CONFIDENTIAL

COMBE BANK SCHOOL

Application for the Post of

Candidate’s Name

A covering letter, stating why you would be suitable for this post, together with this Application Form should be sent to:

Mrs J Abbotts

The Headmistress

Combe Bank School

Sundridge

Nr. Sevenoaks

Kent

TN14 6AE

Personal Details

Title / Surname / First Names
Address
Tel Home / Tel Work
Mobile / Email
Place of Birth / Nationality
Religious Denomination / National Insurance Number
Marital Status / Qualified Teacher Status / Yes/No
Names & Ages of Children / Registered with General Teaching Council / Yes / No
Are you registered disabled? / Yes / No
Please indicate if you need any special help if you are invited for interview
How many work days have you missed from sickness in the last 18 months?
Have you suffered from any medical condition which has affected (or might in future affect) your performance as a teacher?

(Candidates selected for final short list will be required to have a medical examination by a qualified practitioner.)

Education

Name of Secondary School

/

From

/

To

Name of University or Other Institute of Higher Education

/

From

/

To

/

Class of Degree

/

Subject

Qualifications/Training

GCSE and A Level or Equivalent
Qualification / Examining Body / Subject(s) / Grade / Date
Relevant courses or training received within the last three years
Title / Organising Body / Date

Employment Details – Teaching Experience

List in chronological order. If gaps arise for the period from education to the present day, please explain.
Educational Establishment (name and type) / No. on Roll Girls/Boys/Co-Ed/Boarding/Day / Post Held / Full or Part Time / Subject/Age Taught / From / To
Other Employment
Employment / Position / Full or Part Time / From / To
If applicable, please state reason for wanting to leave current employment.

Leisure Interests and Other Activities

References

Names, address and telephone numbers of three persons to whom references may be made in confidence. One referee must be your existing employer. Please state in which context you are well known to the person names, e.g. present Head.
Name / Name / Name
Address / Address / Address
Telephone / Telephone / Telephone
Context / Context / Context
Please indicate if you know any existing employees or governors at the school, and if so how you know them.

Employment Details

Present basic salary per annum
Additional allowances per annum
Other benefits
DfES Reference Number

Information

This post is covered by the Protection of Children Act 1999. If appointed, I consent to an enquiry by the school for a Criminal Background Check and understand that updated enquiries may be made during my period of employment.
Signature / Date

Consent

If appointed, I give my consent to details of the qualifications I gained at University being forwarded to the Headmistress of Combe Bank School.
Signature / Date

Declaration

I certify that the information given on this form is to the best of my knowledge true and complete.
Signature / Date

Combe Bank School is committed to safeguarding and promoting

the welfare of children

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