Ewell Castle School
Staff Application Form
(Teaching Staff) /

Position applied for: Supply Teacher – JS and/or SS

Please complete and return to: The Principal, Ewell Castle School, Church Street, Ewell, Surrey KT17 2AW, together with supporting letter.

Personal Details

First name(s): / Surname & Title: Mr/Mrs/Miss/Ms/Dr/…… *
*delete as appropriate
Home address: / Former Surname(s) if applicable:
Telephone Number (home): / DfE No:
Telephone Number (work): / Email address:
Telephone Number (mobile): / National Insurance No:
Brief details of present position including job title, date present employment started and main areas of responsibility:
Name & Address of Present Employer: / Current Salary (if working part-time please identify fte.):
Length of Notice Required:
Employment restrictions: Do you have any restrictions on taking up employment in the UK (eg. work permit/time limit/visa)?
Disability
Do you consider that you have a significant long term disability? Yes/No*
Please indicate any special arrangements which you may require for interview:
Please indicate any special facilities or adaptations which you may need to do the job:
* delete as appropriate

Education – Secondary

Dates
From To / Name of Secondary school attended / Examinations taken, results obtained,
scholarships/other distinctions

Education – University/College

(If called to interview you will be required to provide copies of documentary evidence of qualifications)

Dates
From To / Name of University/College attended / Subjects
studied / Examinations taken, results obtained, class of degree,
scholarships/other distinctions

Further Training

Please provide details of Professional, Occupational or Technical training undertaken, including teacher training, apprenticeships, articles, and other courses.

Dates
From To / Type of Training / Subject/Skills / College/Institute/
Place of study / Qualifications
Gained

Do you have Qualified Teacher Status (QTS)?Yes / No

Are you registered with the GTC for England?Yes / No

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Employment History

Please give details of all positions held, full-time and part-time, and/or periods of unemployment since completing full-time education, in chronological order, starting with the most recent.

Dates
From To / Name and address of
Employer / Position held and main responsibilities / If part time specify proportion / Reason for leaving

Voluntary Work History

Please give details of voluntary work undertaken, particularly if involves association with children

Dates
From To / Name and address of
Employer / Position held and main responsibilities / Reason for leaving

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ICT Experience

Please provide details of qualifications, skills and experience with ICT

Extra-curricular involvement

Please provide details of experience/involvement in extra-curricular activities e.g. Sport, Music, Drama, Duke of Edinburgh etc.(The standard/level achieved by oneself in play/performance and level coached/tutored should be identified.)

Supplementary Information: Please give any additional information which you consider useful in enabling a judgement to be formed for your suitability for the post. Include any interpersonal skills that you may have attained through voluntary work, hobbies etc. which might demonstrate your suitability together with your reasons for applying for the post, or further details of employment or training. – if not addressed in a covering letter.

Activities and Interests

Please tell us about your main interests and hobbies outside work:
Any official positions held in association with above activities (if applicable)?

Any further information that you wish to provide in support of your application should be included in a covering letter (single-side A4).

RefereesPlease provide the names of two referees (which should include your current employer). References will not be accepted from relatives or those writing purely in the capacity of a friend. We will not seek further permission from you to contact your referees unless you specifically indicate otherwise.

1. Name

……………………………………………………………….………………………………………………………………………………………..

Occupation

……………………………………...……………………………………………………………………….……………….………………………

Address ………………………………………………………………………………..………...………………………………………………

Tel No(s) ………………………..……………………………………/…………………………………………………………………………

Email address: …………………………………………………………………………………………………………………..…………...

2. Name

……………………………………………………………….………………………………………………………………………………………..

Occupation

……………………………………...……………………………………………………………………….……………….………………………

Address ………………………………………………………………………………..………...………………………………………………

Tel No(s) ………………………..……………………………………/…………………………………………………………………………

Email address: …………………………………………………………………………………………………………………..…………...

3. Name

……………………………………………………………….………………………………………………………………………………………..

Occupation

……………………………………...……………………………………………………………………….……………….………………………

Address ………………………………………………………………………………..………...………………………………………………

Tel No(s) ………………………..……………………………………/…………………………………………………………………………

Email address: …………………………………………………………………………………………………………………..…………...

You are required to bring to interview evidence of:

  • Identity (eg. passport)
  • Qualifications post secondary education or otherwise stated.

Ewell Castle School is committed to safeguarding and promoting the welfare of children and applicants must be willing to undergo child protection screening appropriate to the post, including checks with past employers and the Disclosure and Barring Service (Enhanced Disclosure). Staff recruitment is also subject to the School’s ‘Equal Opportunities’ policy and monitoring procedure.

The post 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.

Declaration 1:

I confirm that I am not on List 99, disqualified from working with children or subject to sanctions imposed by a regulatory body, e.g. the General Teaching Council (GTC), and in addition, that:

* I have no convictions, cautions or bind-overs.

* I enclose herewith details of any conviction, caution or bind-over, or disciplinary offence relating to children (please provide details in a sealed envelope, marked ‘Confidential’)

(*delete one of the lines above as appropriate)

Declaration 2:

I declare the following family or other relationship to existing employees or employers (Governors) of Ewell Castle:

Declaration 3:[In accordance with DCSF regulation 4.(2)(a)(ii)]

I declare that :

  • I know of no reasons, on the grounds of mental or physical health why I will not be able to discharge the responsibilities required by the post in question;
  • I understand that any offer of employment made by the school will be conditional upon verification of medical fitness.
  • I understand that if I am offered the position I will be required to completea confidential medical questionnaire and to release the name & address of my medical practitioner.

(A medical examination is not a usual requirement but the school retains the right to request a certificate of medical fitness from

a medical practitioner and/or the School’s medical advisor may, in certain circumstances, request access to medical records or

refer to a medical clinician.)

I hereby certify that the entries on this form are complete and correct to the best of my knowledge and I agree that if my application is successful a DBS check for criminal convictions will be made. I recognise that providing false information is an offence and could result in the application being rejected, or summary dismissal if I am appointed.

Signature of Applicant: / Date:

Data protection Act 1988 – The information or data which you have supplied may be processed and held on computer, and will be processed and held on your personal record if you are appointed. The data may be processed by the School for the purpose of equality monitoring, compiling statistics, and for keeping of other employment records. By signing and returning this application form you will be deemed to be giving your explicit consent to processing of data contained or referred to on it, including any information which may be considered to be sensitive personal data.

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