/ GURU NANAK SIKH ACADEMY (PRIMARY)

SPRINGFIELD ROAD HAYES MIDDLESEX UB4 0LT

Tel: 020 8573 6085 Fax: 020 8561 6772

Founder: Sant Baba Amar Singh Ji

Website:
email:

APPLICATION FORM FOR A

SUPPORT STAFF APPOINTMENT

Founder: Sant Baba Amar Singh Ji
Principal: Rajinder Singh Sandhu

POST APPLIED FOR: ______

  1. PERSONAL DETAILS (Block Capitals)

Surname / First Names
Title Mr/Mrs/Miss/Ms / Former Names (if applicable)
Date of Birth / Home Telephone
Home Address / Mobile phone
Daytime Telephone (if it may be used)
E-mail Address: / National Insurance Number:
  1. EDUCATION and TRAINING

Secondary Schools, Colleges and Universities / From / To / Courses of study pursued, academic/ vocational qualifications obtained (please state subjects and grades)

EDUCATION and TRAINING Continued

(Please note: You may be asked to provide original copies of certificates)
  1. EMPLOYMENT (and other relevant) HISTORY

Please give details of your present or most recent employer

Name and Address of Employer / From / To / Job Title / Notice required and reason for leaving / Salary
  1. PAST EMPLOYMENT

Please list all employers, using a separate sheet if necessary. Please explain any breaks in employment (subject to the provisions relating to disclosures under the Rehabilitation of Orders Act 1974 and 1986).

Name and Address of Employer / From / To / Job title/grade and brief outline of duties and responsibilities / Reason for leaving

PAST EMPLOYMENT Continued

Name and Address of Employer / From / To / Job title/grade and brief outline of duties and responsibilities / Reason for leaving
  1. PERSONAL STATEMENT

Please show how you meet each of the requirements of the post for which you are applying and add any other detail which you feel to be of relevance to your application. Please use a separate sheet if required.
  1. OTHER RELEVANT INTERESTS

Please provide any other information you feel is relevant to your application i.e. sports achievements, voluntary work, hobbies and interests.
  1. REFERENCES

Please give the names and addresses of two work referees, from whom confidential inquiries can be made (one must be your present or most recent employer). If you are unable to provide work referees, a Headteacher, a College/University Tutor/Lecturer or another professional person is acceptable.
Name: / Name:
Position in organisation: / Position in organisation:
Address: / Address:
Capacity known to you: / Capacity known to you:
We require a reference from your present or last employer if you have one, before an appointment can be made. Please indicate at which stage you wish requests for references to be made.
Immediately  If invited to interview  If selected for employment 
Please note that references will be taken in advance of an interview for posts covered by the Warner Report recommendations.
  1. DECLARATION

I hereby declare that to the best of my knowledge, this information is true and complete.
False or misleading information on this form will disqualify you from appointment and if appointed already, may result in disciplinary action which could lead to your dismissal.
I acknowledge and agree to have the above information recorded and used in accordance with the Date Protection Acts 1984 and 1998.
Signature of applicant: ______Date: ______