Applicationforemploymentwith

TheLilacSkyAcademyTrust

Wearecommittedtosafeguardingandpromotingthewelfareofchildrenandyoungpeopleandexpectallstaffandvolunteerstosharethiscommitment.WefollowSaferRecruitmentprocedures.

Pleasereturnthisformtotheaddressgivenintheadvertisementorapplicationpack.Thisformshouldbetypedorhandwritteninblackinkforphotocopyingpurposes.
Applicationforthepostof
At(establishment)
Referencenumber(ifapplicable)
Closingdate
Howdidyouhearaboutthispost?(Nameofpublicationifadvertised)

PartA:Personaldetails

Surname
Previoussurname(s)
Forename(s)
Knownname:(Ifdifferentfromforename)
Preferredtitle(Eg.Mr,Mrs,Miss,Ms,Dr)
Currentaddress
Postcode
Nationalinsurancenumber
Preferredcontacttelephonenumber
Alternativetelephonenumber
Emailaddress–(onlyifpreferredformofcontactandinregularuse)
Dateofbirth(mustbeprovidedforanypostworkingwithchildren)
DFETeachernumber
DateofDBSEnhancedDisclosure

Declaration

Notesforcandidates

1. Allsectionsoftheapplicationformmustbecompleted. Incompleteapplicationswillnotbeaccepted.TheapplicationmustthenbeforwardedtotheSchoolorAcademyTrustrecruitmentteam,asspecifiedintheadvertisement,forprocessing.

2. TheLilacSkyAcademyTrustiscommittedtotheprotectionofchildren,youngpeopleandadultswhoaccessourservices.Youarethereforerequired,inthisapplication,toprovidedatesanddetailsofyouremploymenthistorythatyoumightnot,inotherformsofemployment,berequiredtoprovide. Inordertoensurethatourrecruitmentpracticesaresafeandrobustwewillexploreanygapsinyouremploymenthistoryandanydatesthatyouprovideinyourapplication.

3. Ifyouarecompletingtheapplicationformelectronically,additionalinformation,whichyouconsiderrelevant,maybesubmittedonaseparatesheetorsheetsifthereisinsufficientspaceontheform.Pleasedonotglue/attachinformationtotheformasitmakesitdifficulttophotocopy.

4. Youarewelcometoattachaletterinsupportofyourapplicationbut,unlessrequestedotherwiseintheadvertisementorjobdetails,youareaskednottosendcurriculumvitae,testimonialsorotherdocuments.

5. Theinformationsuppliedbyyouonthisformwillbeusedforrecruitmentandselectionpurposesonly.

Theacademytrustundertakesthatifitneedstousetheinformationforanyotherpurpose,itwillnotdosowithouthavingfirstobtainedyourconsent.

6. TheAcademyTrusthasadutytoensurethefitnessofallemployeestocarryoutthedutiesforwhichtheyareemployed.Youmayberequiredtocompleteaconfidentialhealthdeclarationformand,ifso,theofferofemploymentwillbesubjecttoreceiptofasatisfactorymedicalreport. Insomecasesamedicalexaminationmaybenecessarybeforeanappointmentcanbeconfirmed.

7. Allsuccessfulapplicantswillbeaskedtoconfirm,inadvanceoftakinguptheappointment,thattheyareeligibletoworkintheUnitedKingdom. Inordertoestablishthis,thesuccessfulapplicantwillbeaskedtoproviderelevantdocumentation.

8. ThispostrequiresacriminalbackgroundcheckwiththeDisclosureandBarringService(DBS).

9. SpentCriminalConvictions:ThepostforwhichyouareapplyingisexemptfromSection4(2)ofthe

RehabilitationofOffendersAct1974byvirtueoftheRehabilitationofOffendersAct(Exemptions)Order

1975whichrequiresyoutoreveal anyinformationconcerningspentorunspentconvictions,cautions,reprimandsorwarnings. FailuretodiscloseinformationconcerningsuchconvictionsinyourapplicationforthispostmayleadtodismissalordisciplinaryactionbyGovernorsortheAcademyTrust. Anyinformationgivenwillbetreatedinstrictconfidenceandwillbeconsideredonlyinrelationtoyourapplicationforthispost.

10.TheLilacSkyAcademyTruststrivestoensurethatnoemployeeorjobapplicantreceiveslessfavourabletreatmentthananotheronthegroundsofage,disability,ethnicornationalorigin,gender,maritalstatus,religion,sexualorientationorpoliticalbelief.

11.CanvassingthesupportofmembersofLilacSkyAcademyTrustorSeniorLeadersoftheschoolmayleadtothedisqualificationofacandidate’sapplication.

12.Candidatescalledforinterviewwillbereimbursedreasonabletravellingandsubsistenceexpensesassoonaspossibleaftertheinterview.Thesuccessfulcandidatewillbereimbursedhis/herexpenseswiththefirst

month’ssalaryaftertakinguptheappointment.Ifacandidatedeclinesanappointmentifitisoffered,noexpenseswillbepaidunlesstheAcademyTrustdecidesthatthereareextenuatingcircumstances.

13.TheLilacSkyAcademyTrustiscommittedtosafeguardingandpromotingthewelfareofchildrenandyoungpeopleandourrecruitmentandselectionprocessesareparticularlyrigorousinrelationtochildprotection. Youshouldbeawarethataspectsoftheassessmentprocessandinterviewwillexploreyourmotivationandsuitabilitytoworkwithchildren.

14.DATAPROTECTIONACT1998:INFORMATIONFROMTHISAPPLICATIONMAYBEPROCESSEDFORANYPURPOSESREGISTEREDBYTHEACADEMYTRUSTUNDERDATAPROTECTIONLEGISLATION.INDIVIDUALSHAVETHERIGHTOFACCESSTOPERSONALDATAHELDABOUTTHEMBYTHEACADEMYTRUST.THISINFORMATIONWILLBEDISCLOSEDONLYTOTHOSEPERSONSAUTHORISEDTOSEEIT,WILLBEUSEDFORTHESELECTIONPROCESSAND,FORSUCCESSFULCANDIDATESWILLBERETAINEDONTHEIRPERSONNELFILE,USEDFORPAYROLLANDADMINISTRATIVEPURPOSESANDMAYBEDISCLOSEDTOGOVERNMENTDEPARTMENTSWHERETHEREISALEGALOBLIGATIONTODOSO.INFORMATIONHELDABOUTUNSUCCESSFULCANDIDATESWILLBEDESTROYEDAFTER12MONTHS.

PartB:Educationandtraining

Pleaseprovideinformationaboutpost-16educationandtrainingyouhavereceivedinthiscountryorabroadandincludeallqualificationsobtained,includingdegrees,withclassanddivisionandTeachingCertificates(mostrecentfirst).

PartC:Teachingexperience

Pleasegivedetailsofallteachingexperience(mostrecentfirst).NB:ItisarequirementofDCSFGuidance:SafeguardingChildrenandSaferRecruitmentinEducation(January2007)thatanygapsinemploymenthistoryareidentifiedandfullyexplained.

PartD:Previousappointments,otherthanteaching(mostrecentfirst)

Pleaseprovideinformationonanyotherrelevantexperience,includingfamilycommitmentsandvoluntarywork.

Pleaseexplainanygapsinyouremploymenthistory

PartE:Professionaldevelopment

Pleasegivedetailsofanyprofessionaldevelopmentandin-servicetrainingcoursesattendedwhichyouconsidertoberelevanttothispost(mostrecentfirst).

PartF:Personalstatement

Youmaycontinueonaseparatesheetifyouneedto,orincludeacoveringletter.

Keycompetencies,knowledgeandskills:

Usethispartoftheformtotellusaboutyourself.Wewouldliketoknowwhatyoufeelyouwillbringtotheroleintermsofyourpersonality,skillsandaptitudes(includeexperienceandachievementsgainedoutsideoftheworkplace).

PartG:References

Referenceswillbetakenuppriortointerviewforshortlistedcandidates.Ifyouneedtodiscussthispleasecontacttheschoolorrecruitmentteamcontactspecifiedintheadvertisement.Unlessyouareseekingyourfirstteachingappointment,youmustquoteyourpresentormostrecentHeadteacher/Principalorequivalentperson.Yourrefereeswillbeaskedaboutyoursuitabilitytoworkwithchildrenandatleastoneofyourrefereesmustbeabletocommentonyourteachingabilities.Wereservetherighttoapproachanyofyourpreviousemployersinconnectionwiththisapplication. Referenceswillnotbeacceptedfromrelativesorfrompeoplewhoarerespondingsolelyinthecapacityoffriendsoftheirapplicant.Referenceswillberequestedbyemailwherepossibleanditisyourresponsibilitytoensurethatyourrefereesconsenttotheirdetailsbeingprovided.

Nameofsecondreferee
Jobtitleofreferee
Address(IncludingPostcode)
Emailaddressifavailable
Daytimetelephonenumber
Position/relationshiptoyou
Datesofyouremployment / From: / To: /

PartHSupplementaryinformation

HaveyoupreviouslyoptedoutoftheTeachers’Pension
Scheme? / Yes No
Ifyouhaveoptedout,pleasegivedate
Areyouamemberofanotherpensionscheme? / Yes No
If,yes,pleasespecifythenameofthepensionscheme

Positiveaboutdisability

Doyouconsideryourselftohaveadisability? / Yes No
Ifyes,wouldtheprovisionofanyaidsormodificationassist
youincarryingoutthedutiesofthepost?
Isthereanythingweneedtoknowaboutyourdisabilityin
ordertoofferyouafairselectioninterview?

PartJDeclarations

Areyourecognisedasaqualifiedteacher? / Yes No
Ifnot,areyoueligibleforrecognition? / Yes No
AreyouregisteredwiththeTeachingAgency? / Yes No
IfYes,pleasegiveTeachingAgencyregistrationnumber
PleasecontacttheTeachingAgencyforinformationaboutregistrationorgeneralenquirieson08003892500

Induction

HaveyousuccessfullycompletedaNQTinduction / period? / Yes No
Disclosureofcriminaloffences / Thispostinvolvesworkingwithchildren,isexemptfromtheRehabilitationofOffendersActandrequiresaDisclosureandBarringServiceEnhancedDisclosureCertificate.Youshoulddeclareandgivefulldetails,includingdatesandplaces,ofany‘spent’or‘unspent’criminalconvictions,cautionsandbind-overs.
WewillalsocheckList99andthePoCA(ProtectionofChildrenAct)Listandthereplacement
‘barredlists’maintainedundertheVettingandBarringSchemetocheckwhetheryouaredisqualifiedfromworkingwithchildren.
Teaching
Agency / WewillalsocheckwhetheryouaresubjecttosanctionsimposedbytheTeachingAgency.
Important
Reminder / Pleaseensurethatyouinformusofanyrelevantinformation.BysigningtheDeclarationonpageoneyouunderstandthatwithholdinginformationorprovidingfalseinformationisanoffenceandcouldresultintheapplicationbeingrejected,orsummarydismissalifyouhavebeenselected,andpossiblereferraltothepolice.
Detailsofspentorunspentconvictions(seeabove).Thesecanbeincludedonaseparatesheetinasealedenvelopeifyouwish.

Declaration

HigherEducationQualificationVerificationConsentForm

NewlyQualifiedTeachersOnly

Anincreasingnumberofuniversitiesandhighereducationestablishmentsarerequestingwrittenconsentfromtheirformerstudentsinordertoreleasedetailstoemployerstoconfirmthattherequiredqualificationshavebeenawarded. ThereforeyouareaskedtocompletetheformbelowandsignanddatetheformtoenabletheLilacSkyAcademyTrusttorequestthisinformationonyourbehalf.

PartA-Personaldetails

Fullname
Previoussurname
Dateofbirth
DfE No

PartB-DetailsofStudy

University,collegeorinstitutionattended
Periodofstudytime / From to
Stateiffullorparttime
DfENo

PartC-QualificationDetails

Titleofqualification
Pass/Hons
Dateofaward
Class/division
Mainsubjects(principalsubjectfirst
Awardingbody

Pleasecontinueforadditionalqualifications

Titleofqualification
Pass/Hons
Dateofaward
Class/division
Mainsubjects(principalsubjectfirst
Awardingbody
Titleofqualification
Pass/Hons
Dateofaward
Class/division
Mainsubjects(principalsubjectfirst
Awardingbody

PleaseindicatewhichoftheQTStestyouhavepassed:

Literacy / Yes No
Numeracy / Yes No
ICT / Yes No

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