APPLICATION FORM

Post Applied For
Where did you hear about this post or see it advertised?
What is your current notice period?
Preferred First Name: / Surname:

Thank you for your interest in UppinghamSchool.

In order to assist both you and us in the recruitment process please ensure that you read the following documents:

Relevant Job Description with Person Specification

Recruitment and Selection Policy

Recruitment of Ex–Offenders Policy (attached to the back of this form)

Child Protection Policy

This application form is your opportunity to tell us about the skills, experience and attributes you feel are relevant to this role. You are required to complete all sections (including Personal Details and Recruitment of Ex-Offenders declaration) before submitting your application to the HRDepartment; failure to do so may result in your application being rejected.

Please complete this form in black ink and write clearly (if handwritten).If you run out of room in any section please continue on a separate sheet, clearly indicating the relevant section numbers at the top of the page.

All applicants will be short-listed based on the information provided on this form. CVs can be included as an addition to your application but not in place of the form or any section of it.

If you are shortlisted for interview you will be contacted directly by telephone or email. Due to the volume of applications we are unable to acknowledge all applications and if you do not hear from us within 21 days of the vacancy closing date please assume your application has been unsuccessful on this occasion.

Please return completed applications to:

The HR Department

UppinghamSchool

High Street WestTel: 01572 820633/0646

Uppingham Fax: 01572 823471

RutlandEmail:

LE15 9QD

1

Updated January 2017

  1. PERSONAL DETAILS

Surname: / Title:
Mr Mrs Miss
Ms Other:
Please list all previous Surnames used:
Forename: / Middle Names:
Current Address: / Contact Numbers:
Please tick next to which methods of contact you would like us to use. Please do not list a work telephone number if you are not happy to be contacted at work under any circumstances.
Home:
Mobile:
Work:
Postcode: / Email:
National Insurance Number: / Current salary:
Are there any restrictions on you taking up employment in the UK? / YES NO
If yes, please give details:
  1. EDUCATION AND QUALIFICATIONS

Please list below, in the relevant sections, all the establishments you have attended and any qualifications you have gained there.
It is School policy to verify the qualifications of successful applicants, and you may be asked at a later stage in the recruitment process for your consent to checks being carried out.
Secondary School(s) attended:
Name and Location / Dates Attended / Qualifications Attained (Awarding Body, Subject, Level & Grade)Brief summary only
From
(mm/yy) / To
(mm/yy)
Colleges attended:
Name and Location / Dates Attended / Qualifications Attained (Awarding Body, Subject, Level & Grade)
From
(mm/yy) / To
(mm/yy)
Universities attended:
Name and Location / Dates Attended / Qualifications Attained (Awarding Body, Subject, Level & Grade)
From
(mm/yy) / To
(mm/yy)
Other Courses / Please list below any courses you have attended which are required for the position or are relevant to it (please continue on a separate sheet if necessary).
Name of course, where completed and qualification attained / Date Completed (mm/yy)

1

Updated January 2017

  1. EMPLOYMENT HISTORY

Please supply a full history in chronological order (with start and end dates) starting with your current/most recent employer first, of all employment, self-employment and any periods of unemployment since leaving secondary education. You must provide where appropriate explanations for any periods not in employment, self-employment or further education/training and in each case reasons for leaving employment.
Dates of
Employment / Name and Address of Employer / Job Title and brief summary of main responsibilities
of the position / Reason for leaving
From
(mm/yy) / To
(mm/yy)
3. EMPLOYMENT HISTORY - Continued
Dates of
Employment / Name and Address of Employer / Job Title and brief summary of main responsibilities
of the position / Reason for leaving
From
(mm/yy) / To
(mm/yy)

1

Updated January 2017

  1. LEISURE/NON WORK ACTIVITIES

Please note below your leisure interests, sports, hobbies, other pastimes etc.
  1. EXISTING CONTACTS WITHIN THE SCHOOL

In accordance with our Equal Opportunities policy, and to ensure an unbiased selection process, please indicate if you know or are related to any existing employees or Trustees at the School, and if so, how you know/are related to them.
Name and Position at the School / Relationship to you
(e.g. friend, neighbour, sister etc)
  1. SUPPORTING INFORMATION

Please make specific reference to the job description/person specification and give evidence for each statement making sure that is relevant to this position.
Please tell us why you wish to leave your current role and why you are interested in this position.

1

Updated January 2017

Tell us how your qualifications, skills experience make you a good candidate for this position.
Explain how you will develop the role and what personal qualities you will bring to the School.

1

Updated January 2017

  1. REFEREES

Please provide two referees. One referee should be your current or most recent employer. Where you are not currently working with children but have done so in the past one referee must be from the employer by whom you were most recently employed in work with children.
The School reserves the right to take up references from any previous employer. Referees will be contacted to verify the reference.
References will not be accepted from relatives or from referees writing solely in the capacity of friends.
Referee 1 / Referee 2
Name:
Full Address:
Telephone:
Email:
How do you know this person?
Occupation:
May we contact this referee prior to interview? YES NO / May we contact this referee prior to interview? YES NO

We are committed to recruiting the best people to fill our vacancies in a fair and equitable way. A completed application form helps us to compare individuals on like for like information and as such we do not accept a CV as the only form of application. However please feel free to attach a copy of your CV to your completed application form as supporting documentation.

All offers of employment are subject to:

Satisfactory medical clearance

At least two references that are satisfactory to the School

Proof of qualifications and right to work in the UK

Satisfactory enhanced disclosure clearance from the Disclosure and Barring Service

DECLARATION
The personal information collected on this form will be used for the purposes of recruitment and selection for the role you have applied for, or other roles you may be suitable for within the School. If appointed this form will form part of your employment record. The information will not be used for any other purpose nor will it be disclosed to any third party. The School’s policy on retention of information is that all recruitment records are destroyed six months after the closing date for positions (except for information on successful applicants).
In accordance with the requirements of the Immigration, Asylum and Nationality Act 2006, any offers of employment will be subject to the production of a valid Passport or Birth Certificate and formal confirmation of your National Insurance number. In addition all employees must provide copies of qualifications required in the Person Specification and submit authorisation to have them verified.
If it is discovered that you have given any information which you know to be false, or if you withhold any relevant information, your application may be rejected or any subsequent employment with us terminated.
  • I declare that the information I have given is, to the best of my knowledge, true and complete.
  • I am aware that the School will create computer and paper records about me during the recruitment and selection process, and consent to this information being used for such purposes.
  • I agree that should I be successful in this application I will apply to the Disclosure and Barring Service for an enhanced disclosure. I understand that should the disclosure not be to the satisfaction of the School, any offer of employment may be withdrawn or my employment terminated.
  • I confirm that I am not on the Children’s Barred List, disqualified from working with children or subject to sanctions imposed by a regulatory body.

Signed: / Print Name: / Date:
PERSONAL INFORMATION
These sheets will be detached from your application form before the short listing process and held separately by the HR Department in a confidential file. This information is necessary to ensure our School complies with its Safer Recruitment obligations.
First Name(s)
/
Surname
All other names used and dates of use
Position applied for
Date of Birth
Nationality
Ethnic Origin
Previous Address
If you have been resident at your current address for less than five years please provide all previous addresses during the last five years. Please continue on a separate sheet if necessary:
Full Address and postcode
Resident at this address: / From / To / From / To
DRIVING LICENCE
Do you hold a full driving licence? / Yes: / No: / Do you have the use of a car? / Yes: / No:
Do you have any endorsements? / Yes: / No: / If you have endorsements please give details here:
I declare that the information I have given is, to the best of my knowledge, true and complete.
Signed: / Print Name: / Date:

1

Updated January 2017

1

Updated January 2017

1

Updated January 2017

Policy on the Recruitment of Ex Offenders and

Security of Disclosure Information

The Requirement for Enhanced Disclosure and Barring Checks

Uppingham School is a Registered Body with the Disclosure and Barring Service (DBS) for the purposes of obtaining enhanced level Disclosures, where required, for all employees and volunteers at the School. It is of fundamental importance to UppinghamSchool to ensure as far as is possible that those who take up appointments do not pose a risk to children in its care. Using the Disclosure service the School will review the criminal records of all individuals who are offered employment with the School and will only confirm employment formally once all recruitment checks have been completed.

Enhanced Disclosures are requested not only for staff at the School, but also for anyone who may come into regular contact with pupils; this includes all residents, aged 16 or over, living in School accommodation.

The Disclosure

Due to the nature of the environment, applicants are asked to declare all convictions, cautions, reprimands and final warnings (including those which would normally be considered ‘spent’ under the Rehabilitation of Offenders Act 1974, subject to DBS filtering rules which can be found at

An enhanced Disclosure will contain details of all convictions, cautions, reprimands or final warnings on record (including those regarded as ‘spent’)subject to DBS filtering rules. The Disclosure will also reveal whether the individual appears on lists held by the Department for Education (DfE). These lists hold the names of people who are deemed to be unsuitable to work with children. Please note it is a criminal offence for anyone that is barred from working with children to attempt to apply for a position at the School.

UppinghamSchool uses the DBS Disclosure service to assess applicants’ suitability for positions of trust. UppinghamSchool complies fully with the DBS Code of Practice and undertakes to treat all applicants fairly. The School undertakes not to discriminate unfairly against any subject of a Disclosure on the basis of conviction or any other information revealed. The School considers it essential that the confidential and personal information contained in the Disclosure issued from the DBS is used fairly and sensibly in order to avoid unfair discrimination of applicants for appointments at the School.

The DBS code of practice can be found at Paper copies are available upon request to the HR Department.

All positions at the School are exempt from the Rehabilitation of Offenders Act 1974, therefore ALL convictions, cautions, reprimands and final warnings (including those which would normally be considered ‘spent’ under the Act) MUST be declared, subject to the DBS filtering rules

Before answering these questions please ensure you have read the information on spent convictions and the filtering rules.
Have you ever received a caution, reprimand or final warning from the police? / Yes: / No:
Have you ever been convicted of a criminal offence by the courts? / Yes: / No:
Is there any relevant court action pending against you? / Yes: / No:

If answering ‘yes’ to any of the above, please provide the relevant details, including any other information you feel may be relevant to the Disclosure,in a sealed envelope marked confidential and attach it to the completed application form upon submission for a vacancy. We guarantee that this information will only be seen by those who need to see it as part of the recruitment process.

Where a Disclosure is returned to the School containing information on convictions, cautions, reprimands, final warnings, or any other information supplied by the Police for the purposes of the Disclosure, the School shall consider the following before making any decision on the suitability of that person:

Whether the information contained in the Disclosure is relevant to the position in question

The seriousness of the offence or other matter revealed

The length of time since the offence or other matter occurred

Whether the applicant has a pattern of offending behaviour or other relevant matters

Whether the applicant’s circumstances have changed since the offending behaviour or other relevant matters

The circumstances surrounding the offence and the explanation(s) offered by the convicted person

So far as is possible we will ensure at interview, or in a separate discussion, that an open and measured discussion takes place on the subject of any offences or other matter disclosed that might be relevant to the position. Having a criminal record will not necessarily bar you from working for the School but failure to disclose information that appears later in an enhanced Disclosure is a serious matter and it may result in the withdrawal of an offer of employment or immediate termination of employment if it has commenced.

Any member of staff, their family (if over 16 and living in School accommodation with access to a boarding house), volunteer, agency/contract staff working at the School or any other adult coming into regular contact with the children or having unsupervised access to School premises, will not be employed or permitted to live or work on School premises if recruitment checks disclose that they have been convicted of an offence (including ‘spent’ offences) which indicate that they may be unsuitable to work with or have regular contact with children.

Anyone invited to an interview at the School will be asked to bring three original documents to confirm their identity and current address. Details of suitable documents will be provided at the time. Once an offer of employment has been made, the School will send out a DBS Application Form to the successful applicant, which must be completed and returned to the School before the start date can be confirmed. The School will then apply to the DBS for an enhanced disclosure.

Secure Storage, Handling, Use, Retention & Disposal of Disclosures and Disclosure Information

UppinghamSchool complies fully with the DBS Code of Practice regarding the correct handling, use, storage, retention and disposal of Disclosures and Disclosure information. We also comply with our obligations under the Data Protection Act 1998 and other relevant legislation pertaining to the safe handling, use, storage, retention and disposal of Disclosure information.

Disclosure information is kept in a secure, lockable, non-portable storage container, access to which is strictly controlled and limited to those who are entitled to see it as part of their duties. In accordance with s124 of the Police Act 1997, Disclosure information is only passed to those who are authorised to receive it in the course of their duties. Disclosure information is only used for the specific purpose for which it was requested and for which the applicant’s full consent has been given.

Once a recruitment (or other relevant) decision has been made, we do not keep Disclosure information for any longer than is necessary. Once the retention period has elapsed, the School will ensure that any Disclosure information is immediately destroyed by secure means (i.e. shredding). Disclosure information will not be left in any insecure place whilst waiting to be destroyed. Uppingham School will not keep any copies of the Disclosure but we will keep a record of the date of issue of a Disclosure, the name of the person the Disclosure was requested for, the position the Disclosure was requested for and the unique reference number of the Disclosure and any details of the recruitment decision taken. The School is required to keep a record of this information under the Safeguarding Children and Safer Recruitment in Education issued by the Department for Education.

UppinghamSchool is also committed to the fair treatment of its staff, potential staff or users of its services, regardless of race, gender, religion or sexual orientation, responsibilities for dependants, age, physical/mental disability or offending background.

DECLARATION
  • The information I have given in this application form is, to the best of my knowledge, true and complete
  • I confirm that I am not on the Children’s Barred List, disqualified from working with children or subject to sanctions imposed by a regulatory body
  • I understand that providing false information is an offence which could result in my application being rejected or (if the false information comes to light after my appointment) summary dismissal, and may amount to a criminal offence

Signed: / Print Name: / Date:

1

Updated January 2017