Post:
DEPUTY HEADTEACHER: LEARNING, TEACHING AND STAFF DEVELOPMENT / Closing Date:
MIDDAY – TUESDAY 12TH APRIL 2016
Personal details (BLOCK CAPITALS)
Title:
Surname:
Forename:
Previous or other names:
DfEE number:
Date of birth:
Home address: / Address for correspondence:
(If different from home address)
Telephone:
Mobile:
E-mail address:
Secondary education
Name of school:
GCE ‘O’ Level / GCSE / Level 2 Courses: / Subject / Grade / Date (yy/mm)
GCE ‘A’ Level /
Level 3 Courses:
Higher education
Start date / Finish date / University / College / Qualification / Class / Division / Subject(s) / FT/ PT
Other qualifications and courses that you have completed within the last five years
Date / Length of course / Details / Qualifications
Teaching practice (to be completed by candidates for first appointment only)
Date
From - To / School / Age range / LEA
Present school (please complete all details)
Name and address of school:
Post code:
Type:
No. on roll:
Age range:
Subjects taught:
Name of LEA:
Present post:
Current salary:
Date of app: / Allowance: / Salary:
Previous schools (with most recent first)
School:
Post:
LEA:
Allowance:
Type of school:
No. on roll:
Age range:
FT/PT:
From/To:
School:
Post:
LEA:
Allowance:
Type of school:
No. on roll:
Age range:
FT/PT:
From/To:
School:
Post:
LEA:
Allowance:
Type of school:
No. on roll:
Age range:
FT/PT:
From/To:
School:
Post:
LEA:
Allowance:
Type of school:
No. on roll:
Age range:
FT/PT:
From/To:
Previous schools (with most recent first)
School:
Post:
LEA:
Allowance:
Type of school:
No. on roll:
Age range:
FT/PT:
From/To:
School:
Post:
LEA:
Allowance:
Type of school:
No. on roll:
Age range:
FT/PT:
From/To:
School:
Post:
LEA:
Allowance:
Type of school:
No. on roll:
Age range:
FT/PT:
From/To:
School:
Post:
LEA:
Allowance:
Type of school:
No. on roll:
Age range:
FT/PT:
From/To:
Other paid employment
Start date / Finish date / Employer / Position / Nature of duties
Personal and professional interests
Superannuation
a.Have you opted to pay superannuation under the Teachers’ Superannuation Regulations 1976 in respect of previous part-time teaching service? / Yes/No
b.Have you opted out of the Teachers’ Superannuation Scheme / Yes/No
Date:
c.Indicate options taken under the Widow/Widower’s and
Children’s Pensions Scheme
d. If superannuated outside the Teachers’ Scheme, give details
e.g. local government
Probation of teachers
Please state period of extension(s), if any:
Relationship to any member or officer of the County Council or Governing Body
Give details if applicable:
Referees
Referee one / Referee two
Title:
Surname:
Name:
Company:
Position:
Address:
Postcode:
Telephone:
E-mail address:
Have you ever been convicted of a criminal offence?
(Please circle) / YES NO
REHABILITATION OF OFFENDERS ACT 1974
Because of the nature of the work for which you are applying, this post is exempt from the provisions of Section 4 (2) of the Rehabilitation of Offenders Act 1974, by the virtue of the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975, and the Rehabilitation of Offenders Act 1974 (Exceptions) (Amendment) Order 1986.
Applicants are therefore not entitled to withhold information about convictions which for 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 other disciplinary action by the Council. Any information given will be completely confidential and will be considered only in relation to an application for positions to which the order applies.
Declaration
Having read the above paragraph, I certify that there are no convictions of which you should now be aware of.
Signed / Date
Or
*I give below details of convictions, spent or otherwise, of which you should be aware when considering my application for the above mentioned post.
*Please delete inappropriate statement.
Convictions
I HEREBY CERTIFY that I have read the accompanying letter and the notes of this form and that all questions have been accurately answered.
Signed / Date
Notes
i. Candidates are reminded that canvassing members of the Whitchurch High School (Foundation) Governing Body and/or LEA or influential partners concerned or officers will disqualify their application.
ii. Applicants whose qualifications have been obtained outside ENGLAND and WALES should attach a copy of their letter of recognition from the Department for Education.
iii. CLOSING DATES WILL BE STRICTLY ADHERED TO.
Please email: Kath Jones, PA to Headteacher – or:
Send to:
MRS KATH JONES,
(PA TO HEADTEACHER),
DEPUTY HEADTEACHER APPOINTMENT,
WHITCHURCH HIGH SCHOOL,
PENLLINE ROAD,
WHITCHURCH,
CARDIFF,
CF14 2XJ
vi. LETTER OF APPLICATION
Please complete a maximum of two pages A4, minimum font point 12. CVs are not required
v. The successful candidate’s appointment will be subject to:
- Suitable references
- Disclosure and Barring Service (DBS) Enhanced check
- EWC Registration