclosed with your letter of application.

Please do not include a curriculum vitae.

APPLICATIONFOR THE POST OF:
Surname / Forenames / Title
Address
Post Code / Tel. No. (home)
Tel. no. (work)
Tel. no. (mobile)
Email address

PRESENT POSITION (Please give details of your CURRENT post)

(A) If in employment

E EMPLOYER

/ POST AND DUTIES / FULL / PART TIME / WAGE /
SALARY /

DATE APPOINTED

PERIOD OF NOTICE
REQUIRED:
(B) If unwaged, please give brief details of your current situation/occupation.

PREVIOUS EXPERIENCE (Please complete in chronological order i.e. your earliest job first)

(A) Employment

EMPLOYER

/

POST AND DUTIES

/ FULL /PART TIME / FROM/TO
(MONTH/YEAR)
(B) Other useful experience (e.g. voluntary work, family care, study)

QUALIFICATIONS AND EDUCATION (See overleaf for other training)

SUBJECTS

/

QUALIFICATION

/

GRADE /

LEVEL / YEAR OF
QUALIFICATION

OTHER TRAINING

TRAINING/COURSE TITLE /

DATE(S) MONTH & YEAR

Please give details of any ways in which you feel your education, experience and other skills are relevant to this post. If necessary, please continue on the back of this form.
REFEREES (1) / OFFICE USE ONLY
Please give details of two referees, one of whom should be your present/most recent employer / Requested / Received
Name
Position
Address
Tel No. Fax No.
Email:
May this referee be contacted without further authority from you? / YES / NO
REFEREES (2) / OFFICE USE ONLY
Please give details of two referees, one of whom should be your present/most recent employer / Requested / Received
Name
Position
Address
Tel No.. Fax No.
Email:
May this referee be contacted without further authority from you? / YES / NO
CONTRACTUAL INFORMATION / OFFICE USE ONLY
1) National Insurance No. ……………………………………………………………………..
2) Declaration of Criminal Records
You MUST declare any offences, sentences or cautions, (reprimands, final warnings and dates).
You should also disclose any charges, which are, or may be, pending.
3) Sickness Record
If you have been absent from work due to sickness or hospitalisation in the last two years, please state the number of days absent, and indicate reasons.
4) Driving Licence Do you hold currently valid licence? YES/NO
5) It is in your own interest to indicate any relationship to anyone in authority at the School, e.g. Governors. YES / NO.
(Please give name, address and relationship.)
To the best of my knowledge the information given on this form is correct.
I understand that canvassing or giving false information will disqualify my application.
Signed ……………………...... Date…………………………………

School/Ass Stf Appl Form