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Teaching Staff - Application Form

The post you are applying for is EXEMPT from the Rehabilitation of Offenders Act (1974). This means that you are required to give details of any ‘spent’ and ‘unspent’ convictions or pending cases, cautions, bind-over orders, reprimands and final warnings, including dates, the offence(s), sentences, and the court or police force which dealt with the offence. This Academy is committed to safeguarding and promoting the welfare of children and young people and expects all staff and volunteers to share this commitment.

How to complete this form:
♦ Read all the information and guidance notes before you complete this application form
♦ Do not attach a CV, as the Academy will not consider it
♦ Answer all the questions. All boxes marked with an * are required fields.
♦ Please ensure that you complete the declaration in Section 7 of this form.

GUIDANCE NOTES FOR APPLICANTS

Applicants are requested to read carefully the following notes and any further particulars for the post before signing the declaration in Section 7.

(i) Acknowledgement of Applications
Your application for this post will only be acknowledged if you enclose with it a stamped addressed envelope.

(ii) Notification of Result
It is the policy of Joseph Leckie Academy that, in order to keep administrative costs to a minimum, notice of the result of an application shall not be sent to an unsuccessful candidate who is not called for interview for any post. If, therefore, you do not hear within 6 weeks of the closing date for applications for this post, you should normally assume that an appointment has been made.

(iii) Disclosure of Relationship
A candidate for any post at Joseph Leckie Academy who knows that he/she is related to any governor or Employee of Joseph Leckie Academy, must disclose the relationship. A candidate who fails to disclose such a relationship is disqualified from appointment and if appointed is liable to dismissal without notice.

DATA PROTECTION

We understand that the information contained in this application form is personal data, which will be held on our Academy systems. If appointed, further information of applicants will be stored for personal administration purposes, including analysis for management purposes and statutory returns. Such data is held subject to the Data Protection Act 2018.

Post Applied For:* Closing Date:*

SECTION 1: PERSONAL DETAILS

Title (Dr/Mr/Miss/Ms/Mrs):* Last Name:* First Name:* Previous names (if applicable): Date of Birth* Address:* Post Code:* National Insurance Number:* DFE/TRN Number:* Date of QTS:* Home Telephone No:* Mobile Telephone No:* Email Address:*

SECTION 2: OTHER INFORMATION

Driving Licence

Do you hold a valid Driving Licence?*YesNo

If 'Yes' please specify the type:

Disclosure of Relationships

Are you related to any employee or governor of Joseph Leckie Academy?*YesNo

If 'Yes', please state the individual's:

Name: Job Title:

d. Candidates with Disabilities

Joseph Leckie Academy will guarantee an interview for any disabled candidate that meets the criteria for the job. In order to help us fulfil this commitment, if you have a disability please tell us about any special requirements or equipment which may assist you:

During the interview/selection process

In carrying out the job you are applying for

If you have selected one or both of the options above, please specify:

Whilst we would encourage you to complete this section in order that we can meet any requirements you may have, completion is optional.

d. Letter of Application

In support of your application please write a statement below showing your reasons for applying for this post. You should focus on demonstrating how your skills, knowledge and experience meet the requirements of the advertised role.

SECTION 3: EDUCATION

a. Post 16 qualifications, in chronological order.

For Teaching Qualifications please include details of any special areas of study, including student age ranges.

	School/College/University	From	To	Full-time or part-time	Subject	Grade	Date Awarded

If you hold more than 4 Post 16 qualifications, please complete here:

b. Professional Development
	Course	Date	Duration	Qualification (if applicable)

SECTION 4 - CURRENT EMPLOYMENT

a.) Present Employment (or most recent)

Post Held* Date Appointed* Name and Address of Employer:* Present Salary* Group of Schools (if applicable) Allowances (state which and amount)* Local Education Authority (if applicable): Earliest date on which you could take up appointment:* Brief description of current duties and responsibilities:*

b.) Previous Teaching Appointments (in chronological order, beginning with the first).

	Post	Full-time or Part-time	School/Organisation	From	To

c. Non-Teaching Appointments (in chronological order, beginning with the first).
	Post	Full-time or Part-time	Name and Address of Employer	Salary	From	To

If you have attended more than 3 courses during the last 3 years please complete here:

SECTION 5: REFERENCES

Please provide the details of two people who are able and willing to comment on your suitability for this post.

Reference 1: This must be your current Headteacher/Employer.

Name:* Position:* Address* Telephone No:* Email Address:*

Reference 2:

Name* Position* Address* Telephone No:* Email Address*

If either of your references know you by a different name, please state it below:

SECTION 6: CRIMINAL DISCLOSURE AND REHABILITATION OF OFFENDERS ACT (1974)

The post you are applying for is exempt from the Rehabilitation of Offenders Act (1974). Joseph Leckie Academy requires you to give details of all current (unspent) and ‘spent’ convictions or pending cases, cautions, bind-over orders, reprimands and final warnings, including dates, the offence(s), sentences, and the court or police force which dealt with the offence. Any offer of employment will be made on a conditional basis, subject to the relevant checks being carried out.

Failure to make a full and accurate declaration may result in withdrawal of a job offer or, if subsequently discovered, to disciplinary action and/or dismissal.

You are required to complete the following declarations:

I have a criminal record, cautions, bind-over orders, reprimands and final warnings and/ or pending prosecution(s), details of which are below

I do not have a criminal record, cautions, bind-over orders, reprimands and final warnings and/ or pending prosecution(s)

I do not appear on List 99 (the DFES list of people barred or restricted from working with children)

I am not disqualified from working with children or subject to sanctions imposed by a regulatory body e.g. the General Teaching Council (GTC):

Any information given will be kept confidential and will only be considered in relation to the job you are applying for.

SECTION 7: DECLARATION

I have completed the application form accurately and has been completed to the best of my knowledge. I have not withheld any information that could reasonably be considered relevant to my application. I understand that the appointment of this role, if offered, will be subject to the information on this application being correct. I understand that providing false information with regard to this application shall disqualify me from such appointment, or if discovered after employment, may lead to dismissal.

Name:* Signature:* Date:*

Monitoring

Joseph Leckie Academy is committed to a policy of ensuring equality of opportunity in employment for all, and to taking action to avoid discrimination. Job applicants are considered only on their ability to do the job for which they are applying. To see whether this policy is having any effect we need to monitor the sex, marital status, age, ethnic origin and disabilities of job applicants and you are therefore requested to provide personal details on this tear-off slip.

The information will be used ONLY to monitor practices and will be treated confidentially. It will not be revealed outside the Academy except as part of an overall equal opportunities statistical report which could not identify individuals. All unsuccessful application forms are destroyed after six months.

Please tick as appropriate:

Sex*MaleFemale

Ethnicity

Asian or Asian BritishIndianPakistaniBangladeshiAny other Asian background

MixedWhite and Black CarribeanWhite and Black AfricanWhite and AsianAny other mixed background

Black or Black BritishBlack CaribbeanBlack AfricanAny other Black background

Chinese and Other GroupsChineseAny other ethnic background

Prefer not to say

Do you need a work permit to work in the UK*YesNo

Do you have a disability?*YesNo

If Yes, please state: Where did you see this post advertised?*

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