Get documents about "Stormont Application Form 11651
Document Sample
Private and Confidential
STORMONT SCHOOL
APPLICATION FORM FOR THE POST OF
HEAD OF STORMONT SCHOOL
This form is designed to help us assess your application. If necessary,
please provide further information on a separate sheet.
FORENAMES: SURNAME:
TITLE:
PREVIOUS SURNAME:
DATE OF BIRTH:
ADDRESS:
TELEPHONE: MOBILE NO:
EMAIL:
TEACHER’S REFERENCE NUMBER:
NATIONAL INSURANCE NUMBER:
CURRENT OR MOST RECENT EMPLOYMENT:
NAME AND ADDRESS OF
CURRENT EMPLOYER:
DATE OF APPOINTMENT: JOB TITLE:
CURRENT SALARY: NOTICE REQUIRED:
REASON FOR LEAVING
(if applicable)
1
Stormont School. A Company Limited by Guarantee. Registered in England. Company No. 726450
Registered Charity No. 311079. Registered Office: The Causeway, Potters Bar, Hertfordshire, EN6 5HA
Private and Confidential
PREVIOUS EMPLOYMENT:
Most recent first and including any temporary, unpaid and voluntary work experience.
Please continue on a separate sheet if necessary.
From To NAME and ADDRESS JOB TITLE and BRIEF REASON FOR
Month/Year Month/Year of EMPLOYER DESCRIPTION LEAVING
Please explain any periods not in employment since the end of full-time education.
EDUCATION, QUALIFICATIONS and TRAINING: Proof of qualifications will be required
SCHOOL(S) ATTENDED:
11 –18 years (with dates)
A-LEVELS or equivalent: Level and subject Grade Level and subject Grade
HIGHER EDUCATION including teacher training (earliest first)
From To Universities/Colleges attended – Title and class of degree Subject or Course Title
Month/year Month/Year including part time and grade e.g. BA (Hons) 2(i)
2
Stormont School. A Company Limited by Guarantee. Registered in England. Company No. 726450
Registered Charity No. 311079. Registered Office: The Causeway, Potters Bar, Hertfordshire, EN6 5HA
Private and Confidential
TRAINING AND DEVELOPMENT:
Please include details and dates of any training and development (i.e. courses, seminars, special projects and other continuous
professional activities) relevant to your application. Please continue on a separate sheet if necessary.
REFERENCES:
Please give the name, address and telephone number of THREE referees. Please note that references from relatives or friends are
not acceptable.
1. Present or most recent employer 2. Second Referee 3.Third Referee
NAME:
POSITION:
ADDRESS:
TELEPHONE
EMAIL:
In what
capacity does
this person
know you?
GENERAL:
What hobbies, interests do you have?
HEALTH:
If you are successful in this application, prior to formal appointment, you will be required to undertake a medical check.
EXISTING CONTACTS WITH THE SCHOOL:
Please indicate if you know any existing employees or governors at the school, and if so how you know them.
3
Stormont School. A Company Limited by Guarantee. Registered in England. Company No. 726450
Registered Charity No. 311079. Registered Office: The Causeway, Potters Bar, Hertfordshire, EN6 5HA
Private and Confidential
NOTES:
1. Stormont School is committed to safeguarding and promoting the welfare of children and
expects all staff and volunteers to share this commitment.
2. Stormont School welcomes applications from all, irrespective of gender, sexual orientation,
colour, ethnicity, marital or civil partnership status, disability, race, age, religion or religious
belief.
3. It is our practice to contact referees prior to the final interview process. All new posts within
the school are subject to a probationary period.
4. An offer of employment is conditional upon the School receiving a satisfactory Enhanced
Disclosure from the Criminal Records Bureau. Any information disclosed will be handled in
accordance with the Code of Practice published by the CRB.
5. Data Protection Act 1998 – The information or data which you have supplied may be
processed and held on computer, and will be processed and held on your personal record if you
are appointed. Strict confidentiality will be observed and disclosures will only be made for
payroll and personnel administration purposes. If your application is unsuccessful all
documentation relating to your application will be confidentially destroyed after six months.
DECLARATION:
I am aware that the post for which I am applying is exempt from the Rehabilitation of Offenders Act 1974 and
therefore that all convictions, cautions and bind-overs, including those regarded as ‘spent’ must be declared. I
have not been disqualified from working with children, am not named on the Barred List, am not subject to
any sanctions imposed by a regulatory body (e.g. the General Teaching Council), and
either (please tick as appropriate)
Please tick one box as
appropriate
I have no convictions, cautions or bind-overs
or
I have posted details of any convictions, cautions or bind-overs in a sealed envelope
marked Private and Confidential to Joanna Grant Peterkin at CFA.
I hereby certify that the entries on Pages 1 to 6 of this Application Form are complete and correct to the
best of my knowledge. I understand that the provision of any false information may, in the event of
employment, result in dismissal or disciplinary action by the school . I agree that any offer of
employment with Stormont School is subject to satisfactory evidence of: the right to work in the UK,
satisfactory references, medical clearance and an Enhanced CRB check.
Signature: Date:
Please email this Application Form as an attachment, along with your Application Letter, to
enquiries@cfappointments.com after completing the registration form on the CFA website.
4
Stormont School. A Company Limited by Guarantee. Registered in England. Company No. 726450
Registered Charity No. 311079. Registered Office: The Causeway, Potters Bar, Hertfordshire, EN6 5HA
Private and Confidential
SEPARATE SHEET FOR FURTHER INFORMATION
5
Stormont School. A Company Limited by Guarantee. Registered in England. Company No. 726450
Registered Charity No. 311079. Registered Office: The Causeway, Potters Bar, Hertfordshire, EN6 5HA
Private and Confidential
SEPARATE SHEET FOR FURTHER INFORMATION
6
Stormont School. A Company Limited by Guarantee. Registered in England. Company No. 726450
Registered Charity No. 311079. Registered Office: The Causeway, Potters Bar, Hertfordshire, EN6 5HA
