Horkesley Park, Park Road, Nayland, Colchester, CO6 4JR

Application Form for the position of

School Librarian (0.5 FTE)

Surname:
Forenames:
Home address: ……………..………………………………………………………
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Post Code:
Home telephone number:…………………………………………………………
Mobile number:………………………………………………………….
Email address:………………………………………………………….
Enhanced Level CRB/DBS clearance? Yes / No
If yes, date Clearance issued: ………………………...
Marital status:
Education:
Schools attended
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Subjects passed at ‘O’/’A’ level/ GCSE or equivalent and grade
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Further Education:
Place of education
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Degree and other higher education qualifications:
…………………………………………………………………………………………
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Current and previous employment (starting with most recent)
Current employer……………………………………………………………………
Type of Business……………………………………………………………………
Job title ………………………………………………………………………………
Duties/ responsibilities …………………………………………………………….
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Address ……………………………………………………………………………..
Dates of employment
from ……………………………………………. To ……………………………....
Starting pay …………………………………… Current pay ………….………..
Previous employer………………………………………………………………….
Type of Business……………………………………………………………………
Job title ………………………………………………………………………………
Duties/ responsibilities …………………………………………………………….
………………………………………………………………………………………..
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Address ……………………………………………………………………………..
Dates of employment
from ……………………………………………. To ……………………………....
Starting pay …………………………………… Finishing pay ………….………..
Please advise us of any previous employment positions by either enclosing a separate sheet or by submitting you current CV
Interests/ hobbies. Sports
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Official positions held in clubs, etc ………..…………………………………
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Transport
Do you have your own transport? Yes/ No
Do you hold a current full UK driving licence? Yes/ No
Any current endorsements? No/ Yes (give details) ……………………………
………………………………………………………………………………………..
Criminal Background
Have you ever been convicted of a criminal offence? (Declaration subject to the Rehabilitation of Offenders Act 1974).
No/ Yes
If yes, please give details and seal in a separate envelope addressed to The Bursar, Littlegarth School.
Child Protection Information
Are you or have you ever been the subject of any current or previous investigation or enquiry into the abuse of children or vulnerable adults or any other inappropriate behaviour?
No/ Yes
If yes, please give details and seal in a separate envelope addressed to The Headmaster, Littlegarth School.
Membership of professional organisations
…………………………………………………………………………………………
Do you need a work permit to work in the UK?
Yes/ No
If offered this position will you continue to work in any other capacity?
Yes/ No. If yes please complete the following details:
Job title ……………………………………………………………………………..
Hours of work per week …………………………………………………………..
Number of weeks per year ……………………………………………………….
Referees (not members of your family or persons with whom you co-habit)
Please give details of your current or last employer and a personal reference.
Do you give consent to you referees to be contacted prior to interview if appropriate? Yes/ No
Referee 1 (Current/ last employer)
Name ………………………………………………………………………………..
Address ……………………………………………………………………………..
………………………………………………………………………………………..
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Telephone number …………………………Occupation ………………………..
Referee 2
Name ………………………………………………………………………………..
Address ……………………………………………………………………………..
………………………………………………………………………………………..
………………………………………………………………………………………..
Telephone number …………………………Occupation ………………………..
I confirm that the information I have given above is accurate.
Signed ……………………………………… Date ……………………………….

Please complete and return this form to:

The Headmaster

Littlegarth School

Horkesley Park

Nayland

Colchester

CO6 4JR

Or email to:

Librarian – January 2016Page 1 of 4