Music Staff Application Form - Sutton Valence School

Music staff

Personal Details

Post Applied For(Required)

Date of Application(Required)

Where did you see this post advertised?(Required)

Preferred Title(Required)

Prefix

Full Name(Required)

First Last

Preferred Name

First

Address

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

Mobile Phone(Required)

Home Telephone Number

Do you hold a Qualified Teacher Status?(Required)

Yes

No

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

Yes

No

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

Yes

No

Professional History

Current/Last Employer

Address of Current/Last Employer

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

Previous Job Title and Any Additional Responsibilities

Age Range and Approximate School Roll

Current Salary

Start Date

Leaving Date

Reason For Leaving

Education

Name of Institution(Required)

Date Attended From(Required)

Date Attended To(Required)

Type of Course(Required)

Qualification or Class of Degree(Required)

Date of Award(Required)

Subjects(Required)

Teacher Training

Name of Institution

Date Attended From

Date Attended To

Qualification Obtained

Age Range of Pupils

Subjects and Other Special Interests

Further Education

School/College Attended(Required)

Date Attended From(Required)

Date Attended To(Required)

Qualifications(Required)

(including GCSE/O Levels, A/AS Level or equivalent, NVQ’s, work based courses and any further education)

Grade and year taken (if any)

Other school/college attended

Date Attended From

Date Attended To

Qualifications (including GCSE/O Levels, A/AS Level or equivalent, NVQ’s, work based courses and any further education)

Grade and year taken (if any)

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.

Job Title

Date To

Date From

Responsibilities

Name of Employer

Address of Employer

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

Reason for Leaving

Job Title

Date To

Date From

Responsibilities

Name of Employer

Address of Employer

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

Reason for Leaving

Job Title

Date To

Date From

Responsibilities

Name of Employer

Address of Employer

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

Reason for Leaving

Job Title

Date To

Date From

Responsibilities

Name of Employer

Address of Employer

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

Reason for Leaving

Job Title

Date To

Date From

Responsibilities

Name of Employer

Address of Employer

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

Reason for Leaving

Convictions

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, e.g. GTC?(Required)

Yes

No

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(Required)

First Last

Address(Required)

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

Email Address(Required)

Telephone Number(Required)

Relationship to you(Required)

Reference Two

Name(Required)

First Last

Address(Required)

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

Email Address(Required)

Telephone Number(Required)

Relationship to you(Required)

Declaration

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