Educational Establishment From to

Degrees or Professional Qualifications

Qualification University

Subject Class of Degree/Date Awarded

Qualification University

Subject Class of Degree/Date Awarded

Qualification University

Subject Class of Degree/Date Awarded

Post Graduate Qualifications

Qualification University

Subject Class of Degree/Date Awarded

Qualification University

Subject Class of Degree/Date Awarded

Qualification University

Subject Class of Degree/Date Awarded

Other Qualifications

Qualification University

Subject Class of Qualification/Date Awarded

Qualification University

Subject Class of Qualification/Date Awarded

Qualification University

Subject Class of Degree/Date Awarded

Recent Professional Development (non-award bearing)

References

Please give the name and address of two referees from which the School may seek information regarding your suitability for employment covering at least the last 5 years of your employment. If you are currently employed, one of the referees must be your current employer; otherwise it must be your most recent employer. If you are in, or have just completed full-time training, one referee should be from your college or university. These should not include a relative and personal referees must be able to comment on your skills and abilities in relation to the post.

For post that require a DBS check

If you are not currently working with children but have done so in the past, the second referee you supply should be from the most recent employer where you were employed to work with children or vulnerable adults

It is the Schools’ practice to take up references for short-listed applicants prior to interview.

Reference One:

Name:
Address:
Contact Number:
Email:
Relationship:
How long known:
From: to:

Reference Two:

Name:
Address:
Contact Number:
Email:
Relationship:
How long known:
From: to:

Declarations

Equalities Act 2010

Churston Ferrers Grammar School is an Equal Opportunities employer. Disabled people are encouraged to apply. Disabled applicants who appear to meet the essential criteria of the person specification are guaranteed an interview. The Equalities Act defines a person as having a disability if he/she “has a physical or mental impairment which has a substantial and long-term adverse effect on his/her ability to carry out normal day to day activities”.Wherever possible and reasonable we will make adjustments and offer alternatives to help a person with a disability through the application and selection process

Please provide details below of any information you would like us to take into account with regard to your disability in order to offer you a fair selection interview

Eligibility to work in the UK

Are you eligible to work in the United Kingdom and are you able to provide proof of this? YesNo

The Immigration, Asylum and Nationality Act 2006 requires all employers in the UK to make basic document checks on every person, before they start work, therefore if you are asked to interview, you will be required to provide evidence (original documents only) that you are eligible to live and work in the UK and copies will be taken at interview and if unsuccessful these will be destroyed in accordance with the Data Protection Act 1998 (DPA). If you are offered the post these original documents will be retained on your personal file.

Relationships

Are you in any way related to or have a personal relationship with any employee or governor of Churston Ferrers Grammar School? YesNo

Please give details below:

Name:

Relationship

Job Title:

Soliciting support or information, which may be deemed to offer an unfair advantage, from any employee or governor of Churston Ferrers Grammar School in connection with this appointment will disqualify your application

Criminal Convictions

Do you have any convictions that are not spent under the Rehabilitation of Offenders Act 1974? YesNo

Disciplinary action/Capability Proceedings

Have you been the subject of formal disciplinary action or capability proceedings in your past employment or currently in the process of ongoing disciplinary action or capability proceedings in your current position? YesNo

Enhanced Disclosure and Barring Service Check

For positions that are included in the Exceptions Order to the Rehabilitation of Offenders Act 1974 and in respect to any regulated positions as defined by the Criminal Justice and Court Services Act 2000, all applicants who are offered employment will be subject to a Disclosure and Barring Service check from the Criminal Records Bureau before the appointment is confirmed. This will include details of ALL cautions, reprimands or final warnings as well as convictions, whether “spent” or “unspent”. Criminal convictions will only be taken into account when they are relevant to the post.

Please give details below.

Safeguarding

Churston Ferrers Grammar School is committed to safeguarding and promoting the welfare of children and applicants must be willing to undergo the checks appropriate to the post applied for. By submitting this application form you are confirming your agreement/commitment. For further information visit www.swcpp.org.uk

Declarations (continued):

I confirm that I have read and understood the enclosures provided with this application form

I confirm that the details I have provided in this application form are correct and that I have not deliberately withheld any relevant information that could affect Churston Ferrers Grammar School decision to employ.

I understand that the deliberate falsification of information or failure to disclose relevant information may lead to my application being rejected, any offer of employment being withdrawn or actual appointment being terminated.

I declare that I have not canvassed any employee or governor either directly or indirectly in connection with this application.

If appointed, I understand that further verification of Degree, Masters, PGCE or equivalent qualifications may be undertaken with the relevant institutes by the HR Manager and by signing this application gives my authority for this to be done.

Data Protection – Fair Processing Notice

The collection, processing, maintenance and retention of any personal data which Churston Ferrers Grammar School processes, is governed by legislation such as the UK Data Protection Act 1998, and by Churston Ferrers Grammar School’s own policies and procedures. Churston Ferrers Grammar School will use any personal data you provide within this document solely for the purpose of assessing the eligibility of your application when applying for a vacancy. The information given will be provided to Churston Ferrers Grammar School employees acting as response handlers and recruitment managers. They may share the information with colleagues for the purpose of shortlisting and interviewing for the vacancy. The information may also be shared with external parties if required by law. The information will be kept on file for a period of six months after the closing date of the vacancy to allow for any further processes, such as appeals, that may occur. If you are successful in your application for employment with Churston Ferrers Grammar School, then the application form will be kept on your personnel file for the duration of your employment

I note that the information provided on this application form may be held, further processed or verified, in accordance with the Data Protection Act 1998

I confirm all of the above statements

By submitting this form, either electronically, by post or by hand consents to us taking up your references if you are short-listed for interview.