Save & Return

Save your progress and complete this form later. (optional)

Personal details

Are you subject to any legal restrictions in respect of your employment in the UK? *
Do you require a work permit? *
Have you lived or worked outside the UK for a period of three months or more in the last five years? *
Are you related to or have a close personal relationship with any pupil, employee or governor? *

Present employment

(If you are currently unemployed please confirm your current situation i.e. registered with JobCentre Plus, caring for relatives, raising family etc.)

Previous employment part one

(most recent employer first).   Please ensure that any gaps in the employment history are explained, i.e. unfit to work, unemployment, caring for relatives. When completing dates, please include the month as well as the year.

Previous employment part two

Further employment information


Qualifications obtained from secondary school, colleges and universities. Please list highest qualification first.
College and University
 College or UniversityDates attended from and toCourseQualifications and grades obtained
Secondary School
 Secondary SchoolDates attended from and toCoursesQualifications and grades obtained

Training and Development

Please give details of any training and development courses or non-qualifications courses which support your

application. Include any on the job training as well as formal courses.
Training and development
 Title of Training CourseDuration of Course and date completed


All answers are limited to 250 words.
0/250 words
0/250 words
0/250 words
0/250 words
0/250 words


Please give the names and addresses of your two most recent employers (if applicable) or school/college. If you are unable to do this, please clearly outline who your references are and their relationship to you. If you are presently employed in an educational setting, one of your referees should be from your current Headteacher.  We will not take up references prior to any job offer being made if you have not given your consent for us to do so.
Referee one
Please indicate if we can contact your referees prior to interview *
Referee two
Please indicate if we can contact your referees prior to interview *

Safeguarding - Disclosure & Barring (DBS) and recruitment checks

School 21 is committed to safeguarding the welfare of our pupils.  School 21 is legally obligated to process an enhanced Disclosure and Barring Service (DBS) check before making appointments to relevant posts.  

The DBS check will reveal both spent and unspent convictions, cautions, reprimands and final warnings, and any other information held by local police that’s considered relevant to the role. Any information that is “protected” under the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 will not appear on a DBS certificate.

For posts in regulated activity, the DBS check will include a barred list check.

It is an offence to seek employment in regulated activity if you are on a barred list.

Any data processed as part of the DBS check will be processed in accordance with data protection regulations and School 21's privacy notice for job applicants available on School 21's website or by clicking here.

Any job offer will be conditional on the satisfactory completion of the necessary pre-employment checks.

Only applicants who have been shortlisted will be asked for a self-declaration of their criminal record or information that would make them unsuitable for the position.

Any convictions that are self-disclosed or listed on a DBS check will be considered on a case-by-case basis.

Where did you hear about this vacancy?

Please select where you heard about this vacancy from the following: *

Equal Opportunities

The information we are collecting below is confidential and helps us to avoid discriminatory practices, inform decision-making and develop our policies.  All questions are optional and there is an option to select 'Prefer Not To Say' or leave blank.  This data will be used solely for diversity monitoring purposes.  If you provide this information and are not successful in your application all information you have provided will be deleted.  We are committed to running a fair selection pocess and the assessors/interview panel will not have access to this information prior to or during the interview process.  
How would you describe your ethnic origin? *
If you answered 'yes' to the question above, please state the type of impairment. Please tick all that apply. If none of the below categories apply, please mark 'other'.


Statement to be signed by the applicant (by simply typing in your full name)

I certify that, to the best of my knowledge and belief, all particulars included in my application are correct.  I understand and accept that providing false information will result in my application being rejected or withdrawal of any offer of employment, or dismissal if I am in post.  I understand and accept that checks may be carried out to verify the contents of my application form.