PLEASE SUBMIT THIS FORM VIA EMAIL ALONG WITH A CURRENT CVAND SUITABLE PHOTO ID.

(Please DO NOT complete this form by hand)

Section A - Personal Details
Position Applied for: Education Specialist
Title / Surname
Forename(s)
Gender / M / F / Date of Birth / Religion
Nationality / Ethnicity
Home Telephone / Mobile Phone
E-mail Address
Current Address
(including post code) / Length of time at this address?
(years/months)
Previous Address
If you have lived less than 5 years at your current address (above)
Emergency Contact Name / Emergency Contact Number (s)
Relationship to You
Where did you hear about this role?
(Please specify website or newspaper if applicable)
Section B – Functional Details
Do you hold a valid Full UK Driving license? / Yes / No / Do you have access to your own car? / Yes / No
Details of endorsements/ convictions, if any.
Teacher (DFE) number
MAPA / Team-Teach number
Have you ever been cautioned, had a criminal conviction, or been subject to a criminal enquiry? / Yes / No
Do you have any disabilities that might be relevant to this type of work?
Are you currently registered as Self-employed?
Yes / No / UTR Number:
(Unique Taxpayer Reference number)

You will need to be registered as self-employed with HMRC to begin working with Fresh Start in Education. For more information about how to register or if you prefer not to be self-employed, but would like to work for Fresh Start in Education please call the recruitment team on 0203 409 6410.

Section C – Education Background(Please provide details of School(s) / College(s) / University(ies) attended from age 11, together with qualifications obtained).
Name & Address of Establishment / Dates of Attendance / Qualifications Obtained / Grades Obtained / Dates of Qualifications
Section D – Relevant Training (Please provide details of any relevant courses and training that you have attended.) You may put “See C.V.” if the following information is clearly expressed in your attached Curriculum Vitae. Please continue on a separate sheet of paper if necessary.
Training Provider / Name of Course / Course Accreditedby whom? / Date Attended
Section E – Current Employment/Contracts(Please provide details of your current employment/contract(s), or if currently unemployed or retired, details of your most recent employment or contract work undertaken).
Name of Employer
Address of Employer
(including post code)
Your Job Title
Start Date / End Date(if applicable)
Reason for Leaving
(if applicable)
Please give a description of your current (or most recent) employment and your responsibilities
Section F – Previous Employment/Contract History (Please provide details of your FULL employment/contract history since you began work
Name & Address of Establishment / Your Job Title / Start Date / End Date / Reason for Leaving
Please explain any gaps in your Education and Employment history
Section G – Knowledge, Skills & Experience(Please outline the knowledge, skills, experience and unique qualities that you will bring to Fresh Start in Education and to this position as an Educational Specialist.)
Section H – Availability (THIS IS NOT AN EMPLOYED POSITION)
What date are you able to start working with Fresh Start in Education?
Do you have any holidays arranged for this current year? / Yes / No / If yes, please specify
Please indicate the day(s) and part(s) of days you are generally available to work. Delete as necessary.
Mondays / Tuesdays / Wednesdays / Thursdays / Fridays
Yes / No / Yes / No / Yes / No / Yes / No / Yes / No
a.m. / p.m. / a.m. / p.m. / a.m. / p.m. / a.m. / p.m. / a.m. / p.m.
Is there anything else you need to let us know regarding your availability?
Section I – Professional Referees (Please provide adequate information to enable us to take references covering the previous 5 years of your Employment/Contracts).
Referee’s Name / Company Name
Relationship to candidate / Can they be contacted prior to an interview? / Yes / No
Referee’s Address
(including post code)
Referee’s Telephone / Email Address
Date employment started (DD/MM/YYYY) / Date employment ended (DD/MM/YYYY)
Referee’s Name / Company Name
Relationship to candidate / Can they be contacted prior to an interview? / Yes / No
Referee’s Address
(including post code)
Referee’s Telephone / Email Address
Date employment started (DD/MM/YYYY) / Date employment ended (DD/MM/YYYY)
Referee’s Name / Company Name
Relationship to candidate / Can they be contacted prior to an interview? / Yes / No
Referee’s Address
(including post code)
Referee’s Telephone / Email Address
Date employment started (DD/MM/YYYY) / Date employment ended (DD/MM/YYYY)
Section J – Personal Referees (Please provide details of two Personal referees. The referee must have known you for a minimum of 3 years and cannot be a family member).
Referee’s Name
Referee’s Address
(including post code)
Referee’s Telephone / Email Address
Referee’s Name
Referee’s Address
(including post code)
Referee’s Telephone / Email Address

Safeguarding is foundational to our practice so all candidates are required to undergo an enhanced DBS check as well as personal and professional reference and qualification checks. We require all Education Specialists to have their own Personal Liability or Professional Indemnity.

Once an Education Specialist has completed the recruitment process and begun tutoring the cost of £56 for the DBS check will be deducted in two instalments from the first two months’ payments to the Education Specialist at £28 per month. This will only be payable if/when Fresh Start in Education provides work, if, the Education Specialist does not commence tutoring, following approval, then the DBS amount will not be payable. If however the applicant pulls out of the application process after their DBS process has been started, the full £56 will need to be repaid to Fresh Start.We also require that you subscribe to the DBS update service to make your DBS portable. By submitting your DBS online, you are agreeing to these repayment terms.

If you have worked outside of the UK in the past 3 years, you will need to provide a Certificate of Good conduct from the country you conducted work in. Fresh Start in Education can provide you with help in how to apply for this.

Fresh Start in Education is committed to equal opportunities for all employed staff and sub-contractors.

Section K – Declaration
I declare that I have read and understood the information above. I declare to the best of my knowledge that the information I have provided is correct. I understand that this is not an application for employment. If I am offered a sessional contract, I give permission for Fresh Start in Education Ltd to take up all necessary references and Disclosure and Barring Service(DBS) checks.
Signature / Date of Signature

If any section of this application form remains incomplete, it will not be considered for the position.

Page 1 of 6Education Specialist Application Form. Copyright © 2016 Fresh Start in Education Ltd.

Incorporated in England and Wales No: 7133204