Information to Support Application for Teaching Post

POST APPLIED FOR

DATE OF APPLICATION

WHERE DID YOU SEE THIS POST ADVERTISED

PROTECTION OF CHILDREN - Sutton Valence School is committed to safeguarding and promoting the welfare of children and young people and expects all staff and volunteers to share this commitment. Applicants need to be aware that as part of our commitment to Keeping Children Safe in Education, we will be carrying out an online search of shortlisted candidates.

PERSONAL DETAILS

SURNAME(Required)

PREFERRED TITLE(Required)

FORMER NAMES

FIRST NAMES(Required)

PREFERRED NAME(Required)

ADDRESS

Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country

HOME TELEPHONE NO(Required)

ALTERNATIVE TELEPHONE NO

E-MAIL ADDRESS(Required)

DfES REF NO

N.I. NO

Do you hold qualified teacher status?

Are there any restrictions to your residence in the UK that might affect your right to take up employment in the UK?

If you are successful in your application would you require a work permit to work in the UK?

CURRENT / LAST EMPLOYER

ADDRESS

Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country

JOB TITLE

ANY ADDITIONAL RESPONSIBILITIES

AGE RANGE & APPROX SCHOOL ROLL

CURRENT SALARY

START DATE

LEAVING DATE

REASON FOR LEAVING

PENSION INFORMATION

ARE YOU IN THE TPS?

If no, what % of your current salary does your employer contribute to your pension?

EDUCATION & TRAINING: UNIVERSITY, COLLEGE, OTHER INSTITUTIONS (OTHER THAN TEACHER TRAINING)

EDUCATION CONTINUED: UNIVERSITY, COLLEGE, OTHER INSTITUTIONS (OTHER THAN TEACHER TRAINING)

TEACHER TRAINING

SUBJECTS & OTHER SPECIAL INTERESTS

SECONDARY, HIGHER AND/OR FURTHER EDUCATION

IN-SERVICE TRAINING & DEVELOPMENT UNDERTAKEN IN THE LAST 5 YEARS

CO-CURRICULAR ACTIVITY

Please give details of how you would like to be involved in the school’s varied programme of extra-curricular activities and how you have been involved in the past.

CAREER HISTORY

Please give a full history in chronological order working backwards from the present to leaving secondary education, including periods of any post-secondary education/training, and part time-work 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 employment.

CAREER HISTORY

It is an offence to apply for this post if you are barred from engaging in regulated activity relevant to children. This post is exempt from the Rehabilitation of Offenders Act (ROA) 1974 and therefore all convictions, cautions and bind-overs, including those regarded as ‘spent’, must be declared. All appointments are subject to a satisfactory CRB check.

Have you ever been convicted of a criminal offence, received a caution or been bound over, appeared on List 99, disqualified from working with children or subject to sanctions imposed by a regulatory body?

SIGNATURE

Answering YES does not necessarily prevent you from applying for this post. If you have answered YES please provide details of the date, the offence and the sentence under separate cover.

REFERENCES

Please supply the names and addresses of two referees who can be consulted to provide objective and factual information to support your application for the post. We will also ask about any disciplinary offences relating to children, including any in which the time penalty is “time expired” and if there are any child protection concerns, and if so, the outcome of any enquiry or disciplinary procedure. One referee should be your current or most recent employer. Students should include the college principal. If you are not currently working with children but have done in the past we will take up a reference from the most recent employer when you were working with children. We will not be able to accept references from relatives or from people writing solely in the capacity of friends. References will be taken up before an offer of employment is made, and we may approach your current or any previous employer for information to verify particular experience or qualifications before interview.

REFERENCE ONE

NAME

EMAIL

ADDRESS

Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country

RELATIONSHIP TO YOU

REFERENCE TWO

NAME

EMAIL

ADDRESS

Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country

RELATIONSHIP TO YOU

RELATIONSHIP DISCLOSURE

Are you related to, or have a close relationship with any existing employees or member of the Governing body? If YES please state the name, relationship and position within the school held.

DECLARATION

I confirm that the information given on this form is, to the best of my knowledge, true and complete. I understand that any false statement may be sufficient cause for rejection or, if employed, dismissal and possible referral to the Police and to the Teachers’ Misconduct Team.

Signature

Date

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