Application for Teaching Post

Caistor Grammar School A Selective Academy Church Street Caistor Lincolnshire LN7 6QJ Tel. 01472 851250 Fax. 01472 852248 Roger Hale M.A., M.A.(Ed.) Headmaster

APPLICATION FOR TEACHING POST Please type or use black ink/ball point. Use block letters for Section A – C.

Application for post (title) ……………………………………………………………………………

Grade or Scale ……………………………………………………………………………

SECTION A General

Name in full (Surname first) ……………………………………………………………………………

Previous name(s)/maiden name ……………………………………………………………………………

Home address or address at which you may be contacted if different from home address ………………………………………….. ……………………………………………………………………

……………………..……………………………………………Post Code………………………………….

Date of Birth……………………………………………………..N.I. No…………………………………….

Daytime Telephone.no………………………………………….. Evening Telephone no………………………………………….. Mobile phone no………………………………………………………….…………………………….…….. Email address…………………………………….……………………………………………………………

SECTION B Present Teaching Post (if applicable)

Present post (title) ……………………………………………………………………………

Full-time or Part-time …………………….. Grade or Scale ……………………… Date passed through Threshold………………………. Name of School …………………………………………………………………………….

Address ……………………………………………………………………………. ………………………………… Post Code………………………….….

STD Code and Telephone No ……………………. No on roll …………………….……..

Type of School ……………………………………………………………………………

Age Range ……………………. Single sex/mixed …………….……..

Date appointed to present post ………………….. Age range taught ……………………

Name of Education Authority or Academy (if applicable)…………………………………………………… SECTION C Teaching Qualifications

DFEE Reference Number …………………………………………………………………………

Teaching Qualification (Cert Ed, BEd, PGCE) ……………………………………………………….

Date qualification awarded (month and year) ……………………………………………………….

Type of Teacher Training (Secondary, Primary, Junior, Infant) ……………………………………………………….

Specialist Subject …………………………………………………………………………

Work Permits

Do you require a work permit to undertake full or part-time work in the UK? Yes No

If YES, which visa do you hold? What is the expiry date of this visa?

SECTION D Education and Training

Names of Secondary Schools Dates Qualification Gained

From To Subject Level Date

Names of Dates Full or Qualifications Gained Colleges/Universities P/T

From To Title & Subject Class/Grade Date Courses attended over the last three years

Title Organising Body Date Duration (month & year)

SECTION E: Previous teaching posts held. Please list in chronological order and be explicit about type of School at time post held

Name of Name of School, Approx Post title, Age Dates Education type of School and number grade and range (month and year) Authority and whether single sex on roll scale, full or taught Division or part-time Area From To

SECTION F: Non-teaching Employment Please give details including dates of other employment or occupations, including HM Forces and present post, if applicable. Please use this area to provide details on any gaps in your employment plus any none work related history. SECTION G: A: Criminal Offences Please give details of any convictions for a criminal offence(s), cautions, reprimands, warnings, investigations or pending criminal charge(s)

Because of the nature of the work for which you are applying, this post is exempt from the provision of Section 4(ii) of the Rehabilitation of Offenders Act, 1974 by virtue of the Rehabilitation of Offenders Act 1974 (Exceptions) Order, 1975 and you are therefore not entitled to withhold information about convictions which for other purposes are “spent” under the provisions of the Act and, in the event of employment, any failure to disclose such convictions could result in dismissal or disciplinary action.

B: Safety of children

Do you have any history of disciplinary action that relates to the safety of children? Yes/No

If yes, please give details below.

……………………………………………………………………………………………………..

Is there any reason why you should not be engaged to work with children? Yes/No

If yes, please give details.

SECTION H: Medical Information

If you are a registered disabled person, please give registration number ………………………………

If you have suffered from any medical condition which has affected (or might in future affect) your performance as a teacher, please give details.

Please give details of any absence through ill health (longer than three consecutive days) over the past twelve months) SECTION I Referees – References are requested only when you have reached the short list stage.

Do we have permission to contact your employer prior to job offer? Yes No

Please complete details for two referees who can comment on your work performance. One should be from your present or most recent employment and the other from a previous job within the last 5 years.

Name …………………………………………… Name ………………………………………

Address …………………………………………… Address ………………………………………

………. …………………………………………… …………………………………………. Post Code. ………………………………… Post Code …………………………………….

Telephone no……………………………………….. Telephone no…………………………………..

Email……………………………………………….. Email……………………………………………

Status ………………………………………….. Status ………………………………………..

If this person is not available, whom else can we contact?

Are you related to any Elected Members of the Council, or any Senior member of staff.

Yes No Don’t know

If YES, please give name of Elected Member/Senior member of staff.

I understand that canvassing, directly or indirectly, will be a disqualification.

I enclose SAE(s) for acknowledgement of application/notification or result. I heard of this vacancy

via ………………………………………………………………………………………………… For the purposes of the Data Protection Act 1998, I consent to the information contained in this form, and any information received by or on behalf of Caistor Grammar School relating to the subject matter of this form, being processed by them in administering the recruitment process.

I declare that all the information on this application form is true and correct. I have not sought the support of or canvassed directly or indirectly any Elected Member of Lincolnshire County Council or any Senior member of staff of Caistor Grammar School or the head or governor of any Educational Establishment, nor will I do so. (This does not prevent such persons from giving a written testimonial of the candidate’s ability, experience or character for submission to Caistor Grammar School with an application for appointment).

IT IS A CRIMINAL OFFENCE TO APPLY FOR A POST WORKING WITH CHILDREN IF YOU ARE BANNED UNDER THE PROTECTION OF CHILDREN ACT.

Signature of Applicant ……………………………………….. Date …………………………

All candidates applying for employment via email will be required to sign and date this form if invited to attend an interview.

PERSONAL STATEMENT Applicants are invited to provide a letter on A4 size paper giving further information in support of their application. Please give examples of your achievements, skills and experience, which match those sought in the job description/person specification.