Application Form

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Personal Details

First Name *

Last Name *

Email Address *

Mobile Number *

Do you currently work for us? *

Address Information

Street Address *

City *

County *

Country *

Postcode *

Qualified Teacher Information

Date of gaining QTS *

Teacher Reference Number *

Did you pass your induction? *

Did you gain QTS after May 1999? *

If yes, where was the induction served?

Do you have any period left to serve on your induction?

Education Details

Application forms that do not include all educational history will be rejected:

Please provide details in chronological order, PLEASE INCLUDE ALL EDUCATION FROM GCSE (or equivalent)

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Institution Attended *

Date From *

Date To *

Subject, Level and Grades received *

Professional Development

Please list all professional development along with dates undertaken in the past 5 years:

Employment History

Starting with your most recent employer, please provide details of your employment history. In the case of your most recent role, please also provide details of your reason for leaving.

Any employment with Supply Agencies must show the Agency as the employer and not the school/organisation where the work was carried out.

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Employer Name *

Job Title *

Salary *

Date From *

Date To *

Please detail your role and responsibilities *

Current Notice Period (only relevant if in current employment) *

Reason for leaving: *

Periods Not in Employment

In accordance with safeguarding guidelines, you must account for every gap in employment or training since secondary education.

Reason for periods not in employment or training, including dates (MM/YY):

Additional Information

Do you have the right to work in the UK *

National Insurance Number *

What is your Date of Birth? *

Have you ever been known by another Surname? *

Do you have any requirements we need to be aware of to enable you to attend an interview or other selection arrangements? *

Yes No

Please provide details: *

How did you become aware of this vacancy? *

Supporting Statement

Please add any further information that you would like us to consider in support of your application (1000 words max) *

Time spent abroad

Have you, at any point in the past five years, lived outside of the UK for a period of three months or more?

If so, then please provide details, including the dates, country visited and reason below.

Please note, should you be successful in your application we maybe required to make any further checks deemed appropriate. These checks could include an overseas criminal record check (where available) or obtaining a letter (via you) from the professional regulating authority in the country (or countries) in which you worked.

Guidance on how you would obtain an overseas check will be provided where available.

Reason for period spent abroad, including country and dates (MM/YY):

References

Please provide details of two referees who have recent knowledge of your work.

One must be your present employer, or last employer if not currently employed or you have been with your current employer for less than 12 months.

References will not be accepted from relatives or from people writing solely in their capacity of friends.

If you are selected for interview, references will be called for before interview unless you request otherwise.

Any previous employers or educational institutions may also be approached for information to verify experience or qualifications before interview.

If you are not currently working with children but have done so in the past in either a paid or voluntary capacity, at least one referee must have known you in your most recent role working with children.

If your previous posts have involved working with children in either a paid or voluntary capacity, questions will be asked about disciplinary offences related to children, including any for which the penalty is ‘time expired’ (that is, where a warning could no longer be taken into account in any new disciplinary hearing, for example) and whether you have been the subject of any child protection concerns and if so the outcome of any enquiry or disciplinary procedure.

First Referee: (your current or most recent employer)

Referee Name: *

Referee Job Title: *

Name of Organisation: *

No. of Years known: *

Relationship to you: *

Telephone Number: *

Email Address: *

Second Referee:

Referee Name: *

Referee Job Title: *

Name of Organisation: *

No. of Years known: *

Relationship to you: *

Telephone Number: *

Email Address: *

Disclosure

Rehabilitation of Offenders Act 1974 (exceptions) Order 1975 (2013)

WORKING WITH YOUNG PERSONS UNDER AGE 18

The Rehabilitation of Offenders Act 1974 (exceptions) Order 1975 (2013) provides that certain spent convictions and cautions are ‘protected’ and are not subject to disclosure to employers, and cannot be taken in to account. Guidance and criteria on the filtering of these cautions and convictions can be found at the Disclosure and Barring Service website: https://www.gov.uk/government/news/dbs-filter-certain-old-and-minor-cautions-and-convictions-reprimands-and-warnings-from-criminal-record-certificates.

If you are shortlisted you will be asked to disclose any convictions, cautions, reprimands or final warnings that are not "protected" as defined by the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (as amended in 2013) – a failure to do so is likely to result in dismissal should it later be discovered. Any information given will be treated entirely as confidential and will be considered only in relation to this application.

If you have worked with children in either a paid or voluntary capacity, please note that your current/most recent employer, where you were employed to work with children, will be asked about disciplinary offences relating to children, young people and vulnerable adults, any child protection concerns and the outcomes of any enquiries or disciplinary procedures. This will include any instances for which the penalty is time expired.

Data Protection

The information collected on this form and other information which constitutes your personnel record will be used in compliance with the Data Protection Act 1998. The information is being collected for the purpose of administering the employment and training of employees.

The information may be disclosed, as appropriate, to governors of schools, to Occupational Health, to the Teachers Pensions Agency, to the Department for Education, to the Teaching Agency, Law Enforcement Authorities, pension providers and relevant statutory bodies.

Application forms of unsuccessful candidates will be destroyed after six months following an appointment to the job. Giving false information will result in your application not being pursued or your contract being terminated if you have already been appointment to the job.

I consent to the Shireland Collegiate Academy Trust recording and processing the information detailed in this application form. I understand that this information may be used by The Shireland Collegiate Academy Trust in pursuance of its business purposes and my consent is conditional upon The Collegiate Academy Trust complying with their obligations under the Data Protection Act 1998.

Equal Opportunities

We are committed to the fair treatment of its staff, potential staff, regardless of race, gender, religion, sexual orientation, responsibilities for dependants, age, physical/mental disability or offending background.

The information you give on this form will help us comply with our policy of ensuring equality in our services to you. We recognise that some people may regard some of this information as personal and we have, therefore, included an option in most questions for ‘prefer not to say’.

All information that we collect around equality and diversity will be treated confidentially in accordance with the Data Protection Act and will be stored on the appropriate HR database. Access to this information will be restricted to staff involved in the processing and monitoring of this data. It will be used to provide statistical information only. In completing the form below, you consent to us using your data for this purpose.

To which gender identity do you most identify?

What is your nationality?

What is your ethnicity? (Please choose the most appropriate option to indicate your cultural background)

Other (please specify)

Do you consider yourself to have a disability as defined in the Disability Discrimination Act (1995)?

If you have a medical condition, the Disability Discrimination Act (1995) requires employers to make reasonable adjustments to the job content or working environment. To achieve this, we need to know whether you are covered. Definition of Disability: “A physical or mental impairment which has a substantial and long-term effect on a person’s ability to carry out normal day-to-day activities in a non-work environment.”

Confirmation of Details

I hereby certify that all the information given on this form is correct and that all questions related to me have been accurately and fully answered, and that I am in possession of the certificates I claim to hold. I understand that should the information given in this application be incorrect it may result in my application being rejected, or if selected for the position, summary dismissal, and possible referral to the police.

I confirm

I agree to undergo an enhanced Disclosure and Barring Service with Children’s Barred List Check and produce the original certificate to the Trust.

I agree

I agree that if my application is successful, I will complete a medical declaration.

I agree

Please note where an application is submitted electronically it will be considered to have been signed by the applicant. Those shortlisted will be required to sign the form in person at interview.

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Application Form

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