Bath & North East Somerset Chew Valley School Applicant No.

Confidential

Application For Employment

Do not submit a CV unless specifically requested.All sections of the form must be completed.

Application for the post of:: Post Ref
Closing date: / From what source did you hear of this vacancy?

Personal Details

Surname: / Preferred style of address
Mr, Mrs, Miss, Ms, Dr / First Name(s):
Address …………………………………………
…………………………………………………..
…………………………………………………..
Tel (home): …………………………………….
Tel (work): ……………………………………..
Email: …………………………………………..
Mobile: …………………………………………
Do you have a current driving licence?
YES / NO
Do you have a car you can use for work?
YES /NO
National Insurance No.
Do you require a Work Permit?
YES / NO

Education &Qualifications (From age 14 in date order)

Name of School/College/University / From
(dd/mm/yy) / To
(dd/mm/yy) / Full details of qualifications gained, including subjects, grades,class
Other Qualifications/Training / From / To / Full details of qualifications gained, including subjects, grades
Name of School./College/University

Membership of Professional Bodies

Institute/Society type of membership

Year of election/examination

Present or most recent employment

Name and address of employer

Post Held

Basic Salary per annum Benefits
Date started Until Notice Required

Previous Employment

Please give details of all positions held since you completed your full-time education, most recent first.

From
dd/mm/yy / To
dd/mm/yy / Employers Name & Address / Position Held / Reason for leaving this post

Experience/Relevant Skills/Further Information

Please state how your experience and achievements would make you a suitable candidate for this post using the criteria set out in the person specification and/or job description. Include details of any relevant unpaid or voluntary work.
Continue on a separate sheet if necessary

References

Please provide details of two referees who can comment on your suitability for this job. The referee must be a line manager or supervisor. References from relatives or people who only know you as a friend are not acceptable. If you have not worked previously, then please give details of a school/college/university official.

1.2.

Name:Name

Address: Address:

Tel no (incl. area code)Tel no (incl. area code)

FaxFax

e-maile-mail

Job titleJob title

RelationshipRelationship

Are you related to any Councillor or employee of Bath & North East Council?

(Please give details)

Canvassing will disqualify your application or, if appointed, may make you liable to dismissal

Working Time Regulations

The working time regulations place a maximum limit of 48 working hours per week. Do you intend to continue in any other employment, should you be offered this appointment? YES/NO

If so indicate how many hours you work per week in this other employment

Have you been dismissed from any previous employment? YES/NO

If yes please indicate which employment and specify the reasons for your dismissal (use a separate sheet if necessary).

Do you have any convictions (including driving offences) cautions, bind-overs or disqualifications? YES/NO

Are you currently the subject of any police investigations following allegations made against you? YES/NO

If yes please give details on a separate sheet and attach it to this form in a sealed envelope marked Confidential Disclosure.

NOTE: This post is subject to an Enhanced CRB check so that any criminal background (including “spent” convictions, bind-over orders or cautions) is disclosed. Chew Valley School cannot employ someone to this post without this check. If you are successful in applying for this post we will ask the CRB for a Disclosure.

The position for which you are applying involves contact with vulnerable groups. It is exempt from the Rehabilitation of Offenders Act 1974 and all subsequent amendments (England and Wales). For this position you are not entitled to withhold information about police cautions, bind-overs or any criminal convictions that would otherwise have been considered “spent” under the Act.

I declare that the information I have given on this form is complete and accurate and that:

  • I am not barred or disqualified from working with vulnerable groups, children or young people.
  • I am not subject to any sanctions or conditions on my employment imposed bythe IndependentSafeguarding Authority, Secretary of State or other regulatory body.

I understand that to knowingly give false information or to leave out any relevant information could result in:

  • The withdrawal of any offer of appointment, or
  • My dismissal at any time in the future, and possible criminal prosecution.

Signed Date

If you are sending this application form by e-mail then in the absence of this signature you should note the e-mailing of this application constitutes your personal certification that the details in this application are correct

DATA PROTECTION; The personal information provided on this application form will be used for employment purposes and processed, held and accessed under the terms of the Data Protection Act 1998. No personal information will be passed to a third party without your express permission. We will keep application forms of unsuccessful candidates for six months before being destroyed.