"BURY GRAMMAR SCHOOL BOYS"
BURY GRAMMAR SCHOOL BOYS Bury Grammar School Boys is committed to safeguarding and promoting the welfare of children and expects all staff and volunteers to share this commitment Application for the post of After School Club Manager in the Junior School Section 1: Personal details Surname First name(s) Date of birth Home address Telephone numbers: a) Home b) Work c) Mobile Email address NI number DfE reference number Are you related to, or do you maintain a close relationship with, an existing employee, volunteer or Governor of The Bury Grammar Schools? If so, please give details. 1 Present employment: a) Name of employer b) Full time or part time c) Responsibilities d) Date of commencement of current employment e) Current salary Present education (if not currently in employment): a) Institution b) Course c) Date of commencement of course d) Expected date of award Section 2: Education (Please start with the most recent) Examinations Dates For A Levels, please give grades. For degree(s), please Name of school/college/university From and to give subject and class. (mm/yy) Subject Result Date 2 Section 2: Education (continued) Examinations Dates For A Levels, please give grades. For degree(s), please Name of school/college/university From and to give subject and class. (mm/yy) Subject Result Date Please give details of Continuing Professional Development which you consider relevant to this post. (Please start with the most recent) Section 3: Employment and/or activities since leaving secondary education, excluding details of education given in Section 2 of this application form (Please start with the most recent – but exclude your current post if you have given details of this on Page 2 of this application form) Dates Name and address of Position held, with brief Reason for leaving From and to employer outline of responsibilities (dd/mm/yy) 3 Section 3: Employment and/or activities since leaving secondary education (continued) Dates Name and address of Position held, with brief Reason for leaving From and to employer outline of responsibilities (dd/mm/yy) Section 4: Interests (Please give details of skills, hobbies and interests which you would be able to bring to the school’s extra-curricular programme. Please include details of any coaching qualifications.) 4 Section 5: Referees (Please supply the names and contact details of two referees. One of these must be your current or most recent employer (or, if you are in full-time education, your course Tutor). Neither referee should be a relative or someone known to you solely as a friend.) Referee 1: Name Address Telephone number(s) Email address Occupation Capacity in which you know this referee Referee 2: Name Address Telephone number(s) Email address Occupation Capacity in which you know this referee 5 Section 6: Recruitment It is the school’s policy to employ the best qualified staff and to provide equal opportunities for the advancement of staff including training and promotion and not to discriminate against any person because of their race, colour, national or ethnic origin, sex, sexual orientation, marital or civil partnership status, religious belief, disability or age. The school is committed to safeguarding and promoting the welfare of children and young people and expects all staff to share this commitment. If your application is successful, the school will retain the information provided on this form (together with other relevant information provided in relation to your application) in your school file. If your application is not successful, all such information will be kept confidentially for six months and then destroyed. Section 7: Health The school is committed to being an equal opportunities employer. Are there any special arrangements you might require to attend an interview? Yes □ No □ If yes, please give details here: In accordance with guidance published by the DfE any offer of employment made by the school will be conditional upon the school verifying the successful applicant’s medical fitness for the role. This process will require the completion of a medical questionnaire. There may be circumstances when it will be necessary for the school’s medical adviser to seek access to the successful applicant’s medical records and/or for the successful applicant to be referred to a specialist clinician before any offer of employment is confirmed. Section 8: Criminal records An offer of employment is conditional upon the school receiving an Enhanced Disclosure from the Criminal Records Bureau which the school considers to be satisfactory. If you are successful in your application you will be required to complete a CRB Disclosure Application Form. The school is exempt from the Rehabilitation of Offenders Act 1974 and therefore all convictions, cautions, reprimands and final warnings (including those which would normally be considered ‘spent’ under the Act) must be declared. Have you been convicted by the courts of any criminal offence? Yes □ No □ 6 Is there any relevant court action pending against you? Yes □ No □ Have you ever received a caution, reprimand or final warning from the Police? Yes □ No □ If you have answered ‘Yes’ to any of the above, please provide details on a separate sheet and send this in a sealed envelope marked ‘Confidential’ with your completed application form. Section 9: Declaration I confirm that the information I have given on this application form is true and correct to the best of my knowledge. I confirm that I am not on List 99, disqualified from work 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. I consent to the school processing the information given on this form, including any sensitive information, as may be necessary during the recruitment and selection process. Signature__________________________________________________ Date_____________________ 7