Position Applied For s2

Position Applied For

Job Application Form

Personal Details

Title First Name Last Name Full Address

Date of Birth Nationality Daytime Tel No Home Tel No E-mail Address National Insurance No

For Teaching Posts Only

Dfes No.

Educational Details Please list in reverse order. Continue on a separate sheet if necessary.

Please state name of Educational Establishment and Please state subjects studied, qualification and grade qualifying year achieved Employment History

Starting with your most recent/current employer please give detail of previous employment history, including job title and brief description of duties. Please explain any gaps in your employment history. Continue on a separate sheet if necessary.

Title: Company Name:

Duties Start Date:

End Date:

Final Salary:

Reason for leaving:

Duties Start Date:

End Date:

Final Salary:

Reason for leaving:

Duties Start Date:

End Date:

Final Salary:

Reason for leaving: Employment History continued…

Duties Start Date:

End Date:

Final Salary:

Reason for leaving:

Duties Start Date:

End Date:

Final Salary:

Reason for leaving:

Duties Start Date:

End Date:

Final Salary:

Reason for leaving:

Additional Information

Have you previously applied for a job with Old Swinford Hospital?

Do you have any existing connections with Old Swinford Hospital? i.e. parent, former pupil, close associate of any existing member of staff

Are there any dates that you would not be available for interview?

Health Have you lived or worked abroad for more than three consecutive months? Please give details.

Would you require any special arrangements to accommodate you if called for interview? Please give details.

References

Please give details of three referees, all of whom should have known you in a professional capacity and one of whom should be your present or most recent employer. I agree that my references can be taken up without further approval? YES � NO �

Address:

Telephone Number:

Email:

Occupation:

Equal Opportunities

The Governors of Old Swinford Hospital welcome applications from suitably qualified candidates irrespective of their gender, marital status, religion, belief, colour, race, ethnicity, social group, sexual orientation, disability or age. All appointments are made solely on the basis of merit.

The only exceptions to this policy are in respect of certain residential posts where the gender of the postholder may be specified and leadership posts which may be designated by the Governors as requiring the postholder to be in sympathy with the specific Christian character of the School.

Disclosure and Barring Service and the employment of ex-offenders

Old Swinford Hospital uses an Umbrella Body with the Disclosure and Barring Service (DBS) for the purposes of obtaining access to the criminal record checks for employment and voluntary appointments. There is a legal obligation for Old Swinford Hospital to ensure so far as possible that those who take up appointments do not pose a risk to the children in its care. It is therefore important for the School to apply for and review the past criminal records of any successful applicants for positions, before making a formal offer of appointment. The School considers it also essential that the confidential and personal Disclosure information from the DBS is used fairly and sensibly in order to avoid unfair discrimination of applicants for appointments at the School. Candidates are selected for interview based on their skills, qualifications and experience: Old Swinford Hospital actively promotes equality of opportunity for all with the right mix of talent, skills and potential. Possession of a criminal record is not necessarily a bar to employment by the School. Immigration, Asylum & Nationality Act 2006

Under the terms of Immigration, Asylum & Nationality Act 2006, Old Swinford Hospital are required to make basic checks on everyone at interview ensuring all employees have a right to work in the UK.

Data Protection

By signing the application form I give my consent for personal information provided to be held on computer and to be shared with the Senior Management Team at Old Swinford Hospital in accordance with the Data Protection Act 1998.

Declarations

I DECLARE THAT: (delete as appropriate)

I am aware that the post for which I am applying is exempt from the Rehabilitation of Offenders Act 1974 and that therefore all convictions, cautions and bind overs (including those regarded as ‘spent’) must be declared and that: a. I have no such convictions, cautions or bind overs

OR b. I have attached the details of any such convictions, cautions or bind overs in a sealed envelope marked “Confidential” and addressed for the attention of the Headmaster.

I ALSO DECLARE THAT:

I have not been disqualified from working with children, I am not named on DfES List 99 or the Protection of Children Act List, I am not subject to any sanctions imposed by any regulatory or professional body.

My application does not contain any untrue or misleading statements. I give my consent for the Governors of Old Swinford Hospital, or any person acting on their behalf, to check the accuracy of statements that I have made as part of my application. I understand that my application will be invalidated if my application is found to contain false statements, that any offer of employment will be withdrawn and that I may be summarily dismissed if employment has commenced. I understand that those I have nominated as referees may be approached by Old Swinford Hospital before candidates are shortlisted for interview unless I have requested otherwise.

I understand that if employed by the Governors of Old Swinford Hospital I will be bound by the Governors’ Code of Conduct for Staff and Volunteers, a copy of which I have seen.

Signed:

Print Name:

For Office Use Only Date Application Received

CONFIDENTIAL Revised September 2017