Save & Return

Save your progress and complete this form later (optional)

Please select the position you are applying for... *

Personal details

Title *

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:

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

Yes

No

If yes, please give further details:

How did you hear about this job? *

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

Please list your 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)

Application questions

What, for you, is a Big Education? (300 words) *

0/300 words

Describe the biggest influences on your teaching and thinking. (The books, research and ideas that have had an impact on you) (250 words) *

0/250 words

What is your vision for a Reception curriculum that educates the whole child, and what skills and experience could you bring to help School 360 achieve these goals? (300 words) *

0/300 words

What are your aspirations as a teacher and/or a leader, and how do you see these being realised in School 360? (300 words) *

0/300 words

Is there any other information you would like to include to support your application? (250 words)

0/250 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. We will not take up references prior to any job offer being made without obtaining your permission first.

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

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.

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.

Signed *

Date *