Save & Return

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

*

Personal details

First name *

Surname *

Door number / name *

First line of address *

Second line of address

Third line of address

Postcode *

Home phone number *

Mobile phone number *

Email address *

National insurance number *

Are you subject to any legal restrictions in respect of your employment in the UK? *

Yes

No

If yes, please give further details:

Do you require a work permit? *

Yes

No

If yes, please give further details:

Have you lived or worked outside the UK for a period of three months or more in the last five years? *

Yes

No

Are you related to or have a close personal relationship with any pupil, employee or governor? *

Yes

No

If yes, please give further details:

Disability and accessibility: The school has committed to ensuring that applicants with disabilities or impairments receive equal opportunities and treatment. If you have a disability or impairment, and would like us to make adjustments or arrangements to assist if you are called for an interview, please state the arrangements you require:

Present employment

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

Name of employer

Door number / name

First line of address

Second line of address

Third line of address

Postcode

Date of appointment

Salary

Post title

Brief description of duties

End date (if no longer employed)

Reason for leaving

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.

Name of employer

Door number / name

First line of address

Second line of address

Third line of address

Postcode

Start date

End date

Post title

Summary of duties

Reason for leaving

Previous employment part two

Name of employer

Door number / name

First line of address

Second line of address

Third line of address

Postcode

Start date

End date

Post title

Summary of duties

Reason for leaving

Further employment information

Provide details of prior employment here

Education

Qualifications obtained from secondary school, colleges and universities. Please list highest qualification first.

College and University

	College or University	Dates attended from and to	Course	Qualifications and grades obtained
1	College or University	Dates attended from and to	Course	Qualifications and grades obtained
2	College or University	Dates attended from and to	Course	Qualifications and grades obtained
3	College or University	Dates attended from and to	Course	Qualifications and grades obtained
4	College or University	Dates attended from and to	Course	Qualifications and grades obtained
5	College or University	Dates attended from and to	Course	Qualifications and grades obtained
6	College or University	Dates attended from and to	Course	Qualifications and grades obtained

Details of further higher education qualifications (if required)

Secondary School

	Secondary School	Dates attended from and to	Courses	Qualifications and grades obtained
1	Secondary School	Dates attended from and to	Courses	Qualifications and grades obtained

Details of further secondary education qualifications (if required)

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 Course	Duration of Course and date completed
1	Title of Training Course	Duration of Course and date completed
2	Title of Training Course	Duration of Course and date completed
3	Title of Training Course	Duration of Course and date completed
4	Title of Training Course	Duration of Course and date completed
5	Title of Training Course	Duration of Course and date completed
6	Title of Training Course	Duration of Course and date completed

Details of further training (if required)

Personal Statement

Please outline your suitability for the role in less than 750 words.

*

0/750 words

References

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. Please be informed that the referee will be asked about whether the applicant has been subject to any safeguarding concern. 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

Title and name *

Position (job title) *

Relationship to applicant e.g. line manager *

Organisation *

First line of address *

Second line of address

Third line of address

Postcode *

Telephone number *

E-mail *

Please indicate if we can contact your referees prior to interview *

Yes

No

Referee two

Title and name *

Position (job title) *

Relationship to applicant e.g. line manager *

Organisation *

First line of address *

Second line of address

Third line of address

Postcode *

Telephone number *

E-mail *

Please indicate if we can contact your referees prior to interview *

Yes

No

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.

Which age band are you in? *

How would you describe your ethnic origin? *

What is your first language? *

Which of the following describes your gender? *

Which of the following best describes your sexual orientation? *

What is your religion or belief? *

Is your day-to-day living is affected because of a health problem or disability which has lasted, or is expected to last, at least 12 months? If 'yes', please state the type of impairment. Please tick all that apply. If you want to further explain of the below categories, please mark 'other'. *

Declaration

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.

Signed *

Date *