Tonbridge Federation Support Staff Application Form

/ HUGH CHRISTIE TECHNOLOGY COLLEGE
SUPPORT STAFF APPLICATION FORM /
The Tonbridge Federation is committed to being an equal opportunities employer. The aim of our policy is to ensure that no job applicant receives less favourable treatment on the grounds of race, colour, nationality, ethnic or national origin, disability, gender, religion, age, marital status, sexual orientation, medical condition (including people living with HIV or AIDS) or is disadvantaged by any conditions or requirements which cannot be shown to be justified. The Federation is committed to the safeguarding and promotion of welfare of all children and young people.
The information requested in this form is important in assessing your application. Please complete this form in full. Unless stated otherwise, CVs are not acceptable. Please write/type in black ink. Please ensure that you save this document before sending, otherwise all data will be lost.
Job Details:
Post Applied For:
School / Establishment:
If appointed, when can you start?
Personal Details:
Title:
Full Name:
Maiden Name / Previous Name:
Address:
Post Code:
Telephone No. / Home:
Work:
Mobile:
Email Address:
N.I. Number:
Education & Qualifications:
(NB: Shortlisted candidates will be required to produced qualification certificates at interview)
GCSE or equivalents / Grade / Date
‘A’ or ‘AS’ Level / Grade / Date
Higher Education / Further Education
Establishment / Course / Level / Grade / Date
Additional Qualifications or Training
Establishment / Course / Level / Grade / Date
Employment History:
Current or most recent period of employment
Name of employer:
Position held:
Dates of employment:
Reason for leaving:
Brief description of responsibilities:
Previous / Other Periods of Employment
Name & Address of Employer / Position / Dates / Reason for leaving
Please state and explain any gaps in either employment or education
Dates / Details
Relevant Experience & Other Information
The information you provide in this section is important in assessing your application. Please use the space (and/or additional A4 sheets, if necessary) to state your reasons for applying for the post, relating your skills, experience and personal qualities to the requirements of the job (please refer to the person specification for the post).
Leisure Interests
Other Information

Do you have a current UK driving licence (If applicable)? Yes/No

Do you have any current endorsements? Yes/No

If yes, please give brief details

Are you aware of any matter, which might call into question your integrity as an employee or bring you/or Hugh Christie into disrepute. Yes/No

If yes, please give brief details:

Are you in good health? Yes/No

If no, please give details:

Work Permit

Do you need a work permit to be employed in the UK? Yes/No

Additional details:

References

Please list the names, position, addresses and contact details of two referees whom we may approach for a reference.

Referee 1: / Referee 2:
Tel. Nos. / Tel Nos.
Email: / Email:
May we contact prior to interview? Yes / No / May we contact prior to interview? Yes / No

Are you related to a member of the Governing Body of the School? Yes / No

Disclosure and Barring Service
Do you hold an Enhanced DBS Certificate of Clearance / Yes / No
If ‘YES’, please state the date of your Certificate:

I can confirm that I have not been banned from working with children:

Signature: / Date:
Print Name:
Rehabilitation of Offenders Act 1974
Under the Rehabilitation of Offenders Act 1974 (Amendment Order 1986) and regulations issued by the Home Office, the Governors have a duty to ensure that a police check for possible criminal convictions is undertaken for all those who apply for positions that give substantial access to children. Applicants are not entitled to withhold information about convictions which for other purposes would be “spent” under the provisions of the Act. Have you been convicted or found guilty of any offence by any Court (even if you were only placed on probation or conditionally discharged)? Answering ‘yes’ does not necessarily bar you from appointment. Every application is considered on its own merits.
YES/NO
If yes, please give details of Court, charge and sentence below:
Please confirm by your signature that you would have no objection of a police check being carried out before an appointment is confirmed. A refusal could prevent further consideration of your application.
Signature:
Please remember this is an important document. Consequently if any of the particulars which you have given knowingly are found to be false, or if you have wilfully omitted or suppressed any material fact, particularly with regard to eligibility for employment, you could be dismissed.
In view of this, you are asked to certify that to the best of your ability you have completed these entries correctly, that all the questions have been answered accurately and fully, and that you are in possession of the certificates which you claim to hold.
Signature: Date:

Protecting your personal information

The Tonbridge Federation retains on files information (including health and equalities data) from this form and any attached documents. This is required for recruitment and equal opportunities monitoring purposes, the payment of staff and the prevention and detection of fraud. All information will be dealt with in accordance with the data protection legislation.

Equalities Monitoring Form

The Tonbridge Federation is committed to having a workforce that reflects the diverse make-up of the Community of Kent. To help us monitor and achieve this objective, job applicants and through periodic requests, current staff, are asked to provide specific information so that we have an accurate picture of our workforce and can check that our employment practices do not unlawfully discriminate. The information you give is confidentially managed and does not affect your job application. The Monitoring form is removed prior to shortlisting and is not seen by recruiting managers. It will greatly assist us if you provide as much information as possible, but you are not obligated to do so.

ETHNIC ORIGIN
Please tick one box only, indicating the category that best describes your ethnic origin.
ETHNIC GROUP (Please tick appropriate category)
White
British
Irish
Any Other White Background
Mixed
White and Black Caribbean
White and Black African
White and Asian
Any other mixed background (Please specify)
Asian or Asian British
Indian
Pakistani
Bangladeshi
Any Other Asian background
(Please specify)
Black or Black British
Caribbean
African
Any other Black background (please specify)
Chinese
Any Other Ethnic Group
Please specify
Male Female
Age Range (Please tick
Up to 19 46-55
20-25 56-65
26-35 Over 65
36-45

Confidential

Equalities Monitoring Form

Applications from disabled people are welcomed and disabled applicants who meet the minimum criteria are guaranteed an interview. We want to ensure that disabled people are considered on an equal basis by providing appropriate access and equipment. To help us do this, please answer the following questions:

Disability (please tick)

Do you consider yourself to be disabled?

Yes No

If yes, do you consider yourself to be disabled under the terms of the Disability Discrimination Act?

Yes No

The Disability Discrimination Act 2005 defines disability as a “physical or mental impairment which has a substantial and long-term adverse effect on a individual’s ability to carry out normal day-to-day activities.”

Is there anything you would like us to know about your disability to assist you in the recruitment process?

If you are invited to interview, do you need any of the following (please tick)

Induction loop or other hearing enhancement

Keyboard for written tests

Assistance in and out of vehicle

Wheelchair access

Other assistance (Please specify)

Sign language interpreter (please state type)

Someone with you at the interview (e.g. advocate or facilitator)

Accessible car parking

Accessible toilet

Only necessary information will be given to the recruiting manager after shortlisting, to allow appropriate adjustments and facilities to be made available within the interview process.

What is your religion/belief? (please tick)

Buddhist / Muslim
Christian / Sikh
Hindu / Other religion or belief
Jewish / None

What is your sexual orientation? (please tick)

Heterosexual / Gay/ Lesbian
Bisexual

Protecting your personal information

I understand the personal data provided may be used to update/correct data previously recorded. This will be retained on my personal record within a secure personnel system. Access to such data is restricted to personnel staff in accordance with Data Protection requirements, and is used solely to ensure KCC meets is obligations under equality legislation. Data is not attributed to an individual in any reporting. (Rev. 07/07)

1