APPLICATION FOR EMPLOYMENT

Post applied for: Administration Assistant

Please complete all sections in block capitals using a black or blue ballpoint pen, or complete electronically
A signed copy of electronically completed forms will be required.
CVs will not be accepted under any circumstances and any provided will not be read or considered by the
shortlisting panel.

If any section does not apply to you please mark N/A.

If insufficient space is provided at any section please use Section 8 to provide full information.

If you require this Application Form in a different format please contact the School.

1. Personal Details

Surname_______________________Title_______Forename(s)______________________________________

Home Address including postcode_____________________________________________________________

_________________________________________________________________________________________

Telephone Numbers

Home_________________________Mobile_________________________Work________________________

Email Address______________________________________________________________________________

Preferred contact method____________________________________________________________________

National Insurance Number__________________________________________________________________

 2. Current or most recent Employment Details

Job Title_____________________________________________Date started this role____________________

Name & address of employer including postcode_________________________________________________

________________________________________________________________________________________

Line Managers name_______________________________Start date with employer____________________

Line Managers contact details

Telephone number___________________________Email address___________________________________

Current salary £__________________ Notice period required_______________________________________

Brief description of duties in current role________________________________________________________

_________________________________________________________________________________________

_________________________________________________________________________________________

_________________________________________________________________________________________

_________________________________________________________________________________________

_________________________________________________________________________________________

_________________________________________________________________________________________
 3. Previous Employment Details
Please complete in chronological order starting with your most recent previous employment:

Full name & Position Brief description of Start date End date Reason for
address of held duties with with leaving
employer including including employer employer
postcode salary

Have you ever been dismissed from any previous employment Y/N________________________________
If Yes please provide details at Section 8
If there are any gaps of more than 3 months in your employment history please provide details here e.g.
any periods where you were unemployed, time spent on caring responsibilities or travelling.

From date To date Activity

4. Education, Training and Qualifications (post age 11)

Please complete in chronological order starting with the most recent:

Name & address of Date Date Qualifications obtained.

establishment including attended attended to Please indicate subject and grades awarded
postcode from
 5. Professional Development
Please list any courses, activities or professional development which you have undertaken in the last 5
years which you feel are relevant to the post applied for:-
Activity details Provider Length of From date To date Award or grade
activity received if applicable

6. Professional Details
Please provide full details of any relevant professional bodies of which you are a member including the
status of your membership and the date you were admitted as a member:

If you are applying for a teaching role please complete the following:
Date qualified as a Have you successfully DfE teacher registration QTS / QTLS registration
teacher completed your number number
induction period (if
qualified after 7th May
1999) Y/N
 7. Supporting Statement:
Please feel free to include a short written statement detailing why you feel your skills, personal qualities
and experiences make you suitable for this post.

8. Additional Information:
If you wish to include any additional information in support of your application please feel free to
include this here. If you are providing additional information relating to any previous section please
clearly indicate the section you are referring to.
 9. References
Please provide details of two people who are able to comment on your suitability for this post. One
reference must be from your current or most recent employer. If you are not currently working with
children but have done so in the past the second referee should be the employer by whom you were
most recently employed to work with children. References will not be accepted from relatives or people
who only know you as a friend. You should also note that the School reserves the right to request any
additional references as required, e.g. previous employers without advising you prior to requesting the
reference.
If either of your referees know you by an alternative name please provide details and reasons here:

_____________________________________________________________________________________
_

Referee 1 Name Referee 2 Name

Position Position

Address Address

Postcode Postcode

Telephone Telephone

Email Email

Capacity in which Capacity in

known which known
May we contact May we contact
for a reference for a reference
now? now?
Please note that if you decline to give permission for your referees to be contacted at this stage, that the
School will automatically request references without discussing further with you if a conditional offer of
employment is made.
 10. Canvassing
Are you or any member of your immediate family (e.g. spouse, civil partner, partner, parent, etc.) a
member of the School Governing Body or a member of staff at the school? Yes /
No___________________
If yes, please provide details here:

Name of Governing Body member / member of Relationship to you

School staff

Please note that canvassing, either directly by you or indirectly by others on your behalf, whether with
or without your knowledge, will disqualify you from being considered for this position.
11. Issues Relating to Child Protection and Disclosure of any Criminal Background:
The School is required by law to conduct checks into the background of any individual who has
unsupervised access to young people. The position for which you are applying involves contact with
children and is exempt from the Rehabilitation of Offenders Act 1974 and all subsequent amendments.
You are not entitled to withhold information about police cautions, bind-overs, or any criminal
convictions that would otherwise be considered “spent” under the Act. You should be aware that if you
are shortlisted for interview that the school will automatically request a DBS (Disclosure & Barring
Service) check on you and that should any matters come to light which are not disclosed on this
application form that this may disqualify you from being considered for this position or, if you have
already been appointed may lead to your summary dismissal. You should note that by signing this
application form that it will be deemed that you consent to such a check being undertaken on you and
that you understand this statement. It is an offence to apply for this role if you are barred from engaging
in regulated activity relevant to children.

i. Have you ever been the subject of any child protection concerns either in your work or personal
life? Yes / No______________ If Yes please provide full details:

ii. Have you ever been the subject of any disciplinary action in relation to child protection issues,
including any which are time expired? Yes / No______________ If Yes please provide full details:

iii. Are you presently or have you at any time in the past been disqualified from working with
children or had information held about you under Section 142 Education Act 2002 (formerly
known as inclusion on the DfE List 99)? Yes / No_______________ If Yes please provide full
details:
 iv. Have you ever been convicted of a criminal offence, been bound-over or been given an official
caution? Yes / No ___________ If Yes please provide full details:

v. Are you presently under investigation in connection with any criminal matter? Yes /
No__________
If Yes please provide full details:

12. The School operates an Equal Opportunities Policy and will consider all applications the basis of
merit and abilities and will ensure that no applicant receives less favourable treatment on the
grounds of age, race, sex, sexual orientation, disability or any other unjustifiable reason.

Do you have any special requirements in relation to the Schools application and recruitment process?
Yes / No_________________ If you have any specific requirements please provide details below. This
information is collected to ensure that any reasonable adjustments you may require in relation to the
selection process are considered and that if you are subsequently offered a position with the School that
any reasonable adjustments to working conditions can be considered in consultation with you.

13. Declaration
I declare that the information provided on this form is fully complete and accurate in all respects to the
best of my knowledge, that I am not banned or disqualified from working with children nor subject to
any sanctions or conditions on my employment. I also declare that I hold all the qualifications I have
stated and can provide evidence of this.

I understand that:
a. Providing false information is an offence and may result in my application being rejected or my
employment being summarily terminated if such a discovery is made after I have commenced
employment and that this may also result in a report being made to any relevant agency as
deemed appropriate by the School or Local Authority.

b. That any personal information I provide as part of the application process may be held on a
 computer or other relevant filing system and be shared with other accredited organisations or
agencies in accordance with GDPR.

c. That I will be required to provide documentary evidence of my right to live and work in the
United Kingdom in accordance with the Immigration, Asylum and Nationality Act 2006. More
information about the documentary evidence which will be required for all applicants can be
found at the following website www.ukba.homeoffice.gov.uk. I also understand and accept that
it is my responsibility to provide this evidence if selected for interview and that I will be unable to
commence employment, if offered, until I provide satisfactory documentation.

d. Should any of the answers I gave in Section 11 above change in the period between me
completing this application form and commencing employment with the School, if offered, that I
will disclose this to the School and that should I fail to do so that any offer of employment may be
withdrawn or my employment summarily terminated if I have already commenced employment.

e. That it is an offence to apply for this role if I am barred from engaging in regulated activity
relevant to children.

Signature_______________________________________________Date___________________________
_