An All-through Co-operative School
Application For A Non-Teaching Appointment
Post Applied For: ......
Closing Date :......
Please return this form to: The Head, c/o Human Resources Department, Preston Manor School, Carlton Avenue East, Wembley, Middlesex
HA9 8NA
When could you take up duties if appointed?______
Mr MrsMs
Surname:______
Other Names: (Block Capitals)______
Address: (In full)______
______
______Post code: ______
Email Address: ______
Telephone No: (Daytime)______Evening______
National Insurance No:______
Do you require a work permit to work in this country: Yes: No:
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Secondary Education
School/College / Subject / Qualifications gained(GCSE, ‘A’ Level etc) / Grade / Date
(Where applicable please include details of examinations, which have been or are about to be taken but results of which are not available). If educated outside the European Community please note that the school is required to confirm that you have acquired a standard in English and Mathematics which is equivalent to at least grade C GCSE Ordinary Level. Please give details.
Further Education
Name of College/University and address if outside the UK /Qualifications
/ Grade/ClassIf applicable / Date
From / Date
To
2
Other qualifications related to current or previous employment
Name of Professional Body /Membership Grade
/ Was Membership gained by examination / DateRelevant Inservice Courses
Course
/ Qualifications gained(If applicable) / Dates showing duration
Voluntary/Unpaid work and interests
Details / DatesOutside interests and activities
3
Employment History
(Include details of vacation employment if you are a college leaver). Please give full details as this section is used for salary assessment purposes.
Name/address of present (or most recent employer)If you work in a school/college please state name and address / Position/Post / From / To / Basic
Salary / Other
Allowances / Total
Remuneration
*Name/address of previous employers (starting with the most recent) Please state name of school/college if applicable / Position held and allowance if applicable / From / To / Reason for leaving
- Continue on separate sheet if necessary
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Supporting Statement
Please make full use of this section attaching additional sheets if necessary, to provide further information to show how you meet all of the shortlisting criteria for the job as set out in the enclosed person specification, a maximum of 2 sides A4 paper Ariel font point 11. Please be sure to show how your education, training, experience and qualifications including paid or unpaid employment, voluntary work and home responsibilities fits you for this post. Shortlisting will be conducted only on the basis of written applications. It is therefore essential that all applicants, both internal and external, should complete this section of the application form.
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Referees
Please give the names of two people to whom references can be made. One referee should be your current/ most recent employer and should be your line manager and able to give information about your skills and abilities which are relevant to your application. The other referee should preferably be work related and be someone who can comment on your suitability for the post e.g. line manager or other qualified person with whom you have worked closely. Relatives may not be given as referees. Students can give the name of a Head Teacher or university tutor/lecturer as a referee instead. References will be requested at the time of interview.
Please tick this box if you do not wish Preston Manor to approach your present employer until, and if, a firm offer of employment has been made. Preston Manor normally takes up references if you have been shortisted.
1. / Name: ______Position Held: ______
Address: ______
______
E-mail address: ______
Telephone No. ______Facsimile: ______
2. / Name: ______
Position Held: ______
Address: ______
______
E-mail address: ______
Telephone No. ______Facsimile: ______
6
Criminal Convictions
By Law, spent convictions must be disclosed. Please give details of any criminal convictions (not including minor traffic offences). If you have no convictions please write ‘none’.
Under Part II of the Criminal and Justice and Court Services Act 2000, it is a criminal offence for any individual to apply, accept or continue to work with children if they are disqualified from working with children. It is a condition precedent of any such employment that the person does not have any such disqualification and if they do, the employment will automatically come to an end.
HAVE YOU EVER BEEN DISQUALIFIED FROM WORKING WITH CHILDREN? YES NO
IMPORTANT NOTE: CRIMINAL RECORD BUREAU CHECKS WILL BE UNDERTAKEN FOR ALL CANDIDATES SUCCESSFUL AT INTERVIEW PRIOR TO THEIR COMMENCEMENT
Declaration
I hereby declare that I have understood and complied with the requirements laid down in theprevious paragraph and I agree that the information given on this form may be used for registered purposes under the Data Protection Acts, 1984/1998. I have also understood and complied with the provisions concerning the disclosure of criminal convictions.
Providing any misleading or false information to support your application or canvassing, directly or indirectly with anyone likely to be involved in the appointment process will disqualify you from appointment, or if appointed will render you liable to dismissal without notice. This School is under a duty to protect the public funds it administers and to this end may use the information you have provided on this form for the prevention and detection of fraud. It may also share this information with other bodies administering public funds for this purpose e.g. other schools, councils etc.
Signature of Applicant:………………………………………Date:………………………………………
FOUNDATION STATUS
Carlton Avenue East, Wembley, HA9 8NA. Head: Mr Matthew Lantos
Telephone: 020 8385 4040 Facsimile: 020 8385 4590.
E-mail: hradmin@.pmanor.brent.sch.uk
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Information for Monitoring
Position Applying For: ...... ………………...... ………………..
All applicants must complete this section, as the information will enable us to monitor the effectiveness of our Equal Opportunities Policies. Please tick the appropriate boxes.
Ethnicity:
Asian / Black / White / Chinese / Other British
Bangladeshi
Indian
Pakistani
Other (please specify) …………… / British
African
Caribbean
Other (please specify) ………. / Irish
UK
Other (please specify)……….. / Chinese
British
Other (please specify) ……………. / Please specify ……………………
Gender:MaleFemale
Date of Birth ______Disabled: Yes No
If you are applying for job sharing do you have a job share partner? Yes/No: if yes please give their name andaddress:
Please give dates you will NOT be available for Interviews e.g holidays ______
How did you hear of this job? Please state the publication in which you saw it advertised………………………………………………………………………………………
Do you know anyone working at Preston Manor High School? Please state your relationship to them......
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Personnel Verification Request
I hereby request NDF Associates to make enquiries into the content of the CV or application form submitted in connection with the employment or application for employment of the below named:
APPLICANT
Name of Applicant:______
Date of Birth:______
Data Protection Act 1998
To comply with the law and out standards of good practice the applicant must give his/her express consent for the verification to be conducted.
Such consent must be provided in written form by the applicant (data subject) signing the declaration below:-
I hereby give consent for NDF Associates to contact me and any other third party, and for third parties to release information to NDF Association, in order to make enquires into the content of the CV or application form submitted in connection with my employment or application for employment. I also consent to a credit check being undertaken if required by my employer.
This authority is to be regarded as consent as regards subject access under the terms of the Data Protection Act 1998.
Signed (by Data Subject):______Date: ______
TYPE OF CHECK REQUIRED
1.Education, qualification, professional body3.Combined Check
membership and electoral register check[Option 1 + Option 2]
2.Five year work history and electoral register4.Full Check
check
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Updated 12.02.13