Please complete this Job Application form in black ink or typescript, so that, if necessary, it can be photocopied clearly.
APPLICATION FOR POST OF
PERSONAL DETAILSSurname: / Title:
Forenames: / Previous Name:
Address: / Tel. No. Home }
Post Code: / N.I. Number:
How would you like us to contact you about your application?EmailPost
Working in the UK
Are you eligible to work in the UK/EEA?/
Do you require a work permit to work in the UK?/ YesNo
Teaching Ref No ______Date of qualification ______
Have you completed an induction year Yes No
as a Newly Qualified Teacher?
REFEREESPlease give details of two referees, one of whom should be your present/most recent employer. References will not be accepted from relatives or friends.
Please note: No appointment will be confirmed without first taking up references.
Current Employer Previous Employer
Personal Character Reference
Name & Title:
May this referee be contacted without further authority from you? Yes / No / Current Employer Previous Employer
Personal Character Reference
Name & Title:
May this referee be contacted without further authority from you? Yes / No
PRESENT POSITIONPlease give details of your CURRENT post
Name & Address / Post Title and Main
Duties/Responsibilities / Full/Part
Time / Salary / Date
Period of NoticeRequired:
PREVIOUS EXPERIENCEPlease complete in reverse chronological order (i.e. your most recent job first). Please give explanations/reasons for any gaps in employment and include any unwaged or voluntary work.
Employer / Job Title and Main Duties
(Please state Full/Part Time) / Salary / Dates / Reason for Leaving
Other relevant experience/
QUALIFICATIONS AND EDUCATIONPlease give details of all nationally recognised qualifications
Year of Qualification / Qualification / Subjects / Grade/ Level / School/College/University / Full/Part Time
OTHER TRAININGPlease give details of training you have completed which is relevant to this post
Training/Course Title / Organising Body / Duration / Month/Year
ADDITIONAL INFORMATIONPlease give your reasons for making this application relating your qualifications, experience and personal attributes to the essential criteria in the Person Specification. You may also wish to relate your own leisure and spare time interests. If necessary, please continue on a separate sheet and attach it to this form.
DISABILITYPlease let us know about any reasonable adjustments you require to attend for an interview.
The Equality Act 2010 protects people with disabilities from unlawful discrimination. To meet the Act’s definition, a person must have a physical or mental impairment, which has substantial long-term effects on their ability to carry out normal day-to-day activities. If we know you have a disability we will make adjustments or special arrangements, if required, to allow you to attend the interview should you be shortlisted for the role.
Please let us know about any reasonable adjustments you require to attend for an interview.
Do you have a disability you wish us to know about at this stage?YesNo
If yes, please let us know what access requirements you may have
DRIVING LICENCEDo you hold a current valid driving licence?
Please give details of any relationship to a Councillor, Governor, or employee of the School.
I understand providing false information is an offence and could result in the application being rejected, or dismissal if selected for appointment, and possible referral to the police.
Signed: ______Date: ______
Equality Details Form
This form provides information about your equality details. This information is used by the organisation to review compliance with equality and diversity targets as well as helping to plan the workforce for the future.
- Personal Details
Assignment Number (if appropriate)
1. Provide your gender at birth / Male / Female
- Sexual Orientation
2. Provide your sexual orientation / Heterosexual / Straight / Gay / Lesbian
Bisexual / Prefer not to say
- Religion and Beliefs
3. Provide the religion or belief that is most suitable? / Buddhist / Christian / Hindu / Jewish
Muslim / Sikh / No Religion
Prefer not to say / Other* (Go to 4)
4. If OTHER, provide details.
- Ethnic Origin
5. White / White British / White Irish / White Other* (Go to 10)
White Gypsy or Irish Traveller
6. Mixed / White & Black Caribbean / White & Black African
White & Asian / Other Mixed Ethnic Group* (Go to 10)
7. Asian or Asian British / Indian / Pakistani / Bangladeshi
Chinese / Other Asian or Asian British* (Go to 10)
8. Black or Black British / Caribbean / African / Other Black or Black British*
9. Other Ethnic Groups / Arab / Any Other Ethnic Group* (Go to 10)
Prefer not to say
10. If OTHER*, provide details.
The Disability Discrimination Act (1995) defines a disabled person as someone with a 'physical or mental impairment which has a substantial and long-term adverse effect on his/her ability to carry out normal day-to-day activities.
Under this definition do you consider yourself to have a disability? / Yes / Go to / No / Got to Declaration
5. Provide your sexual orientation / Hearing Impairment / Learning Difficulties
Learning Disability / Long standing illness or heart condition
Mental Health Condition / Mental Illness
Mobility Impairment / Neurological Condition
None / Physical Coordination Difficulties
Physical Impairment / Prefer not to say
Reduced Physical Capacity / Sensory Impairment
Visual Impairment (not corrected by spectacles) / Other
If OTHER, provide details.
If you have a disability that may have an effect upon your work, your health & safety at work or the health & safety of others, you must make your manager aware of this. This is so that any appropriate measures can be identified that would ensure the health & safety of you, your work colleagues or members of the public while you are at work.
I certify that I have the authority to make this request and have provided information that is accurate to the best of my knowledge and belief. I recognise that failure to declare any relevant information or the provision of false or misleading information may result in appropriate action being taken.
Signature* / Date
*a signature is not required if this form is emailed from your given email address.
Please return this form in the envelope provided (if returning your application by post) or by email to .
Declaration of OffencesBefore completing this form, please read the following notes carefully.
Rehabilitation of Offenders Act 1974
This post is exempt from the above act, as the nature of the job falls within the type of work
excluded from the Act by the 1975 and 2001 Exceptions Amendment. This means you must declare
on this form all offences, convictions, cautions, reprimands, warnings and bind overs except those which are “protected” as defined by the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (Amendment) (England and Wales) Order 2013. You must also declare any court cases you may have pending.
Convictions will not necessarily be a bar to employment with the School.
As this post involves working with or has access to children or vulnerable adults and/or their records, the successful candidate will require an Enhanced Disclosure from the Disclosure & Barring Service in accordance withthe Rehabilitation of Offenders Act 1974, the Police Act 1997 as amended by the Safeguarding Vulnerable Groups Act 2006 and the Protection of Freedoms Act 2012.
Do you have any convictions, cautions, reprimands or final warnings that are not “protected” as defined by the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (Amendment) (England and Wales) Order 2013? / Yes / No
Have you ever been disqualified from working with children or vulnerable adults? / Yes / No
Do you have any court cases pending? / Yes / No
If you fail to disclose any criminal convictions, cautions, reprimands, warnings and bind overs, including those spent but not “protected”, it could result in withdrawal of the job offer, dismissal or disciplinary action by the School.
If you do not have any, please write none.
Details of offence(s) / Place and date of Judgement(s) / Sentences(s)
Possession of a conviction or caution reprimand, warning or bind overs will not necessarily mean that you won’t be appointed, each case is considered on its merits. All information given will be treated in the strictest confidence and will be used for this job application only.
I certify that, to the best of my knowledge, the information on this form is true and accurate. I understand that if the information I have supplied is false or misleading in any way, it will automatically disqualify me from appointment or may after appointment lead to disciplinary action, which could lead to my dismissal without notice.
Name (Please print)
Signed / Date