St Ambrose Barlow RC High School Shaftesbury Road Swinton Manchester M27 5SZ Tel: 0161 794 3521 Fax: 0161 794 1932 Email: [email protected] Website: www.ambrose.salford.sch.uk Headteacher: Mrs C M Garside TEACHING APPLICATION FORM (CONFIDENTIAL)
St Ambrose Barlow RC High School is committed to safeguarding and promoting the welfare of children and young people and expects all staff and volunteers to share this commitment
1. APPLICATION FOR THE POST OF:
2. Personal Information Surname: Forename:
Previous Name(s) DCSF/GTC Teacher Number:
Address: Home Telephone No:
Mobile Telephone No:
Postcode Email Address:
NI Number: Do you have a full, current driving licence?
Yes No
3. Present Employment Present Post Held Full or part time? ______
Present Salary £/pa and pay spine______Ages taught______
Name of School and LA ______Subject(s) Taught ______
No on roll:______boys/girls/mixed
Page 1 St Ambrose Barlow RC High School (A SpecialistTechnology and Applied Learning College) 4. Qualifications GCE ‘O’ level/CSE/GCSE/Other (please state) continue on a separate sheet if necessary
Subject Grade Date Subject Grade Date
______
______
______
______
______
5. Qualifications GCE ‘A’ Level/’S’ Level/‘AS’ level/other (please state) continue on a separate sheet if necessary
Subject Level Grade Date Subject Level Grade Date
______
______
______
______
6. Qualifications University/College continue on a separate sheet if necessary a) University or College From To ______
Qualification Obtained Honours/class/division Date of Award
b) University or College From To ______
Qualification Obtained Honours/class/division Date of Award ______
Page 2 St Ambrose Barlow RC High School (A SpecialistTechnology and Applied Learning College) 7. Professional Training if not already included
University or College From To ______
Full or Part time ______
Qualification obtained______Date of Award ______
Special Features of course ______
Emphasis of Basic training ______
8 Previous employment in teaching (continue on a separate sheet if necessary). In chronological order please, starting with the earliest. Include unpaid activities such as parenting, voluntary work and teaching practice if you are a student. If the school is not maintained by an LEA please put ‘independent’, GMS, etc. Post Held Full time/ Name of LA No on roll Ages and Dates Scale/Incentive Part time Boys/girls/mixed subjects taught Allowances From To Or Pay Spine
Please continue on a separate sheet if necessary
Page 3 St Ambrose Barlow RC High School (A SpecialistTechnology and Applied Learning College) 9. Full time employment from the age of 18 years (if any) or service in HM forces (continue on a separate sheet if necessary) Employers name and address nature of employment from to
10. Other part time paid service or experience (e.g. Further Education, Youth Service, Vocational Training
Post/Status Authority/Employer From To
11. Courses attended other than initial training in the last 3 years, including short courses and seminars Name of Course Dates No of sessions Duration of sessions Details
12. Further information
Please write below or provide on a separate A4 sheet/sheets details of any special interest and experience, which may be relevant to this application and briefly explain why you feel you are suitable for the post.
Please note that, whilst CV’s a detailed letters of application may be included, it is essential that you complete all sections of this application form.
Page 4 St Ambrose Barlow RC High School (A SpecialistTechnology and Applied Learning College) 13. GTC REGISTRATION
Do you hold Qualified Teacher Status YES / NO (please delete
If yes, please give date of the award
Have you successfully completed a period of induction as a qualified teacher in this country where the DCSF required this?
If yes, please give date of completion.
GTC Teacher Reference Number (DfES number) e.g. 12/34567
Are you subject to any conditions or prohibitions placed on you by the GTC?
If yes, please give full details:
Page 5 St Ambrose Barlow RC High School (A SpecialistTechnology and Applied Learning College) 14. Absence Have you been absent from work in the last two years through illness, injury or hospitalisation?
Yes No If yes, please give details of total numbers of days absent and reason for each absence.
15. Referees We require candidates to provide details of up to three referees and preferably both should be qualified to comment on your work performance in the last 3 years, particularly in relation to the person specification/competencies required. In the case of a Catholic applicant, one of these referees should be your Parish Priest/or Priest by whom you are know.
One of your referees must be your present or last employer and no offer of appointment will be made without reference to him/her. If you have not previously been employed then Headteacher/College Lecturers etc. are acceptable as referees. Friends and relatives are not acceptable referees.
In addition St Ambrose Barlow RC High School reserves the right to approach any other previous employer or manager.
References will be taken up for the appointable candidates once an offer of employment has been made, therefore, you should ensure that your referees are in a position to respond promptly. If you were known to your referee by a different name please indicate your previous name.
Referee 1. Referee 2. Referee 3. Name of Headteacher Name/Status Name/Status
Address of School Address Address
Tel No: Tel No Tel No: Email: Email: Email:
16. Where did you see this position advertised? ______
Page 6 St Ambrose Barlow RC High School (A SpecialistTechnology and Applied Learning College) 17. The Rehabilitation of Offenders Act 1974
The Rehabilitation of Offenders Act (Exemption) Order 1975
The provision under the above legislation relating to non-disclosure of spent convictions do not apply to any employment as a teacher in a school or any other employment which is carried out wholly or partially within the precincts of a school, being employment of such a kind as to enable the holder to have access to persons under the age of 18 in attendance at the school in the course of his or her normal duties.
You must, therefore, give information concerning any previous convictions whether or not they are “spent” within the meaning of the Act.
Failure to disclose any conviction could lead to an application being rejected or may later lead to the dismissal of a successful applicant.
Please note that fixed penalties are not convictions under The Law and, therefore, do not need to be declared.
Please complete the attached request for a Police Check. Have you any previous convictions? YES/NO * (delete as applicable)
If yes, please give details of offence and sentence on attached Police Check.
Signed: ______Date: ______
18. Data Protection
The information that you provide on this form and that obtained from other relevant sources will be used to process your application for employment. The personal information that you give us will also be used in a confidential manner to help us monitor our recruitment process.
If you succeed in your application and take up employment with us, the information will be used in the administration of your employment with us and to provide you with information about us or a 3rd party via your payslip. We may also use the information if there is a complaint or legal challenge relevant to this recruitment process.
We may check the information collected, with 3rd parties or with other information held by us. We may also use or pass to certain 3rd parties information to prevent or detect crime, to protect public funds, or in other ways as permitted by law.
By signing the application form we will be assuming that you agree to the processing of sensitive personal data, (as described above), in accordance with our registration with the Date Protection Commissioner.
Page 7 St Ambrose Barlow RC High School (A SpecialistTechnology and Applied Learning College) 19. General
Canvassing members of the Governing Body or Headteacher of the school, either directly or indirectly, is forbidden and will disqualify applicants.
A candidate for any appointment under the Governing Body shall when making application, disclose whether he or she is related to: a) a member of the Governing Body; b) a Senior Officer employed by the Council; c) a person employed by the Local Education Authority;
A candidate who fails to disclose any such relationship shall be disqualified from the appointment and if appointed, shall be liable to dismissal without notice.
Are you related to any member or employee of the Governing Body?
YES NO This question must be answered by ALL candidates, and details of any relationship must be given below:
Relationship
Are there any restrictions to your residence in the UK which might affect your right to take up employment in the UK Yes No If yes, please provide details:
If you are successful in your application, would you require a work permit prior to taking up employment? Yes No
20. CRIMINAL RECORD CHECK
All applicants for posts working with children MUST consent to a check of their criminal record being made before employment. Further checks may also be made during employment at the School’s discretion.
This post is exempt from the Rehabilitation of Offenders Act 1974 and therefore all convictions, cautions and bind-overs, including those regarded as ‘spent’ must be disclosed (details if applicable).
ARE YOU ON LIST 99? YES/NO
ARE YOU DISQUALIFIED FROM WORKING WITH CHILDREN? YES/NO
ARE YOU SUBJECT TO ANY SANCTIONS IMPOSED BY A REGULATORY BODY, E.G. THE GENERAL TEACHING COUNCIL (GTC)? YES/NO
If you respond “Yes” to any of the above please provide further details in a sealed envelope marked “CONFIDENTIAL”
Page 8 St Ambrose Barlow RC High School (A SpecialistTechnology and Applied Learning College) Declaration I understand that if I am appointed, the appointment will be made on the basis that the information I have provided is correct and I certify that the above particulars are, to the best of my knowledge, full and accurate. I fully understand that any breach of this declaration could lead to the termination of my contract of employment.
Signed: Date:
If you do not hear from us again within six weeks of the closing date, please assume that your application has not been successful. You will find the closing date in the advertisement.
Page 9 St Ambrose Barlow RC High School (A SpecialistTechnology and Applied Learning College) PLEASE ENSURE THAT ALL SECTIONS OF THIS PAGE ARE COMPLETED AND SIGNED
NOTES OF GUIDANCE ON COMPLETING THE APPLICATION FORM
EQUAL OPPORTUNITIES
The Governing Body considers the fair provision of services and opportunities to all those it employs, irrespective of sex, creed, marital status, race, disability, age and sexual orientation, to be a matter of fundamental importance to the School’s well being.
The policy applies to potential and actual employees and relates to all aspects of employment, including recruitment, pay, terms and conditions of service, promotion, training, grievance and disciplinary procedures, and to the arrangements made for working in the School.
NB: Please note the Section “Monitoring of Appointments for Equal Opportunities” does not form part of the application but will be used by the School for general monitoring purposes.
FILLING IN THE APPLICATION FORM
Decisions about who will be selected for interview will be based on the information you give in your application form. Therefore, all Sections of the application form should be completed.
You are invited to submit a letter of application and to keep this to a reasonable length. Consideration as to appointment or interview will be based upon a completed form and letter of application. This will provide the Authority with all the information necessary.
If you are not very experienced at completing application forms, the following suggestions may be of help:-
Look carefully at the application form – ask yourself why you are interested in the job.
Think about your experiences and how you can show that you have the skill, knowledge and experience necessary. Unpaid work and work at home can be just as important as paid work. When you make your case for the job make sure your application relates to the job you are applying for. Copying the same application form for a series of jobs often creates a poor impression. Preparing a first draft will improve your application. Read each Section carefully, and provide all the information requested. Check that all the dates are correct and in the order requested. Complete and sign Section 16 – The Rehabilitation of Offenders Act (Exemption) Order 1975 and complete and sign the Police Check form.
Page 10 St Ambrose Barlow RC High School (A SpecialistTechnology and Applied Learning College) Equal Opportunities Monitoring
This section of the application should be detached form your application. It will be solely use for monitoring purposes only.
St Ambrose Barlow is an equal opportunities employer and as such opposes all forms of unlawful or unfair discrimination. All employees will be recruited, trained and developed in the basis of their ability and the requirements of the job. In order to monitor the effectiveness of our equal opportunities policies we ask all applicants to provide the following information
White: British Irish Any other white background*
Mixed: White and Black Caribbean White and Black African White and Asian Any other mixed background*
Asian or Asian British: Indian Pakistani Bangladeshi Asian British Any other Asian background*
Black, Black British: Caribbean African Black British Any other black background*
Chinese or Ethnic Group: Chinese other Ethnic Group* * please specifiy
Gender Male Female
Do you consider yourself to have a disability: Yes No
The Disability Discrimination Act defines a disability as “A Physical or mental impairment which has a substantial and long-term effect on the person’s ability to carry out normal day to day activities” If you wish, you may disclose information about your: Religion
Sexual Orientation
How did you become aware of this vacancy?
Media: Date:
Page 11 St Ambrose Barlow RC High School (A SpecialistTechnology and Applied Learning College)