Application Form
You must complete all sections of the Application Form in blank
ink or electronically. We will use this form to help us decide on
your suitability for the post so please make sure it is accurate
and complete. Curriculum Vitae will not be accepted.
Guidance Notes are attached to help you complete this form.
Position applied for: Closing date:
Where did you first learn of this vacancy?
Personal Details and Contact Details
Title: Surname: Forenames (in full):
Please also provide details of any former names (if applicable)
Home Address: Daytime Telephone No:
Evening Telephone No:
Mobile No:
National Insurance No:
Post Code: e-mail:
References
Please provide details of two referees who can comment on your suitability for this post. The referee must be a line
manager or supervisor. References from relatives or people who only know you as a friend are not acceptable. If you do
not wish us to contact a referee prior to inteview, then please tick the appropriate box and use a separate sheet to
explain why . If you have not worked previously, then please give details of a school/college/university official.
Referee 1 (current or most recent employer) Referee 2
Name: Name:
Relationship to applicant: Relationship to applicant:
Position: Position:
Employer/University/College Name: Employer/University/College Name:
Address: Address:
Post Code: Post Code:
Telephone No: Telephone No:
E-mail: E-mail:
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Current Employment (or last employment if not currently employed)
Employer Name:
Employer Address:
Post Title:
End date (dd/mm/yyyy):
Start date (dd/mm/yyyy):
(if applicable)
Please give a brief description
of current duties,
responsibilities and
achievements:
Reason for leaving this post:
What is your contractual Current Salary:
period of notice?
Previous Employment (please list all your employment history and continue on an additional sheet if necessary)
Name and address of Employer Job Title Start Date End Date Reason for
(dd/mm/yyyy) (dd/mm/yyyy) Leaving
Gaps in Employment
Please indicate and explain any gaps in employment since first leaving secondary education. Include specific dates and
be sure to account for all gaps, whatever their length.
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Dates from: Dates to: Reason for gap
Education
If the post requires a particular qualification, you will be asked to produce original evidence at your interview if
shortlisted.
Secondary and Further Education (please Level Subjects Grade/ Year
list in chronological order) Result Obtained
Other training and development (including professional, vocational or job related training)
Title and brief description of course Date
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Membership of Professional Associations or Statutory Body
Organisation Name Level of Membership/Role/Registration No. (if Registration
applicable) Date
Are you subject to any conditions or prohibitions placed on you by any statutory body?
Yes* No
*If Yes – please provide details in a sealed envelope and attach with this form
Reasons for applying for this post
This section is the most vital part of the form. We need you to give us specific information to support your application so
that we can shortlist in a fair and unbiased way. We recommend that you provide as much evidence as possible to show
how your skills, abilities, knowledge and experience meet the selection criteria in the post description and person
specification (where provided). These documents describe the essential experience and knowledge required for the post
and may include competencies required. Please provide examples which relate directly to the post you are applying for:
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Reasons for applying for this post cont’d….
Please use additional sheets (if necessary) and attach to this form
Additional Information
Are you licensed to drive any of Private Motor PCV Other (give
the following? Car Bike details)
Please confirm whether this will be your only employment? Yes No*
* If no, provide details including days and hours worked and whether full- or part-time:
Have you been the subject of a formal disciplinary sanction or are you in the process of Yes * No
ongoing disciplinary proceedings in your current employment?
Have you been dismissed from any previous employment? Yes * No
* If yes, please indicate which employment and specify the reasons for your dismissal (use a separate sheet if necessary):
If you are short-listed for interview the panel will discuss this with you and your current or previous employers.
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If you are related to anyone in this organisation please provide details (refer to notes below):
This school is committed to safeguarding and promoting the welfare of children and young people and expects all staff and
volunteers to share this commitment. All post holders are subject to appropriate vetting procedures and satisfactory Criminal
Background Checks or equivalent covering the previous 10 years employment history.
Have you ever been convicted of any offence, been bound-over, or given a caution?
YES* NO (tick whichever is appropriate)
*If yes, please give details in the space provided below or give details in a sealed envelope. The information you
provide will be treated in confidence.
Are you currently the subject of any police investigations following allegations made against you?
YES* NO (tick whichever is appropriate)
*If yes, please give details in the space provided below or give details in a sealed envelope. The information you
provide will be treated in confidence.
Declaration
I understand that to knowingly give false information or to leave out any relevant information could result in:
• the withdrawal of any offer of appointment, or
• my dismissal at any time in the future, and possible criminal prosecution
Signed: Print Name:
Date:
Availability:
Are there any dates when you are not available for interview?
PLEASE RETURN THIS FORM TO:
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