CONFIDENTIAL

Application form for the post of

Part-time Payroll Clerk / Finance Assistant at Holmwood House School

1.  PERSONAL DETAILS

Surname: / Forenames:
Title: / Date of birth:
Address (home):
(if not at this address for 5 years, please also provide previous addresses on a continuation sheet) / Address (work):
Home Telephone: / Daytime telephone:
Email address: / Mobile No:
National Insurance Number:

2  PRESENT POST

Present Post (Title): / Date Appointed:
Name of Company & Address:
Details of job:
Length of notice required: / Current Salary:

3  PROFESSIONAL REFERENCES (one should be your present or most recent employer; relatives or friends should not be used as referees)

Name: / Name:
Address: / Address:
Post Code: / Post Code:
Telephone number / Telephone number
Email: / Email:
Status: / Status:

4  EDUCATION

Secondary Education
Name of School / Colleges attended: / Dates
From / To
Qualifications 16+ : / Grade / Date
Higher Education (if applicable) / Date
From / To
Subject(s):
Institution:
Degree:
Class:

5  PREVIOUS POSTS HELD

Previous Employers may be approached by the school

Name and Address of Employer/
Establishment / Title of Post / Dates
From / To / Reason for leaving

*Please use a continuation sheet if necessary

6  RELEVANT TRAINING

Courses attended within the last three years:

Title / Organising Body / Date / Length

7  RESPONSIBILITIES AND ACHIEVEMENTS

8  INTERESTS AND OTHER COMMENTS RELEVANT TO APPLICATION

9 REHABILITATION OF OFFENDERS ACT 1974

The post applied for is exempt from the Rehabilitation of Offenders Act 1974 and therefore all convictions, cautions and bind-overs, including those regarded as ‘spent’, must be declared. Accordingly, the following declarations are required:

·  I am/am not* included on the DBS Barred List;

·  I am/am not* disqualified from work with children, or subject to sanctions imposed by a regulatory body,

·  I have/have not* one or more convictions, cautions, or bind-overs. (If any convictions, cautions or bind-overs are held, details must be provided in a sealed envelope marked ‘Confidential’ and attached to this application)

I understand that if successful in this application, I will be required to obtain a Disclosure at the Enhanced level from the Disclosure and Barring Service.

Signature: ______Date:

Please return the completed application form to the Headmaster, Holmwood House, Chitts Hill, Lexden,

Colchester, Essex, CO3 9ST or email to e before the closing date.

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