CONFIDENTIAL
Once Completed
HALLIFORD SCHOOL - APPLICATION FORM
for
Part-time teacher of Economics and Business Studies
Name:How did you hear about this appointment?
The information given on this form will be treated in confidence. Any offer of employment will be subject to satisfactory references, medical clearance, CRB checks and, where appropriate, documentary evidence showing your entitlement to work in the UK.
So that we can compare candidates fairly, this form is the only document we consider when screening applicants. Therefore:
Please do not send a CV, written references, examples of work or other supporting information unless it is specifically requested.
If you are completing this form electronically do not adjust the size of the tables in the form.
All candidates applying for employment via email will be required to sign and date this form if invited to attend an interview.
Version HAL V3.1.15
Title:
Current Surname:
Previous Surname(s) with dates used:
First Names (Please underline the name by which you like to be known):
Date of Birth:
Current Address (This will be used for correspondence):
Previous Address(es) (if resident at current address for less than 5 years)
Email address:
Preferred Daytime Telephone No:
Home Telephone No:
Mobile:
National Insurance Number:
Are you eligible for employment in UK
Work Permit Number (If applicable):
Teacher Reference Number:
(If applicable)
Qualified Teacher Status:
Availability
If you were offered the job when would you be available to start work?
Education and Qualifications
Please give details of Secondary and Further Education including any ‘A’ levels or equivalent vocational courses.
Dates (mm/yyyy) / Establishment / Qualifications obtained; please include subject and grade/level
From / To
Please give details of Higher Education and equivalent courses.
Dates (mm/yyyy) / Establishment and Awarding Body / Qualifications obtained; please include subject and grade/level
From / To
Professional/Vocational Qualifications
Please give details of any other professional or vocational qualifications you hold that are relevant to your application.
Dates obtained
(mm/yyyy) / Establishment and Awarding Body. / Qualifications obtained; please include subject and grade/level.
Interests and Hobbies
Please give details of any interests or hobbies you have that are relevant to your application.Interest/Activity / Please outline interest, experience and, if appropriate, qualification in this activity.
IT Skills
Whilst training will be provided where required, please complete the following as it will help us better understand your IT skills and training requirements. If you believe you have no skills in an area please leave all squares blank.
Basic / Competent / Advanced / Please indicate below which other, if any, applications you have used
Word
Excel
PowerPoint
Databases
Other
Current Employment
Please complete details of present employment as requested below.
Job Title:
Employed from:
Employers Address:
Employers Telephone Number:
Current Salary:
Notice required:
Please give a brief description of current duties, responsibilities and achievements.
Previous Employment
Please give details of any previous employment as requested below. Include any part time or voluntary employment.
Dates (mm/yyyy) / Name of Employer / Job Title and Main Responsibilities / Reason for Leaving
From / To
Previous Employment (continued)
Dates (mm/yyyy) / Name of Employer / Job Title and Main Responsibilities / Reason for Leaving
From / To
If there are any gaps in either your employment or education history, please explain them below.
Personal Statement
Please explain why, using examples as appropriate, you are suited to the position you are applying for.
You should include your reasons for applying and your interest in this position. Your statement should not exceed the space provided on pages 8 and 9.
Personal Statement (continued)
Referees
Please supply the names and contact detail of at least two referees who can comment on your suitability for this position.
One should be your current or most recent employer. If you are not currently working with children, but have done so in the past, the second referee should be the one by whom you were most recently employed to work with children.
References will not be accepted from relatives or persons who know you only as a friend.
The School reserves the right to take up references from any previous employer.
Please also note that in relation to work with children, we will seek information about past disciplinary issues relating to children and/or child protection concerns that you have been subject to.
First Referee
In what capacity do you know this referee?
Referees Name:
Organisation:
Position in Organisation:
Address:
Telephone Number:
Email:
May we contact prior to interview?
Second Referee
In what capacity do you know this referee?
Referees Name:
Organisation:
Position in Organisation:
Address:
Telephone Number:
Email:
May we contact prior to interview?
For Persons who are not British or EU Nationals
If you have any conditions related to your employment please give full details below:
Existing Contacts with the School
Yes / No
Are you related to, or personally know, any employee or Governor of Halliford School?
If so please indicate how you know them.
Health
How many days have you been absent from work, due to illness, in the last 12 months?
Are you a “qualifying person” within the 2005 disability discrimination act?
Equal Opportunities
Halliford School provides equal employment opportunities for all qualified individuals and prohibits discrimination in employment on the basis protected by applicable law. To that end the School will make reasonable adjustments to accommodate disabilities of both prospective and successful candidates.
If invited to interview will you have any special requirements? If so please indicate these below:
Criminal Records and Childcare Disqualification
An offer of employment is conditional upon the School receiving an Enhanced Disclosure from the Disclosure and Barring Service (DBS) which the School considers to be satisfactory. The School applies for an Enhanced Check for Regulated Activity from the DBS (which includes a check of the Children's Barred List) in respect of all positions at the School which amount to regulated activity. It is unlawful for the School to employ anyone who is barred from working with children.
It is a criminal offence for any person who is barred from working with children to attempt to apply for a position at the School. If you are successful in your application you will be required to complete a DBS Disclosure Application Form. Any information disclosed will be handled in accordance with any guidance and / or code of practice published by the DBS.
The School is exempt from the Rehabilitation of Offenders Act 1974 and therefore all convictions, cautions, reprimands and final warnings (including those which would normally be considered "spent" under the Act) must be declared. You are not required to disclose a caution or conviction for an offence committed in the United Kingdom if it has been filtered in accordance with the DBS filtering rules (see Appendix 1 to this form).
If you have a criminal record this will not automatically debar you from employment. Instead, each case will be assessed fairly by reference to the School's objective assessment procedure set out in the School's Recruitment, Selection and Disclosure Policy and Procedure.
It is a condition of your application that you answer the questions below. Before doing so please read Appendix 1 (page 14) to this form.
Yes / No
Have you been cautioned, subject to a court order, bound over, received a reprimand or warning or been found guilty of committing any criminal offence whether in the United Kingdom or in another country?
You are not required to disclose a caution or conviction for an offence committed in the United Kingdom which is subject to the Disclosure and Barring Service filtering rules (see Appendix 1).
Is there any relevant court action pending against you?
If answering "YES" to any of the above, please provide the following information on a separate sheet and send in a sealed envelope marked "confidential" with your application form:
· details of the order, restriction, conviction or caution and the date that this was made
· the relevant court or body and the sentence, if any, which was imposed
· a copy of the relevant order or conviction.
Personal Declarations
I confirm that the information I have given on this application form is true and correct to the best of my knowledge.
I understand that to knowingly give false information, or to omit any relevant information, is an offence which could result in:
· my application being rejected
· Summary dismissal or offer of employment withdrawn if the false information comes to light after my appointment
· criminal prosecution.
I confirm that I am not on the Children’s Barred List, disqualified from working with children, or young adults, nor subject to any sanctions imposed by a regulatory body.
I confirm that I am not subject to a direction under section 142 of the Education Act 2002 or section 128 of the Education and Skills Act 2008 which prohibits, disqualifies or restricts me from teaching or being involved in the management of an independent school.
During the recruitment and selection process I consent to the School processing, as necessary, the information contained in this form, including any sensitive information, and any information being received by or on behalf of Halliford School which relates to this application.
I know of no reason, on grounds of mental or physical health, why (subject to any reasonable adjustments for qualifying persons under the Disability Discrimination Act 2005) I should not be able to discharge the responsibilities of this post.
I consent to the school making direct contact with the people specified as my referees to verify the reference.
Signature
Date
Name:
Where this form is submitted electronically and without signature, electronic receipt of this form by the School will be deemed equivalent to submission of a signed version and will constitute confirmation of the above personal declarations.
Appendix 1 - Spent convictions and the DBS filtering rules
Spent convictions
Rehabilitation period(in all cases the period commences from the date of the conviction)
Sentence / Aged over 18 at the time of the conviction / Aged under 18 at the time of the conviction
Prison sentence for a term exceeding 6 months but less than 2.5 years / 10 years / 5 years
Prison sentence for a term of 6 months or less / 7 years / 3.5 years
Fines, probation, compensation, community service, reparation orders, curfew orders / 5 years / 2.5 years
Absolute discharge / 6 months / 6 months
Prison sentences of more than two and a half years are never considered spent.
Filtering rules
You are not required to disclose information about spent criminal convictions for offences committed in the United Kingdom if you were over 18 years of age at the time of the offence and:
· 11 years have elapsed since the date of conviction;
· it is your only offence;
· it did not result in a custodial sentence; and
· it does not appear on the list of "specified offences".
You are not required to disclose information about a spent caution in relation to an offence committed in the United Kingdom if you were over 18 years of age at the time of the offence and six years has elapsed since the date it was issued, and provided it does not appear on the list of "specified offences".
You are not required to disclose information about a spent criminal conviction if you were under 18 years of age at the time of the offence and:
· five and a half years have elapsed since the date of conviction;
· it is your only offence;
· it did not result in a custodial sentence; and
· it does not appear on the list of "specified offences".
You are not required to disclose information about a spent caution if you were under 18 years of age at the time of the offence and two years has elapsed since the date it was issued, and provided it does not appear on the list of "specified offences".
The list of "specified offences" that will always be disclosed can be found at:
https://www.gov.uk/government/publications/dbs-list-of-offences-that-will-never-be-filtered-from-a-criminal-record-check.
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