HuxlowScienceCollege
Irthlingborough FinedonRoad
Northamptonshire
NN95TY
T01933650496
F01933653435
[email protected]
www.huxlow.northants.sch.uk
HUXLOWSCIENCECOLLEGE
APPLICATIONFORM
TheGoverningBodyiscommittedtosafeguardingandpromotingthewelfareofchildrenand
youngpeopleandexpectsallstaffandvolunteerstosharethiscommitment.
AlloffersofappointmentwillbeconditionalonthereceiptofasatisfactoryenhancedDisclosure
andBarringServicecheck,EmploymentReferencechecksandHealthAssessmentcheck.
PleasecompleteelectronicallyorinBlackInkinBLOCKCAPITALS.
Pleasecompleteallsectionsoftheapplicationform.Pleasenotethatprovidingfalse
informationwillresultintheapplicationbeingrejectedorwithdrawalofanyofferof
appointment,orsummarydismissalifyouareinpost,andpossiblereferraltothepolice.Please
notethatchecksmaybecarriedouttoverifythecontentsofyourapplicationform.CVsarenot
accepted.
Pleaseincludealetterofapplicationwiththisform.Pleaserefertothecandidateletterwhich
mayincludeinstructionsonthecompletionoftheletterofapplication.
Positionappliedfor:
1.
PersonalDetails
Title:
FirstName(s):
PreviousSurname(s)–(ifapplicable):
Address:
Surname:
PostCode:
TelNo:
EmailAddress:
NationalInsuranceNumber:
TeacherReferenceNumber:
(TeachersOnly)
2.
MobileNo:
DateofBirth(dd/mm/yyyy):
Currentormostrecentemployment
Nameofcurrentemployer:
Nameandaddressof
establishment:
Telephonenumber:
Positionheld:
StartDate(dd/mm/yyyy):
Dateappointedtoposition
(dd/mm/yyyy):
Contractbasis(Fulltime/Part
time/Acting/Supply):
Datefreetotakeup
appointment:
Currentscale,pointand
allowance(foreducation
employment):
CurrentSalary(fornon‐
educationemployment):
Maindutiesofpost:
3.
EducationandQualifications
Pleasegivedetailsofyoureducationandanyqualificationsobtained inchronologicalorderwiththemost
recentfirst.Thisshouldincludeanyqualificationswhichyouarestudyingfor.Youwillberequiredtoproduce
originaldocuments,acertifiedcopy,orletterofconfirmationfromtheawardingauthorityforallyour
qualificationsandaccreditationsatyourinterview.Qualificationsobtainedoverseasmustbesupportedby
NARICaccreditation.
Institute/University/College/Secondary
School
DateAwarded
(dd/mm/yyyy)
QualificationsandGradesAchieved
2
4.
PreviousEmployment
FullTimeorPartTimeemploymentfromtheageof18years.Startwithyourmostrecentemployment
(continueinSection13ifnecessary).Listallpaidemploymentandvoluntarywork.
Nameandaddressof
employer
JobTitleorPosition
BriefDescriptionofRole(withsubject
forTeachingPosts)
Dates
(dd/mm/yyyy)
From
To
3
5.
6.
EmploymentGaps
Pleaseprovideexplanationsforanygapsorperiodsnotinemployment,trainingoreducationsinceleaving
secondaryschool(continueinSection13ifnecessary).
Dates(dd/mm/yyyy)
ContinuedProfessionalDevelopmentDetails(if
Natureofgap
applicable)
From
To
RighttoworkintheUK
AreyoueligibletoworkintheUK?
DoyouneedaworkpermittoworkintheUK?
Ifyes,pleasegivethedateyourcurrentworkpermitexpires?
7.
InternalWorkplaceCoursesandAdditionalAchievements
Pleaseincludecoursesattendedinthelast3years,includingshortcourses&seminars(continueinSection13
ifnecessary).
Dates(dd/mm/yyyy)
TitleofTrainingProgramme/Course
AwardingBody
From
To
4
8.
References
Pleasegivedetailsoftworeferees(notrelatives,friendsorpeoplewithwhomyoulive).Ifyouhavebeen
inemployment,onerefereemustbeyourpresentormostrecentemployer.Iftheemploymentwas
withinaschool,thereferencemustbewrittenbytheHeadteacher.Wereservetherighttoaskyoufor
furtherrefereesortocontactpreviousemployersifnecessary.
SaferRecruitmentinEducationGuidanceadvisesitisbestpracticetoobtainreferencesforshortlisted
candidates.Thisdoesnotguaranteeaninterview.Pleasenotethattwosatisfactoryreferenceswillberequired,
ifyouarethepreferredcandidate,afterinterviewandbeforestartingemployment.
RefereeNo1(CurrentormostrecentEmployment)
RefereeNo2
Name:
Name:
Position:
Position:
Relationshipto
Applicant:
Relationshipto
Applicant:
Address:
Address:
PostCode:
PostCode:
TelNo:
TelNo:
E‐Mail:
E‐Mail:
Fornonteachingpostsdoyougivepermissiontocontactpresentemployer?
9.
Advertisement
Wheredidyouseethispostadvertised?(enterXinboxforallthatapply)
HuxlowWebsite
TES
NCC
Mumsnet
Netmums
LinkedIn
Radio
JobCentre
Agency(Pleasespecify)
Other
5
Allsectionsonthispagemustbecompletedandsigned.
10.
RehabilitationofOffendersAct1974
TheRehabilitationofOffendersAct(Exemption)Order1975
Theprovisionundertheabovelegislationrelatingtonon‐disclosureofspentconvictionsdoesnotapplytoany
employmentasateacherinaschooloranyotheremploymentwhichiscarriedoutwhollyorpartiallywithintheprecincts
ofaschool,beingemploymentofsuchakindastoenabletheholdertohaveaccesstopersonsundertheageof18in
attendanceattheschoolinthecourseofhisorhernormalduties.
Youmust,therefore,giveinformationconcerninganypreviousconvictionsorcautions,whetherornottheyare“spent”
withinthemeaningoftheAct.
Failuretodiscloseanyconvictionorcautioncouldleadtoanapplicationbeingrejectedormaylaterleadtothe
dismissalordisciplinaryofasuccessfulapplicantandpossiblereferraltothePolice.
PleasenotethatonlymotoringfixedpenaltiesarenotconvictionsundertheLawand,therefore,donotneedtobe
declared.
PreviousConvictionsorCautions
Offence
Date
Outcome
Signed:
11.
Date:
Canvassing
CanvassingmembersoftheselectionpanelortheGovernorsofthe College,bothdirectlyorindirectly,isforbiddenand
willdisqualifyapplicants.
AcandidateforanyappointmentattheCollegeshall,whenmakinganapplication,disclosewhetherheorsheisrelatedto:
a) astudentattheCollege;
b) apersonemployedbytheCollege;
c) aGovernoroftheCollege.
Acandidatewhofailstodiscloseanysuchrelationshipshallbedisqualifiedfromtheappointmentandifappointed,shall
beliabletodismissalwithoutnotice.
Areyourelatedtoanystudent,GovernororemployeeoftheCollege?(enterXinbox)
Whatistherelationship?
6
Yes
No
12.
ApplicationValidation
IdeclarethattheinformationIhaveprovidedisacompleteandtruestatement.
Iunderstandthatanyofferofappointmentandsubsequentemploymentisconditionalonthisdeclarationandifmy
applicationisincomplete,untrueorinaccurate,thentheCollegeshallbeentitledtowithdrawanyofferofappointmentor
terminatemycontractofemployment.Iftheformissubmittedelectronically,youwillbeaskedtosignyourapplicationif
youareselectedforinterviewwhenyouattend.Refusaltosigntheapplicationwillresultinyourapplicationbeing
rejected.
Signed:
13.
Name:
Date:
AdditionalInformation
Pleaseusethisspacetoaddanyadditionalinformationfromprevioussectionsofthisform.
7
CompletingtheApplicationForm
Decisionsaboutwhowillbeselectedforinterviewwillbebasedontheinformationyougiveintheapplicationform.
Therefore,allsectionsoftheapplicationformshouldbecompleted.
PleasesendyourcompletedapplicationformtoKarenSquires(HRManager)usingthedetailsatthetopofthisform.
Pleasesavethedocumentas‘Huxlow‐Application‐Form’andaddyourinitials.
Youareinvitedtocompletealetterofapplication.Considerationastoappointmentorinterviewwillbebasedupona
completedformandletterofapplication.Pleaserefertothevacancyinformationforguidanceonthecontentofyour
letterofapplication.ThiswillprovidetheCollegewithallthenecessaryinformation.
Ifyourunoutofspaceyoumayusesection13.
Ifyoudonotreceiveaninvitationforinterviewwithintwoweeksoftheclosingdateyoucanassumethatyourapplication
hasnotbeensuccessfulonthisoccasion.Ifyourequirefeedbackonthereasonswhyyouhavenotbeenshortlisted,please
contactKarenSquires(HRManager)usingthecontactdetailsatthetopofthisform.Ifyouarenotsuccessfulinyour
application,pleasedonotbediscouragedfromapplyingforotherjobswithintheCollege.Yourskillsandexperiencemay
bemoresuitabletoanothervacancy.
MONITORINGOFAPPOINTMENTSFOREQUALOPPORTUNITIES
NB:Thesection“MonitoringofAppointmentsforEqualOpportunities”doesnotformpartoftheapplicationbutwillbeused
bytheCollegeforgeneralmonitoringpurposes.
Thissectionisoptionalandmaybeleftblankifthecandidatewouldrathernotdisclose.However,ifcompleteditwillhelp
theCollegetomonitortheeffectivenessofitsEqualityinEmploymentPolicy.Thiswillbeseparatedfromtheapplication
formforselectionpurposes.
Sex
Dateof
Birth
MaritalStatus
Nationality
ETHNICORIGIN–ENTERXINBOX
Chinese
British
Irish
Other*
Indian
Pakistani
Bangladeshi
Other*
Chinese
Other*
Areyoudisabled?
IfRegistered
Disabled
Registration
No:
White
AsianorAsian‐
British
Mixed
BlackorBlack‐
British
White&Black‐Caribbean
White&Black‐African
White&Asian
Other*
Caribbean
African
Other*
* Other
(Please
Specify)
Details:
ExpiryDate:
SEXUALITY–ENTERXINBOX
Heterosexual
Lesbian
Gay
Bisexual
Transgender