Application for Teaching Post

Abraham Moss High School

APPLICATION FOR TEACHING POST

TO BE RETURNED BY: First Post on Friday 21 March 2014

POST APPLIED FOR: Teacher of History / POST REF.NO.
PERMANENT / TEMPORARY FROM: 1 September 2014

1. PERSONAL DETAILS (Block Letters Please)

TITLE:
Mr / Mrs / Miss / Ms etc. / FORENAME(S) / SURNAME

Are you or have you ever been known by any other name?

/ YES / NO /

Delete as applicable

If YES, please give details

Date of Birth: / Nationality:
Address for Correspondence: / Permanent Address (if different):
Post Code: / Post Code:
Home Telephone Number: / Work Telephone Number:
Mobile Number: / Email Address:
National Insurance Number: / DfE Ref Number:

2. PRESENT EMPLOYMENT

Name & Address of present employer: / Name and address of establishment at which employed:
Present Post:
Permanent or Temporary / Date of Appointment:
Annual Salary: / Scale Point: / TLR post or other allowance:
Brief description of duties:

3. PREVIOUS EMPLOYMENT (most recent first, and exact dates)

EMPLOYER (Give name of school / organisation and location) / Post / Grade / Scale / Full or part time (if PT give hours) / Date / Reason for change
From: / To:
D / M / Y / D / M / Y

Continue on a separate sheet if necessary

4.1 EDUCATION AND TRAINING in date order

Secondary Education (11 – 16 / 11 – 18)

Dates / Secondary School, Sixth Form, College
(Please State Location) / Title of Qualification / Subjects Passed / Grades Obtained
From / To

4.2 Further Education (additional to 11 - 18 qualifications above) in date order

Dates / Full or part time / Name of College(s)
(Please State Location) / Qualifications gained / Grades / Date of Award
From / To

4.3 Higher Education / Teacher Training

Dates / Full or part time / Name of College(s)
(Please State Location) / Qualification gained / Grades / Date of Award
From / To

5.1 Further Details of Teacher Training

Training route: PGCE, Teach First, GTP, Degree with QTS, Other : (Please state)
Primary / Secondary / Further: (Please state) / Age range for which trained:
Main Teaching Subject: / Subsidiary Subject(s):

5.2 Main Placement Schools (if this will be your first post after QTS)

Dates / School / College (and Location) / Main Experiences

6.1 Professional / Vocational Training (additional to main teacher training)

Include training such as: training leading to a qualification or competence; skills training; Examination Board moderating / examining. (A routine list of CPD experience is not required, but include anything you think is relevant.)
Organising body / Qualification Gained / Course Title / Full or part time / Dates
From / To

6.2 Membership of Professional / Vocational Bodies

Name of Body / Type of Membership / Date Obtained

7. PERIODS OF UNREMUNERATED ACTIVITY

e.g. raising family, unpaid voluntary work, unemployment, after the age of 18

How time was spent / Date
From / To

8. LETTER OF APPLICATION

You should support your application with a letter of application on A4 size paper which will enable you to give some indication of why you are interested in the post, what experience, skills and interests you can offer, and an outline of your educational philosophy. Please check carefully if there is any guidance given in the job details about what to include in your letter.

9. PROTECTION OF CHILDREN Disclosure of Criminal Background

The Authority is required under joint Home Office and DfE circulars to check the criminal background of those employees whose jobs presently or potentially give them access to children. As a consequence you will be required to undertake an Enhanced CRB Disclosure, provide details of any criminal record and give permission for checks of convictions and cautions to be made with the Police before commencement of employment with the Authority.

10. HEALTH / MEDICAL DETAILS

Prior to formal appointment, applicants will be required to complete a confidential statement of medical history and may be required to undergo a medical examination.

11. DATA PROTECTION ACT

Information on this form may be held on computer. Strict confidentiality will be observed and disclosures will only be made for payroll and personnel administration purposes.

12. DISABILITY

Do you have a disability / YES / NO

13. ETHNIC MONITORING

The Authority will require new staff to complete an ethnic monitoring form in order to monitor the composition of the workforce.

14. NO-SMOKING POLICY

Abraham Moss High School operates a No-Smoking Policy.

15. REFERENCES

Please provide details of two referees who can comment authoritatively on the standards of your educational and professional experiences and qualities. One of your referees must be your present or most recent employer. If you are already employed in a school this will be the Headteacher / Principal. If you are in training your referees will be professional / subject mentors from the University and placement school. Offers of employment depend on receipt of satisfactory references. If necessary additional references can be given or requested.
Name: / Name
Status: / Status
Address: / Address:
Post Code: / Post Code:
Telephone: / Telephone:
Email: / Email:

16. DECLARATION

I declare that to the best of my knowledge and belief, the information contained on this form is accurate. I understand that, should my application be successful and it is discovered subsequently that information has been falsified, then disciplinary action may be taken which may include dismissal from the post.
Signed: Date:

Your application should be returned, marked URGENT and ensuring you use the correct postage, by the date specified to:-

Ms Noeline Taker

PA to Acting Headteacher

ABRAHAM MOSS HIGH SCHOOL

Crescent Road

Crumpsall

Manchester

M8 5UF

or by e-mail to: