Job Application Form for UCC

							                                                     Ullswater Community College


                                                                         CONFIDENTIAL
(PART I)


                                      APPLICATION FOR APPOINTMENT
   All applicants will be considered on the basis of suitability regardless of sex, race,
  marital status or disability. Disabled applicants who meet the essential criteria will be
                                         interviewed.

     Please ensure that you read the accompanying leaflet headed “Information for the
     guidance of applicants” and the essential and desirable criteria for this post before
                              completing this application form.




Particulars of post sought at Ullswater Community College

Post: …………………………………………………………………………………………….




Name of applicant

Surname: …………………………………..                                                               Forename(s): ………………………………..




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(Part II)
DETAILS OF PERSONAL PARTICULARS, STUDY, QUALIFICATIONS AND EXPERIENCE

Name of applicant

Surname: ……………………………………………………. Forename(s): …………………………….…………………………..


Address for Correspondence:                                                            Daytime telephone number: ………………………………………..

                                                                                       Evening telephone number: ……………………………………...…

                                                                                       Date Qualified Teacher Status Gained: ……..………………….…
                                                                                       Probation/Induction Completed: Yes/No
                                                                                       D.F.E. Number: ……………………………………..……………..…

Date Available for Duty: …………………………………….. N.I. Number: ….…………………………………………..……..…..

                                                                                       Date of birth: …………………………………………………….……


Do you consider yourself to be a disabled person? Yes/No
All disabled applicants who meet the essential criteria in the person specification will be interviewed and given the
opportunity to outline any reasonable adjustments that may be required.


QUALIFICATIONS AND EXPERIENCE
Secondary education                                                           Qualifications gained (with grades)             Date gained
Please list Secondary Schools attended,
with dates:




College/University attended                                                    From    To    Qualification/   Main subjects    Sub-subjects    Date
                                                                                             classification                                   gained




If invited for interview, please bring evidence
of your qualifications

Other recent relevant courses undertaken                                                                            From               To




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EMPLOYMENT EXPERIENCE

Indication of a career break will not prejudice your application

      AUTHORITY                                SCHOOL                                  FT/PT            Post responsibilities              Salary scale
        Dates of                       Sex, no. on roll/age range                              including no. of responsibility points     rate and point
      employment                        (e.g. M.650 4-11 years)                                       (e.g. Head of Dept + 2)




OTHER RELEVANT EXPERIENCE (whether paid or unpaid)

Name and address of                                Nature of work/experience                                                       From         To
employer/organisation




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(Part III)
LETTER OF APPLICATION

Please attach a letter of application which clearly addresses the requirements of the post outlined in the job specification.

(Part IV)
REFERENCES

All posts other than Headteacher: You are requested to provide the names and addresses of 2 referees, one of whom
should be your current/last Head or your College Headteacher if you are a newly qualified teacher, or your current / last
employer.

Are you currently involved in any Child Protection, disciplinary, grievance or competency procedure which could affect
your suitability for this post?             Yes / No                    If YES give further details.

Non-teaching applicants: please indicate whether you agree to references being taken up before interview           Yes / No

Name:                                                                                  Name:
Address:                                                                               Address:




Telephone No:                                                                          Telephone No:

Applications for Headteacher post only:

Name:                                                                                  Name:
Address:                                                                               Address:




Telephone No:                                                                          Telephone No:


Name:
Address:




Telephone No:

Relatives

Please give the name and office or job title of any person with whom you have a close relationship who is a Governor or
member of staff at the College.



Signature of applicant ……………………………………………………………………………………………………….…………


Date ………………………………………………………………………………………………………………………………………



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