HUXLOW SCIENCE COLLEGE APPLICATION FORM
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
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