Please write in block letters in black ink or type.
Your name:Post for which you are applying:
Personal Details
Please note that in an attempt to avoid any possible discrimination, all personal details have been requested on a separate sheet and will not be made available for use during shortlisting. Your application will be processed within the terms specified by the Data Protection Act 1998. By completing this form, you hereby explicitly consent to the College collecting, holding and otherwise processing personal data, including ‘sensitive’ personal data relating to you, for the purposes necessary within our recruitment and selection process. Any personal information that you provide will remain confidential.
Present or most recent Employment
Other Information
Present Employer: / Date Appointed:Date left: (if applicable)
Employer’s Address: / Present Position:
Reason for Leaving:
Annual Salary:
Are you in receipt of
Professional Standards Payment: Yes/No
If so, what level: 1, 2 or 3
(If appointed, you will be asked to provide evidence) / Period of Notice Required:
Main Areas of Responsibility:
Do you hold QTS status? YES / NO / For what age range are you trained to teach?
Subjects taught/able to teach:
Have you completed your NQT year? YES / NO / PARTIALLY / N/A
DfES Reference Number:
Previous teaching posts (most recent first)
Employer / Position / From / To /Reason for leaving
Previous non-teaching employment (most recent first)
Employer / Position / From / To /Reason for leaving
Secondary Education
From / To / Name of School / Examinations PassedDate Subjects Grade
Higher/Further Education and Teacher Training
(If you are appointed, you will be required to produce evidence of your qualifications)
From / To / Full or Part time / College/Organisation/Course / Qualification & Subject obtained (if any)Professional Training
Please list other education and training courses attended, including in-service training
From / To / College/Organisation/Course / Qualifications obtained(if any)
You are advised to submit a letter of application together with this completed form, indicating how you meet the requirements of the post. You may use up to three sides of A4 typed maximum and you should include any further information which is relevant to your application. Please do not submit a CV.