NORTHERN EDUCATION TRUST, COBALT BUSINESS EXCHANGE, COBALT PARK WAY, SILVERLINK, NEWCASTLE UPON TYNE, NE28 9NZ
Tel: 0191 2804738, Chair: Les Walton OBE Northern Education Trust
JOB APPLICATION FORM
POST TITLE –REFERENCE NUMBER -
CLOSING DATE-
Confidential
- Personal Details
Mr/Mrs/Ms/Miss: / Are you applying for a job share?
Surname/Last Name:
Former Name(s): / Other Names:
Address: / Telephone Number (Home):
Telephone Number (Business):
Telephone Number (Mobile):
Email:
Post Code: / NI No: / Where did you see or hear of this job?
Do you hold Qualified Teacher Status (QTS)? Yes No / DfE No:
NPQH : (for non serving Headteachers) / Date obtained:
- Educational/Technical/Professional Qualifications
(Please name any institute or professional body in full, rather than using initials)
Where attained / Subjects/Qualifications obtained and awarding body / Year / Qualification Level/Grade obtainedDetails of relevant training courses
Course subject/title and provider / Length of course/Date / Organising Body- Employment History
Please give details of all jobs held including part time and unpaid work, starting with your present/last employer.
Employer (Name & full address) / Jobs held and main duties / From / To / Salary/Grade / Reason for leavingBreaks in employment history
If you have had any breaks in employment since leaving school, give details of these periods and your activities during these times e.g. unemployment, raising family, voluntary work.
- Relevant Knowledge, Experience & Skills
Please tell us how your knowledge, experience and skills meet the job requirements described in the person specification. These may have been gained from your work experience, any voluntary or community work or any other organisation you may have been involved with. Please provide any specialist teaching experience/ skills you possess that maybe relevant. Please refer to the guidance note. Please attach your supporting statement on A4 sheets with a minimum font size of Arial 11 and a maximum of 2 pages.
- Final Section
Have you ever been subject to any sort of investigation by
an employer that focussed on child protection issues? Yes No
If yes, was any action taken as a result of the investigation? Yes No
Please give details on a separate sheet.
All candidates for employment must state in writing whether they are the parent, grandparent, partner, child, stepchild, adopted child, grandchild or brother/sister or any other relative of someone at the Academy.
Are you related to an existing Governor, Trust member or employee of the Academy as described above?
If yes, please provide the following details:
Surname/Last Name: First Names:
Address: Relationship:
Please give the name and address of two persons who can provide references, one of whom must be your present/last employer. If not currently working with children, then one reference should be from a previous employer in a child related role, if applicable. References from friends or relatives will not be accepted. References will be sought prior to interview.
Name:
Position held:
Address:
Post code:
Telephone:
Email: / Name:
Position held:
Address:
Post code:
Telephone:
Email:
Are there any restrictions to your residence in the UK which might affect your right to take up employment with the Academy?
If yes, please provide details:
If you are successful in your application, would you require a work permit prior to taking up employment?
Are you disqualified from working with children or subject to any sanctions imposed by a regulatory body. i.e. ISA?
Applicants should note that failure to declare any restrictions to employment or the need for a work permit could lead to termination of service.
Personal Details
Data Protection Statement
The information that you provide on this form and that obtained from other relevant sources will be used to
process your application for employment with the Proposed Primary Academy. The personal information that you give us will also be used in a confidential manner to help us monitor our recruitment process.
If you succeed in your application and take up employment with the Academy, the information will be used in the administration of your employment with us and to provide you with information about the Academy or third party via your payslip. We may also use the information if there is a complaint or legal challenge relevant to this recruitment process.
We may check the information collected, with third parties or with other information held by us. We may also use or pass to certain third parties information to prevent or detect crime, to protect public funds, or in other ways as permitted by law.
By signing the application form it will be assumed by the Academy that you agree to the processing of
sensitive personal data, (as described above), in accordance with the Academy’s registration with the Data Protection Commissioner.
Declaration of Criminal Offences
The job for which you are applying involves substantial opportunity for access to children. It is therefore
exempt from the Rehabilitation of Offenders Act 1974. You are therefore required to declare any convictions or cautions you may have, even if they would otherwise be regarded as "spent" under this Act. The information you give will be treated in confidence and will only be taken into account in relation to anapplication where the exemption applies. As the occupant of the post will have substantial access tochildren, anEnhanced disclosure request will be made of the Criminal Records Bureau (CRB) to ascertain whether theirrecords reveal any criminal convictions (including spent ones) relating to the successful applicant. Enhanced enclosures are for positions which have contact with children or vulnerable adults. They contain all convictions, cautions, reprimands or warnings on record. Allinformation given will be treated in the strictest confidence and will be used for this job application only. The disclosure of a criminal record will not debar you from appointment unless the selection panel considers that the conviction renders you unsuitable for appointment. In making this decision the panel will consider the nature of the offence, how long ago and what age you were when it was committed and any other factors which may be relevant.
Failure to declare a conviction may, however, disqualify you from appointment, or result in summary
dismissal if the discrepancy comes to light.
Details of offence(s) / Place & Date of Judgement(s) / Sentence(s)I declare that the information I have given is accurate and true and certify that I am not disqualified from working with children or subject to sanctions imposed by a regulatory body which would restrict me from applying for this post. I understand that any major omissions or inaccurate information relevant to my application could lead to the withdrawal of an offer of employment or even dismissal.
Signed: Date:
If submitting this form via email you are declaring that the information stated is true and accurate. You will be asked to re-sign this form by hand if you are invited to an interview.
Please return your completed application form by email to:
Current legislation means that you will need to provide documentary evidence (for example National Insurance Number) showing your entitlement to work in the UK. You should be aware that you will be asked to provide this prior to appointment.
Recruitment Monitoring
The proposed primary academy is committed to achieving fairness and equality in employment as contained within the Academy’s Equality and Diversity policy. We aim to ensure that unfair discrimination does not take place at any stage of employment including within the recruitment procedure. By completing this monitoring form you will be supporting the Academy in meeting its commitments to review and monitor the effectiveness of the recruitment procedure and help us ensure that these procedures are open and available to everyone. This page will be detached from your application form, stored securely and confidentially and will not be taken into account when making the appointment.
Surname: / Title (Optional): / First Name(s):
Nationality: / Date of Birth:
Are you: Male Female
Post Applied For: / Post Ref No:
Location: / Full Time/Part Time:
What is your ethnic group?
Choose ONE section from A to F, then tick the appropriate box to indicate your cultural background.
a) White / d) Black, Black British
British / Caribbean
Irish / African
Any other White background, please write in / Any other Black background, please write in
b) Mixed / e) Chinese, Chinese British
White and Black Carribean / Chinese
White and Black African / Any other background, please write in
White and Asian
Any other Mixed background, please write in
c) Asian, Asian British / f) Gypsy / Traveller
Indian / Romany Gypsy
Pakistani / Irish Traveller
Bangladeshi / Any other Traveller background, please write in
Any other Asian background, please write in
To which age band do you belong? / 16-19 / 20-24 / 25-29 / 30-34 / 35-39
I prefer not to disclose / 40-44 / 45-49 / 50-54 / 55-59 / 60+
The Equality Act 2010 defines disability as:
A disability is defined as any physical or mental impairment which has a substantial and long term adverse effect on your ability to carry out normal day to day activities. Long term means the effect of the impairment has lasted at least twelve months, is likely to last for twelve months, or is likely to last for the rest of a person’s life.
Do you consider yourself to have a disability? / Yes No I prefer not to disclose
Religion / Belief
Christian (all denominations) / Buddhist / Hindu / Jewish / Muslim / Sikh
None / Other please specify:
I prefer not to disclose
FOR OFFICE USE: DATE RECEIVED
I hereby give my consent for the Recruitment Monitoring Information provided on this form to be held on computer or other relevant filing systems and to be shared with other accredited organisations or agencies in accordance with the Data Protection Act 1998.
Signed: ______Date:______
How to Apply
Job Description
This tells you the main responsibilities of the post and explains what we are looking for. It tells you about thepersonal and professional qualities you need for this post. These criteria will be used to make theappointment.
Person Specification
This specification sets out which criteria will be used to shortlist candidates for interview.
ApplyingIf you decide to apply for this post please complete the attached application form. Your formal letter of application (supporting statement) should be no longer than 2 sides of A4 with a minimum font size of Arial11 and should addressthe selection criteria detailed in the Person Specification.
Following the shortlisting process, successful candidates are invited for interview.
The interview process will involve a selection of assessment exercises which can range from a one to one exercise to a written exercise, panel and formal interview.
The successful candidate will be informed soon after the decision has been ratified.
Unsuccessful (shortlisted) candidates will get the opportunity to obtain verbal feedback from a Senior Member of the Trust once the process is completed.
If after reading this documentation, you feel that you meet the specification for the post, we would be delighted to hear from you.
We are committed to safeguarding pupils, and all posts are subject to an enhanced Criminal Records Bureau check.
Additional Information
If you would like any additional information about this postor would like an informal discussion, please contact:
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