CONFIDENTIAL

Application form for an advertised post as

Part-time PE and Games teacher at Holmwood House School

Please indicate if you are applying for:
Part 1 only (Pre-Prep PE and Games Teacher. Approximately 4.5 hours over 2 days)
Part 2 only (Prep Girls’ Games Teacher. Five afternoons from 2.30pm-4pm plus extended hours for some matches)
Both roles
How did you find out about the vacancy?
  1. PERSONAL DETAILS

Surname: / Forenames:
Title: / Date of birth: / DfES Ref No:
Address (home):
(If not resident at this address for 5 years, please provide previous addresses on a continuation sheet) / Address (work):
Home Telephone: / Mobile Number:
Email address: / Qualified Teacher Status: Yes/No
National Insurance Number:

2PRESENT TEACHING POST

Present Post (Title): / Date Appointed:
Name of School: / Length of notice required:
Address of School:
Type of School: / AgeRange: / Number on Roll:
Single Sex/Mixed: / Grade/Scale: / Current Salary:

3 PROFESSIONAL REFERENCES (one should be your present or most recent employer; relatives and friends should not be used as referees)

Name & Status: / Name & Status:
Address: / Address:
Post Code: / Post Code:
Telephone number: / Telephone number:
Email: / Email:

4 EDUCATION

Secondary Education / Dates
From / To
Qualifications 16+ / Grade / Date
Higher Education / Date
From / To
Subject(s):
Institution:
Degree:
Class:
PGCE:
Further post-graduate study: / Dates
From / To

4PREVIOUS TEACHING POSTS HELD*

Name of Employer / Type (Ind,
Selective, Comp etc) / (Boys, Girls, Mixed) / AgeRange / Nos.
on roll / Title of Post and Scale / Dates
From / To / Reason for leaving

*Please use a continuation sheet if necessary

6RELEVANT IN-SERVICE TRAINING

Courses attended within the last three years:

Title / Organising Body / Date / Length

7PROFESSIONAL RESPONSIBILITIES AND ACHIEVEMENTS

8INTERESTS AND OTHER COMMENTS RELEVANT TO APPLICATION

9.REHABILITATION OF OFFENDERS ACT 1974

The post applied for is exempt from the Rehabilitation of Offenders Act 1974 and therefore all convictions, cautions and bind-overs, including those regarded as ‘spent’, must be declared. Accordingly, the following declarations are required:

  • I am/am not* included on the DBS Barred List;
  • I am/am not* disqualified from work with children, or subject to sanctions imposed by a regulatory body,
  • I have/have not* one or more convictions, cautions, or bind-overs. (If any convictions, cautions or bind-overs are held, details must be provided in a sealed envelope marked ‘Confidential’ and attached to this application)

I understand that if successful in this application, I will be required to obtain a Disclosure at the Enhanced level from the Disclosure and Barring Service.

Signature: ______Date: ______

Please return the completed application form to the Headmaster, Holmwood House, Chitts Hill, Lexden,Colchester, Essex, CO3 9ST or by email at ebefore the closing date.

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