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C O N F I D E N T I A L
A P P L I C A T I O N F O R M
A p p l i c a t i o n f o r t h e p o s i t i o n o f :
F O R M T E X T
W h e r e d i d y o u h e a r a b o u t t h i s v a c a n c y :
F O R M T E X T
W e a r e c o m m i t t e d t o s a f e g u a r d i n g a n d p r o m o t i n g t h e w e l f a r e o f c h i l d r e n a n d y o u n g p e o p l e and expect all staff and volunteers to share this commitment. This role will involve contact with children and you will be engaging in regulated activity. It is an offence to apply for the role if you are barred from engaging in regulated activity relevant to children.
Endeavour Academies Trust is committed to providing equality of opportunity for all and ensuring that all stages of the recruitment and selection process are free from unlawful discrimination and bias. Recruitment and selection procedures may be monitored to ensure that applicants are not being discriminated against on the grounds of any protected characteristic; sex, race, disability, age, religion or belief, sexual orientation, gender reassignment, marriage and civil partnership, pregnancy or maternity.
When completed, please sign and return with your letter of application to the school/academy where the position applied for is based, or as instructed in the advert.
Applicants who have not heard within 21 days of the closing date are th a n k e d f o r t h e i r a p p l i c a t i o n a n d a r e a s k e d t o a s s u m e t h a t i t h a s b e e n u n s u c c e s s f u l o n t h i s o c c a s i o n .
1 . T I T L E ( M r , M r s , M i s s , M s , D r , e t c ) F O R M T E X T
2 . N A M E I N F U L L F i r s t n a m e ( s ) : F O R M T E X T
S u r n a m e : F O R M T E X T P r e f e r r e d n a m e :
P l e a s e g i v e a n y p r e v i o u s n a m e s ( i n c l u d i n g s u r n a m e s ) b y w h i c h y o u h a v e b e e n k n o w n :
3 . P E R M A N E N T A D D R E S S H O M E T E L E P H O N E N U M B E R F O R M T E X T F O R M T E X T
F O R M T E X T
W O R K T E L E P H O N E N U M B E R F O R M T E X T
P o s t c o d e : F O R M T E X T
M O B I L E T E L E P H O N E N U M B E R E m a i l : F O R M T E X T
M a y w e c o n t a c t y o u a t w o r k ? Y E S F O R M C H E C K B O X N O F O R M C H E C K B O X
P l e a s e t i c k t h i s b o x i f y o u a r e h a p p y f o r u s t o c o m m u n i c a t e w i t h y o u u s i n g t h i s e m a i l a d d r e s s : F ORMCHECKBOX
Do you want to work full-time only? YES FORMCHECKBOX NO FORMCHECKBOX
Would you like us to consider you for other working patterns, for example, job share/part time, working in term-time only and so on? YES FORMCHECKBOX NO FORMCHECKBOX
If yes, please specify:
Do you hold a UK driving licence? YES FORMCHECKBOX NO FORMCHECKBOX If yes, please specify the type (eg full, provisional, HGV etc)
4. NI NUMBERDfE Teachers Reference Number (TRN) (Teaching Ro l e s o n l y ) F O R M T E X T
F O R M T E X T
5 . W O R K P E R M I T H a v e y o u e v e r l i v e d a n d / o r w o r k e d o u t s i d e o f t h e U K ? Y E S F O R M C H E C K B O X N O F O R M C H E C K B O X
I f y e s , d o y o u h o l d a C e r t i f i c a t e o f G o o d C o n d u c t Y E S F O R M C H E C K B O X N O F O R M C HECKBOX
If yes, please provide the country and date of issue:
6. SECONDARY EDUCATION AND QUALIFICATIONS (to be completed by all applicants)Establishment Attended
(name and address)DatesQualifications ObtainedGradeYear TakenFromTo
7. FURTHER EDUCATION AND QUALIFICATIONSEstablishment Attended
(name and address)DatesQualifications ObtainedGradeDate achievedFromTo FORMTEXT
F O R M T E X T F O R M T E X T F O R M T E X T F O R M T E X T F O R M T E X T
8 . H I G H E R E D U C A T I O N Q U A L I F I C A T I O N S C E R T I F I C A T E I N E D U C A T I O N C O U R S E S ( i n c l u d i n g P o s t G r a d u a t e )
( t o b e c o m p l e t e d b y a p p l i c a n t s t o t e a c h i n g p o s t s o n l y ) D a t e o f A w a r d N a m e o f E s t a b l i s h m e n t F O R M T E X T
( p l e a s e s t a t e t h e p r i n c i p a l a n d s u b s i d i a r y s u b j e c t s ) F O R M T E X T ( t o b e c o m p l e t e d b y a l l a p p l i c a n t s ) D e g r e e o r e q u i v a l e n t E s t a b l i s h m e n t F u l l o r P a r t T i m e S t u d y
S u b j e c t s
D a t e o f A w a r d T i t l e C l a s s F T P T F O R M T E X T
F O R M T E X T F O R M T E X T F O R M T E X T F O R M T E X T F O R M T E X T F O R M T E X T
9 . M E M B E R S H I P O F P R O F E S S I O N A L O R G A N I S A T I O N S
( P l e a s e l i s t a n y p r o f e s s i o n a l o r g a n i s a t i o n s o f w h i c h y o u a r e a m e m b e r w h i c h a r e r e l e v a n t t o t h e j o b f o r w h i c h y o u a r e a p p l y i n g ) N a m e o f B o d y / I n s t i t u t e L e v e l o f M e m b e r s h i p / Q u a l i f i c a t i o n Y e a r o b t a i n e d F O R M T E X T F O R M T E X T F O R M T E X T
1 0 . C O N T I N U I N G P R O F E S S I O N A L D E V E L O P M E N T O u t l i n e w h a t m e a s u r e s y o u h a v e t a k e n t o p r o m o t e y o u r p r o f e s s i o n a l d e v e l o p m e n t d u r i n g t h e l a s t f i v e y e a r s , i n c l u d i n g b o t h i n t e r n a l a n d e x t e r n a l a c t i v i t i e s ( u s e c o n t i n u a t i o n s h e e t i f n e c e s s a r y )
F O R M T E X T
1 1 . P R E S E N T O R M O S T R E C E N T P O S T N a m e / A d d r e s s o f E m p l o y e r : F O R M T E X T
T e l e p h o n e n u m b e r :
J o b T i t l e : F O R M T E X T
S a l a r y : F O R M T E X T S c a l e / G r a d e : F O R M T E X T
P o i n t : F O R M T E X T D a t e e m p l o y e d f r o m : F O R M T E X T
D a t e e m p l o y e d t o : F O R M T E X T R e a s o n f o r l e a v i n g :
F O R M T E X T D e s c r i p t i o n o f m a i n d u t i e s a n d r e s p o n s i b i l i t i e s :
F O R M T E X T
1 2 . E M P L O Y M E N T H I S T O R Y
( a p p l i c a n t s f o r t e a c h i n g p o s t s p l e a s e o n l y i n c l u d e p r e v i o u s t e a c h i n g p o s t s ) N a m e a n d a d d r e s s o f e m p l o y e r / o r g a n i s a t i o n
P o s i t i o n h e l d a n d b r i e f d e s c r i p t i o n o f d u t i e s a n d r e s p o n s i b i l i t i e s D a t e s R e a s o n f o r l e a v i n g F r o m T o F O R M T E X T
F O R M T E X T F O R M T E X T F O R M T E X T F O R M T E X T
F O R M T E X T
1 3 . O T H E R E M P L O Y M E N T A N D / O R V O L U N T A R Y W O R K / W O R K E X P E R I E N C E
( a p p l i c a n t s f o r t e a c h i n g p o s t s s h o u l d i n c l u d e n o n - t e a c h i n g e m p l o y m e n t h e r e ) N a m e a n d a d d r e s s o f e m p l o y e r / o r g a n i s a t i o n P o s i t i o n / v o l u n t a r y r o l e h e l d D a t e s R e a s o n f o r l e a v i n g F r o m T o F O R M T E X T
F O R M T E X T F O R M T E X T F O R M T E X T
I f t h e r e a r e a n y p e r i o d s o f t i m e t h a t h a v e n o t b e e n a c c o u n t e d f o r i n y o u r a p p l i c a t i o n , f o r i n s t a n ce, periods spent raising a family or of extended travel, please give details of them here with dates. The information provided in this form must provide a complete chronology from the age of 18.
Please ensure that there are no gaps in the history of your education, employment and other experience.
Dates (from/to)Activity
14. SUPPORTING EVIDENCE
Please ensure that you have read carefully the job description and person specification for the role that you are applying for. In this section you are required to detail how your knowledge, skills and experience evidence that you meet the requirements for this post as detailed in the person specification and advertisement. Shortlisting and appointment to this post will be based on your ability to meet these requirements.
15. REFERENCESPlease give the names of two professional referees. One of the referees must be your current or most recent employer, from whom a reference will normally be obtained. Endeavour Academies Trust reserves the right to approach your current employer for a reference if they have not been named as one of your referees. Referees will be asked about disciplinary offences relating to children, which may include any in which the penalty is time expired and whether you have been the subject of any child protection concerns, and if so, the outcome of any enquiry or disciplinary procedure. References will not be accepted from relatives or from people writing solely in th e c a p a c i t y o f f r i e n d s . A l l i n f o r m a t i o n p r o v i d e d b y r e f e r e e s w i l l a l s o b e c o m p a r e d f o r c o n s i s t e n c y w i t h t h e i n f o r m a t i o n y o u p r o v i d e o n t h i s f o r m a n d y o u w i l l b e a s k e d a b o u t a n y d i s c r e p a n c i e s R e f e r e e 1 N a m e : F O R M T E X T
A d d r e s s : F O R M T E X T
P o s t C o d e : F O R M T E X T J o b t i t l e : F O R M T E X T T e l e p h o n e n u m b e r : F O R M T E X T E m a i l a d d r e s s : F O R M T E X T C a n t h i s r e f e r e e b e c o n t a c t e d p r i o r t o i n t e r v i e w ? Y E S F O R M C H E C K B O X N O F O R M C H E C K B O X R e f e r e e 2 N a m e :
A d d r e s s : F O R M T E X T
P o s t C o d e : F O R M T E X T J o b t i t l e : F O R M T E X T T e l e p h o n e n u m b e r : F O R M T E X T E m a i l a d d r e s s : F O R M T E X T C a n t h i s r e f e r e e b e c o n t a c t e d p r i o r t o i n t e r v i e w ? Y E S F O R M C H E C K B O X NO FORMCHECKBOX
16. If you are related to any member of the Endeavour Academies Trust or a member of the schools Governing Body, please state below his/her name(s) and the relationship. Name:
Relationship:
17. If you are appointed, what is the earliest date when you could take up the position applied for at Endeavour Academies Trust?
FORMTEXT 1 8 . C h i l d c a r e D i s q u a l i f i c a t i o n R e g u l a t i o n s 2 0 1 8 ( A r c h i b a l d P r i m a r y S c h o o l a p p l i c a n t s o n l y ) H a v e y o u e v e r b e e n d i s q u a l i f i e d u n d e r t h e C h i l d c a r e D i s q u a l i f i c a t i o n r e g u l a t i o n s i n t h e C h i l d c a r e A c t 2 0 0 6 ?
Y E S F O R M C H E C K B O X N O F O R M C H E C K B O X If yes, please give details:
Are there any reasonable adjustments that you would require to enable you to participate in the interview/assessment event if you were selected to attend?
19. DECLARATIONS AND CONSENTS
FORMCHECKBOX I confirm that I am legally entitled to take employment in the UK. I understand that I will also be required to produce original documents as specified in the Asylum and Immigration Act 2006.
FORMCHECKBOX I give my consent for Endeavour Academies Trust to process my diversity monitoring information.
FORMCHECKBOX I understand that an online search will be undertaken on all shortlisted candidates, on information available in the public domain.
FORMCHECKBOX I understand that, if successful, my appointment is subject to medical clearance, satisfactory references, enhanced DBS clearance and in appropriate cases professional registration will be required.
FORMCHECKBOX I understand that, if I am successful, the information provided in this application form will be used to compile personnel records/file and for payroll purposes and may be disclosed to HM Revenue and Customs. The information will be processed both manually and automatically.
FORMCHECKBOX I understand that providing false or misleading information during the recruitment and selection process may disqualify me from appointment or if appointed, may render me liable to dismissal. I confirm that the information I have given is to the best of my knowledge correct and complete
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S i g n e d : D a t e : F O R M T E X T
T h e i n f o r m a t i o n o n t h i s f o r m w i l l b e h e l d a n d u s e d b y E n d e a v o u r A c a d e m i e s T r u s t i n a c c o r d a n c e w i t h t h e p r o v i s i o n s o f t h e D a t a P r o t ection Act 1998 and all relevant, subsequent legislation. This information will be held for the purposes of personnel/payroll administration, and statistical and business analysis. We will never sell or transfer your details to third parties for marketing purposes.
20. REHABILITATION OF OFFENDERS The post you are applying for is exempt from the Rehabilitation of Offenders Act 1974 and will require that you have an enhanced Disclosure and Barring Service criminal records check for work with children, with a barred list check if you work in regulated activity. The Exceptions Order 1975 as amended, means that some convictions and cautions are protected so do not need to be disclosed.
Should you be shortlisted, you will be asked to disclose details of your criminal history, in line with DBS filtering rules, prior to your interview. This information may be discussed with you at your interview in order to assess job related risks, but we emphasise that your application will be considered on merit and ability and you will not be discriminated against unfairly. Failure to disclose this information will result in any offer of employment being withdrawn.
Please also see the policy statement on the Recruitment of Ex-offenders below.
Policy Statement on the Recruitment of Ex-offenders
As an organisation assessing applicants suitability for positions which are included in the Rehabilitation of Offenders Act 1974 (Exceptions) Order using criminal record checks processed through the Disclosure and Barring Service (DBS), this school complies fully with the DBS code of practice and undertakes to treat all applicants for positions fairly.
This school undertakes not to discriminate unfairly against any subject of a criminal record check on the basis of a conviction or other information revealed.
This school can only ask an individual to provide details of convictions and cautions that it is legally entitled to know about. Where a DBS certificate can legally be requested (where the position is one that is included in the Rehabilitation of Offenders Act 1974 (Exceptions) order 1975 as amended, and where appropriate Police Act Regulations as amended) this school can only ask an individual about convictions and cautions that are not protected.
This school is committed to the fair treatment of its staff and potential staff, regardless of race, gender, religion, sexual orientation, responsibilities for dependents, age, physical/mental disability or offending background.
This school has this written policy on the recruitment of ex-offenders, which is made available to all DBS applicants at the start of the recruitment process.
This school actively promotes equality of opportunity for all with the right mix of talent, skills and potential and welcome applications from a wide range of candidates, including those with criminal records. Candidates are selected for interview based on their skills, qualifications and experience and criminal record information is only requested from short-listed candidates.
A disclosure is only requested from the DBS after a thorough risk assessment has indicated that one is both proportionate and relevant to the position concerned. For those positions where a criminal record check is identified as necessary, all application forms, job adverts and recruitment briefs will contain a statement that a DBS certificate will be requested in the event of the individual being offered the position.
This school ensures that all those who are involved in the recruitment process have been suitably trained to identify and assess the relevance and circumstances of offences.
This school also ensures that they have received appropriate guidance and training in the relevant legislation relating to the employment of ex-offenders, e.g. the Rehabilitation of Offenders Act 1974.
At interview, or in a separate discussion, this school ensures that an open and measured discussion takes place on the subject of any offences or other matter that might be relevant to the position. Failure to reveal information that is directly relevant to the position sought could lead to withdrawal of an offer of employment.
This school makes every subject of a criminal record check submitted to DBS aware of the existence of the code of practice and makes a copy available on request.
This school undertakes to discuss any matter revealed on a DBS certificate with the individual seeking the position before withdrawing a conditional offer of employment. (Source www.gov.uk)
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