King James Road
Knaresborough
North Yorkshire
HG5 8EB / ( / 01423 866061
7 / 01423 861189
/
" / www.king-james.co.uk
Please either complete this form electronically, or print the form and complete it using black ink
King James’s School is committed to the principle of equality in employment. The school’s aim is to ensure equality of opportunity for all existing and prospective employees. The information on pages one and two will not form part of the shortlisting process.
TEACHING POST APPLICATION FORM
Post applying for: / Teacher of Psychology (Part-time)
PERSONAL DETAILS / Surname: / Other Names:
Preferred Title:
ü or detail other / q Dr / q Rev / q Miss / Other Title:
q Mr / q Mrs / q Ms
Home Address:
(including Post Code)
Home Tel: / Mobile Tel:
Work Tel: / Email:
DfES No:
EQUAL OPPORTUNITIES MONITORING INFORMATION
Gender: q Male q Female / Do you consider yourself to have a disability? q Yes q No
Age: / q Under 18 q 18-24 q 25-34 q 35-44 q 45-55 q Over 55
Please note: the categories below are taken from the 2001 Census. The school is required to use this format for its monitoring exercises. Please choose one section from A to E below & tick the appropriate box to indicate your cultural background.
A / White / q British q Irish q Other White - please state:
B / Mixed / q White & Black Caribbean
q White & Black African / q White & Asian
q Other Mixed – please state:
C / Asian or Asian British / q Indian
q Pakistani / q Bangladeshi
q Other Asian – please state:
D / Black or Black British / q Caribbean q Other Black – please state:
E / Chinese or other Ethnic Group / q Chinese q Other Ethnic Group – please state:
REFEREES
Wherever possible references should relate to current or previous employment or alternatively work experience.
One referee MUST be from your current or most recent employer OR if in school, college or just completed education,
one referee must be from school/college (the application will not be pursued without two referees supplied).
We reserve the right to request an alternative referee if that is deemed inappropriate.
Referee 1 Details / Referee 2 Details
Name:
Position/
Company/
Capacity:
Address:
Post Code:
Telephone:
Fax No:
Email:
Do we have your permission to contact the referees for references prior to interview? ü / Referee 1 / q Yes q No
Referee 2 / q Yes q No
Where did you first find out about the vacancy? ü / TES Website / NYCC Website / SRS Website / Local newspaper / Other (please specify)
DECLARATIONS
PLEASE NOTE THAT APPOINTMENT TO THIS POST WILL BE SUBJECT TO MEDICAL CLEARANCE,
SATISFACTORY ENHANCED CRB DISCLOSURE AND SATISFACTORY REFERENCES
Are you related to, or have a close personal relationship, with any member of King James’s School Governing Body or staff? ü / q Yes / If you ticked Yes, please give name and relationship:
q No
Have you ever been convicted/cautioned or bound over, for a criminal offence? ü / q Yes / This job is exempt from Section 4(2) of the Rehabilitation of offenders Act 1974 therefore all convictions, cautions and bind overs, including those regarded as “spent” must be declared.
If you have any of these and have ticked Yes, you must provide details in a sealed envelope, marked confidential, attached to your application form.
q No
Has your name been referred to OR included on these lists: ü if appropriate / q The Protection of Children Act List
q The DfES List 99
q The Protection of Vulnerable Adults List
Has any previous employer expressed concerns and/or taken any action, whether informal/formal (including suspension from duty) on (include any investigations or actions taken by your professional body): ü if appropriate / q Capability/performance / If you have any of these and have ticked either of these boxes, please provide details including dates and action taken, also include pending investigations or action, in a sealed envelope, marked confidential, attached to your application form.
q Disciplinary
I certify that the contents of this form are true and correct to the best of my knowledge and belief. I understand that if I knowingly make any false statements or withhold any relevant information, this may result in subsequent dismissal or the withdrawal if any offer of appointment. / Signature of applicant:
Date:
COMPLETED FORMS SHOULD EITHER BE POSTED TO THE HEADTEACHER AT THE SCHOOL ADDRESS,
OR EMAILED TO THE SCHOOL RECRUITMENT EMAIL ADDRESS (see Page 1 for school address/email) together with ANY SUPPLEMENTARY LETTER OF APPLICATION REQUESTED IN THE POST SUBJECT NOTES.
Thank you for the interest you have shown in King James’s School
TEACHING POST APPLICATION FORMPost applying for: / Teacher of Psychology (Part-time)
EDUCATION & QUALIFICATIONS
Establishment / Qualification / Subject / Grade / Month &
Year obtained
Secondary
Further Education/
Vocational/
Higher
Membership of
Professional Bodies
Explanation of gaps in education / employment history
Date(s) / Reason/Event/Activity
OTHER QUALIFICATIONS/COURSES
Please detail any other qualifications you have gained/ are currently studying for and courses you have attended which you consider relevant to the post
Education centre/company / Date gained or date to be taken / Title / Qualification
CURRENT EMPLOYMENT
If you are not currently employed, please tick this box q
Post Title:
Employer:
Employer Address: / Employer Tel:
Hours: ü / q Full Time q Part Time
Date of Appointment:
Details of Responsibilities:
salary information
Current Salary Scale (ü) / Other allowances / UPS 1
date awarded / UPS 2
date awarded / UPS 3
date awarded
M1 / M2 / M3 / M4 / M5 / M6
TEACHING EXPERIENCE (most recent first)
If you wish to provide details of more teaching experience, please use a separate sheet and attach to this form.
Is this your first teaching post? / q Yes q No / Are you an NQT? / q Yes q No
Establishment
& Post Title / Employing Authority / Gender
Boys (B)
Girls (G)
Mixed (M) / No on Roll
&
Age Range / Hours
Full Time (FT)
Part Time (PT) / Period
From / To
EMPLOYMENT EXPERIENCE OUTSIDE TEACHING
If you wish to provide details of more employment experience, please use a separate sheet and attach to this form.
Employer / Post Title / Main Responsibilities / Hours
Full Time (FT)
Part Time (PT) / Period
From / To
INTERESTS / HOBBIES
EXPERIENCE & QUALITIES RELEVANT TO THE POST
Please read the job description (and any other documents provided) carefully.
Outline your reasons for applying for the post and explain how your experience, knowledge and skills (gained through paid employment, domestic responsibilities, voluntary/community work, spare time activities, etc) relate to the post.
Also state what qualities you are able to bring to the post, any significant achievements and other relevant factors
in support of your application. You may continue on no more than one additional A4 sheet if necessary.
PLEASE DO NOT ENCLOSE A COVERING LETTER as this will not form part of your application
1