CONFIDENTIAL - Schooljobsearch€¦ · Web viewUnder the Rehabilitation of Offenders Act 1974...

THE KEMNAL ACADEMIES TRUSTAPPLICATION FORMCONFIDENTIAL

Academy BRIDGEMARY SCHOOLJob Title Click here to enter text.Title Click here to enter text.Surname Click here to enter text.Forename(s) Click here to enter text.National Insurance Number Click here to enter text.Teacher DfE Number Click here to enter text.

THE KEMNAL ACADEMIES TRUST IS COMMITTED TO SAFEGUARDING AND PROMOTING THE WELFARE OF CHILDREN AND YOUNG PEOPLE AND EXPECTS ALL STAFF AND VOLUNTEERS TO SHARE THIS

COMMITMENT.

The Kemnal Academies Trust is an equal opportunity employer. The Trust does not discriminate by age, gender, ethnic origin, religion, disability or for any other reason. Any information requested from you about these aspects is for information only

and will not affect the outcome of your application.

All appointments are subject to registration with the ISA and satisfactory barred lists and Criminal Record Bureau checks, a health check and references. You may be required to produce supporting evidence for any qualification you claim. If you give

false information, your appointment may be subject to summary termination.

If you are using the Word 2010 version, the Information boxes are protected; you can TAB between fields; the RETURN key starts a new line in a text field and the field will expand to fit text; pre-completed fields have ‘drop down’ options to choose

from. The Word 97-2003 version is completely free text so take care not to type into an information field.

For your own record you can save the file to a personal folder or keep a copy.

OTHER PERSONAL DETAILSAddress Other Details

Click here to enter text. Home Telephone Click here to enter text.Home Email Address Click here to enter text.

Postcode Click here to enter text.

Mobile Phone Number Click here to enter text.

If offered this post, how much notice are you required to give? If you are not in employment, when would you be free to start?

Click here to enter text.

Do you need permission to work in the UK? Click here to enter text.Will you need assistance with any part of the selection process? Click here to enter text.Do you have a current driving licence? Click here to enter text.Do you have use of a car? Click here to enter text.

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SECONDARY EDUCATION

From To School Examinations Taken and Grades ObtainedClick here to enter text.


Click here to enter text. Click here to enter text.




FURTHER EDUCATION(University/College/Apprenticeships etc)

From To Establishment Courses, Degrees, Diplomas and Grades Obtained
















CONTINUED PROFESSIONAL DEVELOPMENT(including any relevant in-house/external courses or in-service training relevant to this post)

Date DetailsClick here to enter text.










Click Click here to enter text.

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here to enter text.Click here to enter text.








MEMBERSHIP OF PROFESSIONAL BODIES(and whether achieved by examination or experience)

Date DetailsClick here to enter text.










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COMPUTER SKILLSPlease give details of the software you can use competently, including software for office, accountancy, management information and design/graphics


WHAT ACTIVITIES OUTSIDE WORK INTEREST YOU? (including any positions you hold that you consider relevant)


MOST RECENT EMPLOYMENT

Name and Address of Employer Position Held Click here to enter text.

Click here to enter text. Date of Appointment Click here to enter text.

Date of Leaving Click here to enter text.

Salary Click here to enter text.

Other Benefits Click here to enter text.

Pension Scheme Member? Click here to enter text.

Reason for Leaving? Click here to enter text.

Brief outline of duties in your current or most recent job


EMPLOYMENT HISTORY(most recent first)

From To Name, Location & Nature of Employer’s Business

Position Held & Summary of Responsibilities Reason for Leaving



Click here to enter text. Click here to enter text. Click here to enter text.

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text.

























REFERENCESPlease give two referees one of which must be your current employer

Name Occupation Address, Telephone Number and email address



ADDITIONAL INFORMATION

RelationshipsAre you a relative or partner of, or do you have close personal relationship with, any employee of The Kemnal Academies Trust or with a member of the Governing Body of any TKAT Academy? If so, please give the person’s name and the nature of the relationship.

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RecruitmentHow did you find out about this post? If you found it in a publication, please state which one.Click here to enter text.

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Rehabilitation of Offenders Act 1974Under the Rehabilitation of Offenders Act 1974 (Amendment Order 1986) and Regulations issued by the Home office, The Kemnal Academies Trust has a duty to ensure that Police checks for possible criminal convictions are undertaken for all people who apply for positions that give substantial access to children. APPLICANTS MAY NOT WITHHOLD INFORMATION ABOUT CONVICTIONS THAT IN OTHER CIRCUMSTANCES WOULD BE CONSIDERED AS ‘SPENT’ UNDER THE PROVISIONS OF THE ACT.

Have you been convicted of any offence by any Court (even if you were only placed on Probation or Conditionally Discharged)? Answering ‘YES’ does not necessarily bar you from appointment, but failure to disclose a relevant conviction may lead to dismissal. Every application will be considered on its own merits.Click here to enter text.

If you answered ‘YES’, please give below details of the Court, charge and sentence.


By signing this form you certify that you are not on ISA barred lists and are not disqualified from working with children or subject to sanctions imposed by any regulatory body. You also give your consent for any personal information including recruitment monitoring data provided as part of this application to be held on computer or other relevant filing systems and to be shared with other accredited organisations or agencies in accordance with the Data Protection Act 1998. You further confirm that you have no objection to checks being carried out before your appointment is confirmed. We regret that a refusal will prevent further consideration of your application.

DECLARATION

Please remember that this is an important document. Consequently, if any of the particulars that you have given knowingly are found to be false, or if you have wilfully omitted or suppressed any material fact, particularly regarding your eligibility for employment, you could be dismissed.

Please certify that you have completed the information given on this form correctly and that you are in possession of any certificates you claim to hold.

I declare that to the best of my knowledge and belief the above information is true and correct.

Signed DateClick here to enter text.

Please email this completed Application Form together with your supporting information, where appropriate, to: [email protected]

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CONFIDENTIAL - Schooljobsearch€¦ · Web viewUnder the Rehabilitation of Offenders Act 1974...

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