THE WALLACEHIGH SCHOOL

Application Form

Post Applied for:Head of Physics Department

Closing Date:12.00 noon on Friday, 4 May 2018

Section 1:Personal Information

Title:
Full Name:
Maiden Name (if applicable):
Address (including postcode):
Email Address:
Contact Telephone Number/s
(inc. STD code): / Daytime:
Evening:
Mobile:
Date of Birth:
National Insurance No:
Nationality: / Citizen of EC country yes/no
If no, please state

Section 2:Details of Present Employment

Name and address of present employer:
Post held:
Salary:
Main Duties:
Notice required to terminate present employment:

Section 3:Previous employment (beginning with most recent)

Employer / Dates of Service / Reason for leaving
From / To

If possible, please explain any gaps in your employment history:

Section 4: Education

Please list below your A Level or equivalent, degree and postgraduate qualifications, grades or levels and the dates awarded.
Qualification / Grade/Level
(if appropriate) / Date Awarded

Section 5: Meeting the Criteria

Please indicate belowor demonstrate through specific examples how you meet the following criteria which are either essential or desirable (if not met please leave blank).

ESSENTIAL CRITERIA

Qualifications, Training, Knowledge

12:1 Honours Degree in Physics or related area relevant to GCSE, AS and A2 Physics.

2PGCE or equivalent.

3Hold a teaching qualification which meets the requirements for recognition to teach in grant aided schools and be registered with the GTCNI by 1 September 2018.

Detail of teaching qualification:

GTCNI Number: ______DENI Teacher Number: ______

Experience

1. A minimum of 3 years’ teaching experience in Physics to GCSE and A’Level (as of 1 September 2018).

2. Experience of initiatives in the Physics or Science Department to impact on student learning. (maximum 120 words)

Examination Results as a Teacher

Please populate the tables below as relevant to show the last two years’ examination results at GCSE and A’Level for classes you teach when compared to the average results for the school in which you teach at a whole school and Physics Department level. (If you have moved school during this period please indicate ‘moved school’ in the notes but still complete the information for the last two years across the two schools).

GCSE

As some schools teach Physics GCSE, Triple and/or Double, and/or Single Award Science, please complete as is relevant to your school and your teaching.

GCSE Physics
Cumulative % / Your Class 2016-17 / Physics Dept 2016-17 / Whole School 2016-17 / Your Class 2015-16 / Physics Dept 2015-16 / Whole School 2015-16
A*
A
B
C
GCSE Triple Award
Cumulative % / Your Class 2016-17 / Science Dept 2016-17 / Whole School 2016-17 / Your Class 2015-16 / ScienceDept 2015-16 / Whole School 2015-16
A*
A
B
C
GCSE Double Award
Cumulative % / Your Class 2016-17 / ScienceDept 2016-17 / Whole School 2016-17 / Your Class 2015-16 / ScienceDept 2015-16 / Whole School 2015-16
A*
A
B
C
GCSE Single Award
Cumulative % / Your Class 2016-17 / ScienceDept 2016-17 / Whole School 2016-17 / Your Class 2015-16 / ScienceDept 2015-16 / Whole School 2015-16
A*
A
B
C
A’Level Physics
Cumulative % / Your Class 2016-17 / Physics Dept 2016-17 / Whole School 2016-17 / Your Class 2015-16 / Physics Dept 2015-16 / Whole School 2015-16
A*
A
B
C

If you share the teaching of the A’Level class, please indicate the % of time you taught the class.

…………..%

Notes section: If you have moved school in last two years, please explain. Otherwise, leave this section blank.

DESIRABLE CRITERIA

Qualifications, Training, Knowledge

  1. Hold a Master’s Degree or other qualification in Physics or related area relevant to GCSE, AS and A2 Physics.
  1. Hold a Master’s Degree or other qualification relevant to management or leadership.

Experience

1A current or previous post holder of a Teaching Allowance (in last 3 years).

Extra-curricular Commitment

1A coaching qualification in rugby.

2Experience of coaching a school or club rugby team.

3A coaching qualification in hockey.

4Experience of coaching a school or club hockey team.

5A firm commitment to coaching a rugby or hockey team.

Section 6: References

Please provide two references. One reference should be your current Principal. If you are currently not working in a school, please include the Principal of the last school in which you worked.

Reference 1Reference 2

Name: / Name:
Position: / Position:
Organisation: / Organisation:
Address: / Address:
Telephone Number: / Telephone Number:
Email: / Email:

Section 7:Declaration

I certify that the information supplied by me in this application is correct to the best of my knowledge. I understand that prior to an appointment being confirmed, a criminal records check will be made on me for the purposes of fulfilling the requirements of the DENI Circulars 2006/06 “Child Protection: Recruitment of People to work with Children and Young People in Educational Settings” and 2008/03 “Child Protection: Pre-Employment checking of persons to work in schools – new arrangements”. I give my permission for this to be done.
Signature: ……………………………….Date: ……………………………….
You may type your signature above and, should you be selected for interview, you will be asked to sign the application form.

PLEASE COMPLETE FORM ON NEXT PAGE

THE WALLACEHIGH SCHOOL

EQUAL OPPORTUNITIES QUESTIONNAIRE

APPLICANTS FOR TEACHING POSTS

PLEASE COMPLETE THE FOLLOWING SECTIONS: TICK BOXES AS APPROPRIATE

(You may copy and paste the following symbol if this is easier )

1SEX:MALEFEMALE

2MARITAL STATUS:SINGLEMARRIED

WIDOWEDDIVORCED

OTHERPlease state ______

3DISABILITY:

Disability is defined as physical or mental impairment which has a substantial and long term adverse effect on the individual’s ability to carry out normal day-to-day activities.

Do you consider yourself to have a disability?YESNO

If yes, please indicate the nature of your disability by ticking the appropriate box(es)

1MOBILITY5DEXTERITY/CO-ORDINATION

2VISION6PSYCHIATRIC/MENTAL

3HEARING7LEARNING

4SPEECH8OTHER

Please specify: ______

4RACE:

1 WHITE5INDIAN

2 CHINESE6BLACK CARRIBBEAN

3 IRISH TRAVELLER7BLACK AFRICAN

4 PAKISTAN/BANGLADESHI8OTHER

Please specify: ______

Thank you for your co-operation

Head of Physics Department1 of 11