Hele’s School
Telephone:
Fax:
Website:
E-mail: / 01752 337193
01752 331460
www.heles.plymouth.sch.uk
/ Seymour Road
Plympton
Plymouth
PL7 4LT
Principal:
Justine Mason BA

Application Form

Post Title
Personal Details
Title
Forename (s)
Surname (block capitals)
Previous or other name(s)
Home address
Telephone / Home/Mobile
Work
E-mail
Date of birth
National Insurance Number
Are you recognised by the DFE as a Qualified Teacher?
DFE Reference No
Age range taught
Date available for employment
Present Post
Post title
Name and address of school or organisation
Dates / From To
Type of school
Number on roll
Subjects taught and age range
Current duties/post of responsibility
Present spine point and salary
Reasons for wishing to leave
Degrees or Professional Qualifications
Qualification
(eg BA, BEd) please include class of degree
Date / From To
University/College
Subjects
Postgraduate
(eg MEd, PGCE)
Date / From To
University/College
Subjects
Other
(eg Diplomas etc.)
Dates / From To
University/College
Subjects
Relevant professional development
(non-award bearing)
Secondary Education
School/College attended
Dates / From To
Qualifications, please include
A level subjects and grades awarded
Previous Teaching Experience (most recent appointment first)
1 Post Title
Name and address of school
Dates / From To
Type of school
Number on roll
Subjects taught and age range
Responsibility and allowance
2 Post Title
Name and address of school
Dates / From To
Type of school
Number on roll
Subjects taught and age range
Responsibility and allowance
3 Post Title
Name and address of school
Dates / From To
Type of school
Number on roll
Subjects taught and age range
Responsibility and allowance
4 Post Title
Name and address of school
Dates / From To
Type of school
Number on roll
Subjects taught and age range
Responsibility and allowance
Experience Outside Teaching
Nature of Employment / Name and Address of Employer
1
Dates / From To
2
Dates / From To
3
Dates / From To

Please give reasons for any breaks in your record of education or employment.

Referees (please give present or immediate past Headteacher and at least one other referee)
Headteacher
Address: / E-mail address:
Telephone
Referee Name
Address / E-mail address:
Telephone
Referee Name
Address / E-mail address:
Telephone
Declaration
Rehabilitation of Offenders
Because of the nature of the work for which you are applying, this post is exempt from the rehabilitation of offenders Act 1974. Therefore all convictions, cautions and bind-overs, including those regarded as spent, must be declared. You will be required to disclose, all the information about any convictions in a court of law, no matter when they occurred, so that a Police check can be carried out if you are offered the appointment. If you are subsequently employed by the school, and it is found that you failed to disclose any previous convictions, this could result in dismissal, or disciplinary action by the school. All information will be treated in confidence, and will only be considered in relation to an application for the post to which the exemption order applies.
Have you ever been convicted at a Court and/or been cautioned by the Police for any offence other than ‘spent convictions’ as defined in the Rehabilitation of Offenders Act 1974?
Yes / No
As you are applying for a post which involves contact with children please give details of spent convictions.
We will be requesting an enhanced DBS check with barred list information and would ask that you disclose any current or historic prohibition orders as we will also access the Employer access Online service.
Please give any details.
Do you need permission to work in the UK?
Yes / No
Are you able to produce documents if asked for at interview which demonstrate that you are entitled to work in the UK?
Yes / No
In order to ensure fairness and openness please state whether you are related to, or in a relationship with, a senior member of staff or Governor of Hele’s School.
Yes / No
If Yes then please give details.
I declare that the information I have given is true and accept that if I have given false information it may result in my application no longer being considered, or my appointment not being confirmed.
Signed: ______Date: ______
Please state any particular assistance or facilities you may require if invited to attend for interview.
Letter of Application
Please write in support of your application, showing how your experience and qualifications have prepared you for the role you are applying for at Hele’s School.
Your letter should be no more than 2 sides of A4.
If you are a disabled person, and because of your impairment, cannot fulfil certain aspects of the Person Specification, but you feel you can meet the job requirements, in an alternative/adjusted way, please provide details.
Our Governors’ Promise to You
Fairness
We will treat your application fairly and honestly, and consider it only in relation to the requirements of the job. We will do this regardless whether or not you work for Hele’s School, another employer, or are unemployed. Your application will be processed in strict confidence.
Equal Opportunities
Our aim is to appoint the best person for the job. We believe in equal opportunities, and will not unfairly discriminate against anyone. A copy of our Equal Opportunities Policy is available on request.
The Whole Community
We welcome applicants from all sections of the community.
Disabled Applicants
Wherever possible and reasonable, we will help a disabled person with the application process. If you consider yourself to be a disabled person and need such help, please contact the school.

Thank you for applying for this post. Your interest in working with us is appreciated.

Please return this application to:

Miss Mason

Hele’s School

Seymour Road

Plymouth,

PL7 4LT

or by email

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