Thorpe House School

THORPE HOUSE SCHOOL

Oval Way, Gerrards Cross, Buckinghamshire SL9 8QA

Headmaster: T. R.W.J Ayres, B.A. (Hons), P.G.C.E.

APPLICATION FORM

To help us assess your application, please complete all sections of this application form and return it with your letter of application.

JOB APPLIED FOR:

Surname / First Names
Former Name (s)

Address

/

Contact Details

Home :
Work or mobile :
e-mail address :
May we contact you at work?
N.I. Number / D.E.S. number
Current Salary (if employed):

Do you have Qualified Teacher status?

Are you subject to any conditions or prohibitions placed upon you by any relevant regulatory body?

Do you hold a current driving licence ?

Do you have any current endorsements? If so, for what? / Yes No
Yes No

If you have a disability, please let us know of any special arrangements that you may need if you are short listed for interview

Qualifications

(Please give awarding institutions and date of award for Higher Education qualifications)

Teaching :

Degree :

A Levels :

Other :

Details of relevant training undertaken recently

(e.g. teaching courses, child protection training, First Aid, IT skills etc)

Details of special areas of teaching interest :

Details of interests/ hobbies :

Full Personal History in chronological order since leaving secondary school.

Please include periods of education and training, full and part time employment and voluntary work. Give details of what you were doing during other periods.
If employed as a teacher please give details of the type of school (State/Independent) and the number of roll.
In all cases of employment state clearly whether the post was full time or part time.

Start Date

/

End Date

/

Reason for leaving

Details of two Referees

Please include name, address, telephone contact, e-mail address and details of their relationship to you. (One of these should be your current or most recent employer. If you are not currently working with children, one should be the most recent employer for whom you worked with children. References will not be accepted from relatives or friends.)

Reference 1

Name and address

/

Telephone

/

e-mail

/

Relationship

to you

Reference 2

Name and address

/

Telephone

/

e-mail

/

Relationship

to you

Do you have a close relationship with any current employee or Governor of ThorpeHouseSchool?

Do you need a work permit to work in the UK?

If ‘Yes’, do you have current documentation to work in the UK?

This post is exempt from the Rehabilitation of Offenders Act (1974) and all convictions, cautions, and bind-overs including those regarded as ‘spent’ must be declared. However, criminal records will only be taken into account if the offence is relevant. No appointment will be confirmed until DBS clearance is received. Those who have criminal offences held against them will be required to bring written details to their interview if short-listed.

Please tick the relevant box.

I do not have any criminal offences held against me
I do have criminal offences or prosecutions pending against me

I agree that any offer of employment is conditional upon Thorpe House School being satisfied with the results of pre-employment checks, including the right to work in the UK, academic qualifications, references, disclosure of medical information, enhanced DBS and/or police check(s), prohibition order and childcare disqualification checks.

In accordance with the Data Protection Act 1998, it is agreed that the Governing Body of ThorpeHouseSchool may hold and use personal information about me for personnel reasons and to enable the school to keep in touch with me. This information can be stored in both paper and computer form, including the data in Section 2 of the Data Protection Act 1998.

I confirm that the information given in this application, and in any attachments, is factually correct and understand that providing false information on this application formcould result in the application being rejected or summary dismissal in the event of employment by the school.

Signed: Date:

Please return your application to :

The Headmaster

ThorpeHouseSchool

Oval Way

Gerrards Cross

Buckinghamshire, SL9 8QA

Thank you for your interest in this post.
If you have not been contacted within three weeks of the closing date then please assume that your application has
been unsuccessful on this occasion.

Recruitment Monitoring

The Governing Body of Thorpe House School operates a Diversity Policy and is committed to appointing the best candidate on the basis of their ability to do the job.

The codes of practice published by the Equal Opportunities Commission and the Commission for Racial Equality advise employers to monitor the outcome of selection decisions to ensure that discrimination does not occur within the recruitment and selection process.

The information you give below is confidential and is used for monitoring purposes only

Full Name:
Sex: / Male / Female
Date of Birth:

Ethnic Origin

(These categories of ethnic monitoring are recommended by the UK Equal Opportunities Commission as the most appropriate for the UK. If none of these categories fit your own ethnicity then please tick the ‘Other Ethnic Group’ box and define.

Asian or

Asian British

/

Mixed

/

Chinese or

other racial

Indian
Pakistani
Bangladeshi
Other / White & Black Caribbean
White & Black African
White and Asian
Other Mixed / Chinese
Other racial group

Black or

Black British

/

White

/

Other Ethnic Group

Black Caribbean
Black African
Other Black / British
Irish
Other White
Religion
Buddhist / Jewish / No Religion
Christian / Muslim / Other (Please write in)
Hindu / Sikh
Do you consider yourself to have a disability? Yes/No
If Yes, what is the nature of your disability?
Marital Status
Single / Civil Partnership / Prefer not to say
Married / Living with Partner

Statement by ThorpeHouseSchool

The appointment of the successful applicant is conditional upon Thorpe House School being satisfied with the results of pre-employment checks, including the right to work in the UK, academic qualifications, references, disclosure of medical information, enhanced DBS and/or police check(s), prohibition order and childcare disqualification checks.
We will seek references for candidates we choose to interview before the interview date, and may approach other previous employers to verify experience or qualifications.
When asking for references we will ask about any current or former disciplinary offences of allegations which relate to children.
DATA PROTECTION ACT
Information on this form may be held on paper or computer. Strict confidentiality will be observed and disclosures will only be made for payroll and personnel administration purposes. The form will be destroyed one month after receipt if you are not shortlisted.

ThorpeHouseSchool is committed to safeguarding and promoting

the welfare of children and young people

and expects all staff and volunteers to share this commitment.

Application Form – February 2014page 1e-mail :