The Canterbury Academy
Knight Avenue, Canterbury, Kent. Tel. (01227) 463971
APPLICATION FORM FOR A TEACHING POSITION
This document MUST be completed in full for your application to be considered.
The Canterbury High School, within The Canterbury Campus, is a learning
Community in which everybody matters.
The school has 3 broad aims. To encourage all our students to become
· successful learners who enjoy learning, make progress and achieve
· confident individuals who are able to live a safe, healthy and fulfilling life
· active and responsible citizens who make a positive contribution to the well
being of present and future generations
We also want our students to realize that this is their main chance at education
and that education prepares them for the rest of their lives.
We hope that our students start every day reflecting upon this simple maxim
‘Another day.
Another chance to improve myself.
Another chance to help others.’
Our staff play a vital role in providing excellent services to our student body and the surrounding community. To help achieve this we will train you to do your job and encourage you to look for every opportunity to use their skills and abilities. This is your opportunity to tell us as much as possible about yourself and will help us make a fair decision in the selection process. Please carefully read the job description and person specification before completing this form
Your application will be treated in the strictest confidence.
Post applied forClosing Date
Where did you see this post advertised?
Personal Details
Surname/
Family Name: / Preferred
Title: / Previous
Surname(s):
First Names: / Date of Birth:
(required to meet Department for Education & Skills Safeguarding Children and Safe Recruitment guidelines)
Contact
Address:
Home Telephone No. / Work Telephone No.
May we contact you here? / Yes: No: / May we contact you here? / Yes: No:
Mobile / E-mail Address:
May we contact you here? / Yes: No:
National
Insurance No. /
D.F.E.S. No. RP / / GTC Full Registration Y/N
Do you need a work permit to be employed in the UK? / Yes: No:
(Select as appropriate)
Please note: A work permit from a previous employer or post is not transferable.
If appointed, you will be required to produce documentary evidence of your National Insurance number before you can take up the post. You will also be asked for documentation to show that you are allowed to work in the UK.
If you are successful, when could you start this job? / / /200
Original documentation of qualifications will be required
Prior to an appointment.
(A) Training as a TeacherName of Teacher Training Institution:
From / To / Qualification Obtained
Month / Year / Month / Year
Subjects, Main &
Subsidiary:
Age Range of Pupils/
Key Stage / Other Special Interests:
(B) University, College, etc. (other than initial teacher training).
Give details and state whether full-time or part-time courses.
Name of Institution / From / To / Full/Part-Time Course
Month / Year / Month / Year
1.
2.
Degree/Diploma/Title / Subjects
(main and subsidiary) / Hons (with Class)
Or Pass Grade / Date of Award
1.
2.
(C) Secondary Education
Name of School(s) (give details):
1.
2.
School Qualifications (Give Subjects, Grades, Dates)
‘O’ Level, GCSE (or equivalent)
‘A’ Level etc.
Career History
Please give details of ALL full and part-time work as well as particulars of ALL paid or unpaid employment or experience after the age of 18, e.g. commercial experience, raising family, youth work, voluntary work.
Complete the columns starting from the present date. Please leave NO gaps.
Dates / Employer, address
school name & address, type of
business or activity / School
County/ foundation/ indep / Age Range / Approx School Roll / Salary Scale
Include Responsibility
points / F/Time
P/Time / Reason for leaving
From / To
M / Y / M / Y
Continue on a separate sheet if necessary. Put your full name on additional sheets.
Applicant StatementPick out those aspects of your experience or skills that are relevant to this post. Explain how your ability, skills and knowledge match those required for the appointment, where set out, in the personal specification. Remember to consider experience in previous employment and relevant experience outside of paid work, such as that gained at home, in the community or through voluntary/leisure/college activities. Give examples, where you can, in support of your application, and tell us if you have special requirements for attending the selection process, e.g. wheelchair access.
Continue on a separate sheet if necessary. Put your full name on additional sheets.
If you include a C.V. ensure it is of relevance to this appointment.
ReferencesPlease give the names and addresses of two referees who can be consulted regarding your ability for this post. One of the referees must be your present or most recent employer. In the case of school / college / university leavers, your tutor. If not so, we reserve the right to request one. References will be taken up before an offer of employment is made. These may be requested before interview.
Name:
Address:
Tel No.:
E-Mail:
Relationship to you:
Name:
Address:
Tel No.:
E-Mail:
Relationship to you:
Protection of Children
Disclosure of criminal background is required of those with substantial access to children.
Have you ever been convicted or cautioned of a criminal offence? Yes No
Answering YES does not necessarily bar you from appointment. If YES, you are required to give details as this post, for which you are applying, is exempt from the provisions of Section 4(2) of the Rehabilitation of Offenders Act 1974 by virtue of the Rehabilitation of Offenders Act 1974 (Exceptions) (Amendment) order 1986. A subsequent offer of appointment will be dependent upon the completion of a satisfactory police check.
Criminal Convictions or Cautions
Date / Offence / Sentence
Health
Appointment will be conditional on successful Occupational Health Screening.
Are you aware of any matter(s), which might
call into question your integrity as an employee
or bring you / or The Canterbury Campus into disrepute?
If yes please give brief details:
Superannuation Scheme
Do you contribute to the Teacher’s Superannuation Scheme? Yes No
If you contribute to another scheme give details
Have you elected to pay Superannuation contributions for part-time teaching? Yes No
Disclosure of Relationship
Are you related by marriage, blood or as a co-habitee to any elected member of the Council, a Senior Officer of the Council or a member of the School Governing Body?
Yes No If YES, please state the name, relationship and position held.
Safeguarding of Children
The Canterbury High School is committed to the welfare and protection of the students in its care. Any applicant who is not in possession of an enhanced CRB disclosure will automatically have one carried out on appointment. We ask you to declare below whether you are disqualified from working with children and/or included on DfES List 99.
I am disqualified from working with children/and or on DfES List 99 YES NO
Signed: Date:
Declaration
I declare that information I have given in support of my application is, to the best of my knowledge and belief, true and complete. I understand that if it is subsequently discovered that any statement is false or misleading, or that I have withheld relevant information or canvassed my application it may lead to disqualification or, if I have been appointed, I may be dismissed.
Signature: Date:
If you are returning this application form by post, please sign and date. If returning my email you will be asked to sign a copy of this document before any offer of employment is made.
/ Protecting your personal information
The Canterbury Campus retains on file 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.
The Canterbury Campus
Equal Opportunities Monitoring Form
To help us check that our recruitment procedures give genuine equality of opportunity, please answer the questions below and return this sheet with your application form. This document will be kept separate from your application and will not be available to those interviewing.
Please complete using black ink or type
1 Name 2 Age
______
3 Position applied for
______
4* Do you consider yourself to be disabled?
Please tick box Yes No
______
5* If yes, do you consider yourself to be disabled under the terms of the Disability Discrimination Act?
The Disability Discrimination Act 1995 defines disability as “a physical or mental impairment which has a substantial and long-term adverse affect on an individual’s ability to carry out normal day-to-day activities.”
Please tick box Yes No
If yes, is there anything you would particularly like to tell us about your disability?
If you are invited to interview, do you need any of the following (please tick)
Induction loop or other hearing enhancement / Sign language interpreter (please state type)Keyboard for written tests / Someone with you at the interview (e.g. advocate or facilitator)
Assistance in and out of vehicle / Accessible car parking
Wheelchair access / Accessible toilet
Other assistance (please specify)
6 Gender
Please tick box Male Female
______
7 Ethnic origin
(Please tick the box which most closely describes your cultural background.)
WHITE
British Irish
Any other white background (please specify).______
MULTI-ETHNIC
Black Caribbean and White Black African and White
Asian and White
Any other multi-ethnic 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 OR OTHER ETHNIC GROUP
Chinese
Any other ethnic background (please specify).______