APPLICATION FOR TEACHING APPOINTMENT - DOC by ogx10894

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									                                                                                                      STRICTLY CONFIDENTIAL
                    Jack Hunt School (Foundation)
                    Ledbury Road, Peterborough, PE3 9PN
                    Tel. 01733 263526 Fax 01733 330364               email     snorman@jackhunt.peterborough.sch.uk

 The Governing Body is committed to safeguarding and promoting the welfare of children and young people
                      and expects all staff and volunteers to share this commitment.

                                  APPLICATION FOR TEACHING APPOINTMENT
                                    (Please complete this form in BLACK as it may be photocopied)

                                All sections of the application form should be fully completed.

POST:
1.    PERSONAL INFORMATION
TITLE:                  SURNAME:                                               FIRST NAME (S):
PREVIOUS SURNAME                                                   E-mail
(if applicable)                                                    Address:
Current Address:


                                                     Tel                                         Mobile
Postcode:
                                                     No:                                         No:
Teacher Reference                                                          National
No:                                                                        Insurance No:
2.    PRESENT APPOINTMENT
(A)   If Teaching:          Name of Local Education Authority:

      Name and Address of School:



      Tel No:                                                                Fax No:
      *Boys/Girls/Mixed           Approx No. on                          Age                                Date
      (delete as appropriate)     Roll:                                  Range:                             Appointed:
      Post Title:

                      (please state any management units and nature of any specific responsibility with reason for awarding)

      Subject/Age groups taught:                                                           Salary Level i.e. M1-M6:
      Have you been successful in meeting the Threshold Standards and gaining accreditation? YES / NO
                                                                                                                    (delete as appropriate)
      If so, state your current point on the UPS Scale and the date from which you have
      been paid at this point:
      When could you commence duties:

(B)   If other than Teaching:           Nature of Post:

      Name and Address of Employer:



      Tel No:                                                                Fax No:

      Date Appointed:                                                        Salary:
      Length of Notice                                                       When could you
      required:                                                              commence duties:


                                                                                                                        Training
                                                                                                                          School
3.     FULL CHRONOLOGICAL HISTORY Please provide a full history in chronological order since leaving secondary
education, including periods of any post-secondary education /training and part-time and voluntary work, as well as full time
employment, with start and end dates, explanations for periods not in employment or education/training and reasons for leaving.
(continue on a separate sheet if required)

     Job Title or     Name and address of school           Number       F/T              Dates
      Position            or nature of other               on Roll      or                                           Reason for
                                                                                   From          To
                             employment                       (if       P/T                                           Leaving
                                                                                 Mth   Yr    Mth    Yr
                                                            school)
1




2




3




4




5




6




7




8




9
4.    EDUCATION: SECONDARY/FURTHER
                                                                                                     Dates
                                                                       F/T or
       School/Colleges attended (please give addresses)                                  From                      To
                                                                        P/T
                                                                                   Mth          Yr           Mth        Yr




        Examinations Passed                      Date                             Subjects and Grades
GCSE, GVNQ, Key Skills or equivalent:




A Level, AVCE or equivalent, Other (please specify):




5. EDUCATION - HIGHER (University, College, Polytechnic) - including professional qualifications and in-service courses
leading to recognised qualifications.

Name and addresses of                   Dates    Full or     Date of       Qualifications        Subjects             Age
University or College                             part-    examination       obtained           passed with         groups
                                    from    to
and/or University                                 time                                           details of            for
Education Department                                                                             standard            which
                                                                                                 obtained           trained




6. PROFESSIONAL COURSES ATTENDED AS A TEACHER (Other than those in 5 - over the past 3 years).
              Subject                              Organising Body                     Approximate             Duration
                                                                                          Date
7.       OTHER RELEVANT EXPERIENCE, INTERESTS AND SKILLS




8.       REFERENCES Give here details of two persons to whom reference may be made. One must be your present
         Headteacher or employer. If you are an initial trainee you should give the Headteacher of your placement school.

Title:             Initial:      Surname:                       Title:       Initial:        Surname:

Job Title:                                                      Job Title:
Address:                                                        Address:


Postcode:                                                       Postcode:

Fax No:                                                         Fax No:

Tel No:                                                         Tel No:

E-mail:                                                         E-mail:


9.       ADDITIONAL INFORMATION
         Are you, to your knowledge, related to any Member of the Governing Body?            YES / NO (delete as appropriate)
         If so give details on a separate letter.
         Have you at any time been debarred from teaching post 16 by the DCSF?               YES / NO (delete as appropriate)
         Are you a registered member of the General Teaching Council?                        YES / NO (delete as appropriate)
         Do you require a work permit/sponsor licence?                                       YES / NO (delete as appropriate)
         Did you qualify as a teacher after May 1999?                                        YES / NO (delete as appropriate)
         If yes – in which school did you complete your induction?                                   Year:
         Are you a member of a pension scheme?                                               YES / NO (delete as appropriate)
         Do you hold a current Driving Licence?                                              YES / NO (delete as appropriate)

10. COMPULSORY DECLARATION OF ANY CONVICTIONS, CAUTIONS OR REPRIMANDS,
    WARNINGS OR BIND-OVERS
         Jobs in schools are exempt from the provisions of Section 4(2) of the Rehabilitation of Offenders Act 1974. You
         must therefore declare any arrests, convictions, cautions or reprimands, warnings or bind-overs which you have
         ever had and give details of the offences. The fact that you have a criminal record will not necessarily debar you
         for consideration for this appointment.

         Do you have any convictions, cautions or reprimands, warnings or bind-overs?        YES / NO (delete as appropriate)
         Have you ever been arrested?                                                        YES / NO (delete as appropriate)

         If the answer is "yes", you must record full details in a separate, sealed envelope marked with your name and
         'Confidential: Criminal Record Declaration' and enclose it with your application. In accordance with statutory
         requirements, an offer of appointment will be subject to satisfactory enhanced CRB clearance. A copy of this
         notice will be sent to your referees.

11. DATA PROTECTION ACT
         The information collected on this form will be used in compliance with the Data Protection Act 1998. The
         information is collected for the purpose of administering the employment and training of employees. The
         information may be disclosed, as appropriate, to the governors, to Occupational Health, to the General Teaching
         Council, to the Teachers Pensions Agency, to the Department for Children Schools and Families, to pension,
         payroll and personnel providers and relevant statutory bodies. You should also note that checks may be made to
         verify the information provided and may also be used to prevent and/or detect fraud.
12. NOTES
     a) When completed, this form should be returned in accordance with the instruction in the advertisement for the
        job or in the applicant’s information pack.
     b) Canvassing, directly or indirectly an employee or governor will disqualify the application.
     c) Candidates recommended for appointment will be required to complete a pre-employment medical
        questionnaire and may be required to undergo a medical examination.


13. DECLARATION
    I certify that, to the best of my knowledge and belief, all particulars included in Parts 1 and 2 of my application are
    correct. I understand and accept that providing false information will result in my application being
    rejected or withdrawal of any offer of employment, or summary dismissal if I am in post, and possible
    referral to the police. I understand and accept that the information I have provided may be used in accordance
    with paragraph 11 above, and in particular that checks may be carried out to verify the contents of my application
    form.

14. LETTER OF APPLICATION
    Please provide a letter of application if required with the job details.

15. DECLARATION
    I certify that, to the best of my knowledge and belief, all particulars included in my application are correct.


      _________________________________                                 ________________________________
             Signature of Candidate                                                     Date

     _________________________________
             Print Name

Please print this application and sign and date before sending by post or if e-mailing this
application, please bring with you a signed copy if invited to interview.

								
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