Application Form for Teaching Staff

ALL INFORMATION WILL TREATED IN THE STRICTEST CONFIDENCE

Application for the post of (please state):

1. Personal details

Title: Mr / Ms /Miss/ Mrs Others (please specify):
Forenames: Surname:
Any former names used (if applicable):
Address:
Contact : Home: Work:
Mobile:Email:

2. This section needs to be filled in by Newly Qualified Teachers (NQTs)/ Student Teachers

Please give the date that you successfully completed the National Skills Tests. Please put N/A in the boxes that are not applicable to your Qualified Teaching Status. If you have not yet passed the required tests, please give the date(s) of your next test.

Numeracy- Date
ICT-Date
Literacy-Date
Have you started your induction period? Yes / No:If yes, date commenced:
If you have successfully completed your induction period please confirm the date of completion:
At which school did you do your induction:

3. Your application (please fill in all the applicable sections)

Are you recognised by the DCSF as a qualified teacher in this country? Yes / No
DCSF number: Date when you qualified:
GTC registration number: / National Insurance Number:
National Professional Qualification for Headship:
Date completed/or date of enrolled on course:
If appointed, when would you be able to commence employment?

Teaching and Work Experience (Please answer all the question relevant to your or applicable)

4. CURRENT OR LAST POSITION OF EMPLOYMENT

Name, address & telephone number of school
Job Title
Subject & ages taught
Date appointed to current post
Scale and point
Additional allowances
Brief description of duties/responsibilities:

5. CHRONOLOGY (continue on the separate sheet if necessary)

Please list, with start and end dates post secondary education, part time and voluntary work, full time work and periods not in employment.This section should completely account for how you have spent your time since leaving secondary education. No time should be unaccounted for. Please list in chronological order.

Dates from / Date to / Name and address of employer (if applicable)
If a school please state the type of school / Job title and brief description of duties / Reason for change

EDUCATION AND QUALIFICATIONS (please fill in all the applicable sections)

6.SECONDARY EDUCATION AND QUALIFICATIONS

Name of school / Examinations passed and educational level / Grade / Date (mm/yy)

7. FURTHER AND/ OR HIGHER EDUCATION

Name and address of University or College / Dates
From To / Full or Part-time / Date of Exam / Qualifications obtained / Subjects passed with details of standard obtained

8. PROFESSIONAL COURSES ATTENDED

Please list relevant courses attended in the past 3 years (continue on a separate sheet if necessary)

Subject / Organising Body / Date(s) / Duration

9. Additional Information

Please attach a letter (no more than 2 sides of A4) in support of your application. Include a brief outline of your career; state what you have been attempting to achieve, and assess how successful you have been. Also, referring to the job description/person specification, outline why you feel you would be a suitable candidate for this post.

10. References(All fields in this section MUST be completed)

If you are not currently working with children but have done so in the past, you must provide as a reference, the employer for whom you most recently worked with children.If you are in employment one referee must be the Head of your present organisation. If there are reasons for this not being possible, a senior member of management should be identified. Other references should include either a senior manager of an educational institution, or a past employer. If you do not provide us with two full references, the progression of your application form might be affected.

Name:Name:
Title (Mr, Ms, Miss, Mrs, etc): Title (Mr, Ms, Miss, Mrs, etc):
Job Title: Job Title:
Relationship: Relationship:
Address:Address:
Postcode:Postcode:
Telephone: Telephone:
Fax: Fax:
Email: Email:
References will be taken up after short listing, but before interview

11. Rehabilitation of Offenders Act 1974(All applicants Must answer all questions in this section)

Because of the nature of the work for which you are applying this post is exempt from the provision of the Rehabilitation of Offenders (Exceptions) (Amendment) Order 1986. Applicants are therefore, not entitled to withhold information about convictions, which for any other purposes are ‘spent’’ under the provisions of the Act, and, in the event of employment, any failure to disclose such convictions could result in dismissal or disciplinary action by Stratford School Academy. Any information given will be completely confidential and will be considered only in relation to any application for positions to which the Order applies.You are asked to note that a check will be carried out in police records for details of any criminal offence.

Please answer the following questions:

  1. Have you ever received a conviction, caution or bind over?
YesNo
  1. Are you on List 99, ever been disqualified from working with children or been subject to any sanctions imposed by a regularly body (eg General Teaching Council)?
If you have answered yes to either of the above question, please provide details on a separate sheet in an envelope marked confidential.
Signed:Date:

12. Asylum and Immigration Act

Before you commence working you MUST provide evidence to demonstrate your right to be in or work in the United Kingdom. If you appointed you will receive further guidance.

Have you the right to work in the United Kingdom?

Yes No

Is this subject to a Work Permit/Visa/Worker Registration Scheme?

Yes No

13. Declaration(to be sign by all applicants)

Signed:
Date:
Print name:
NOTE: Should any of the particulars furnished in answer to any questions in this form be found to be false within the knowledge of the candidate or should there be any wilful omission or suppression of any material fact, the candidate will, if appointed, be liable to be dismissed.

Completed Application forms should be sent to:

Fiona Lorenzioremailed to:

Resources Manager

Stratford School Academy

Upton Lane

Forest Gate

London E7 9PR

Do not attach a CV as these will not be considered.

ADDITIONAL MONITORING INFORMATION

We are committed to equal access for all in our employment practices. In order to monitor this we ask you to complete the section below.

Name: ……………………………………………………………………..

Position Applied for: ……………………………………………………...

Date of Birth:………………………………………………………………

Ethnic Origin:

Please indicate your ethnic origin from the list below which is based on the official 2001 census categories.

Circle one only

White / Mixed / Asian or Asian
British / Black or Black
British / Chinese or other origin
British / White and Black
Caribbean / Indian / Caribbean / Chinese
Irish / White and Black
African / Pakistani / African / Any other ethnic Group
Any other white
background / White and Asian / Bangladeshi / Any other black background
Any other mixed background / Any other Asian background
Gender / Male / Female

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