APPLICATION FORM PART 1 BIOGRAPHICAL INFORMATION Please note that part 1 of the application form is not referred to when selecting candidates for interview but includes details which must be made available in order that the school may meet the exacting standards required of employers in the education sector. Position applied for: Title: Surname: Forenames: (in full) Current Previous Addresses If resident at current address for less than 5 years please provide previous addresses during this period. Date at current address from: Previous address 1: Date from/to at address: Previous address 2: Date from/to at address: Previous address 3 Date from/to at address Telephone (Home) SHREWSBURY INTERNATIONAL SCHOOL APPLICANT PAGE 1 / 13
Telephone (Mobile): E-mail Skype Date of Birth: National Insurance Number: What is your marital status? How many dependant children live with you? If you have a partner or spouse who are also applying for a position at the school, please provide their name and the position they are applying for. Where did you see the vacancy originally advertised? FFTES paper FFTES online FFShrewsbury website FFOther (please specify) Do you hold a PGCE? Yes If YES, please specify subject No Do you have qualified teacher status? Yes No Are you registered with the GTC? FFYes FFNo Please supply your DfE reference number Do you have any convictions, cautions or bind-overs? Where the response is Yes, you will be required to submit details, in a sealed envelope marked confidential, subsequently to the school. Yes No I understand that the post for which I am applying is exempt from the Rehabilitation of Offenders Act 1974 (UK) and therefore I have declared all convictions, cautions and bind-overs, including any reprimand or warning received as a juvenile, whether regarded as spent or not. FFI confirm that I have complied with this requirement For any employment, current or in the past, on either a paid or voluntary basis, my employer may be asked by Shrewsbury International School about disciplinary offences, including those relating to children or young persons (whether the disciplinary sanction is current or time expired), and whether I have been the subject of any child protection allegations or concerns and if so the outcome of any enquiry or disciplinary procedure. FFI understand and agree to any such enquiries being made All posts in the school involve some degree of responsibility for safeguarding children, which will vary according to the nature of the post. As part of the process applicants shall be asked to complete an application for a Criminal Records Bureau disclosure (at enhanced level) by Shrewsbury International School. FFI agree to such an application being made. SHREWSBURY INTERNATIONAL SCHOOL APPLICANT PAGE 2 / 13
The provision of false information is an offence and could result in the application being rejected or summary dismissal if an applicant has been selected and possible referral to the police and/or DfE Children s Safeguarding Operation Unit. I certify that all entries made on this form (or on any other form or document supplied) are complete and correct to the best of my knowledge. FFI hereby certify this statement as correct SHREWSBURY INTERNATIONAL SCHOOL APPLICANT PAGE 3 / 13
APPLICATION FORM PART 2 Position applied for: Surname: Initials: EDUCATION AND QUALIFICATIONS General Education: School or College 1 Please state date achieved / Subject / Grade Qualification 1: Qualification 2: Qualification 3: Qualification 4: Qualification 5: Qualification 6: Qualification 7: Qualification 8: Qualification 9: Qualification 10: Qualification 11: SHREWSBURY INTERNATIONAL SCHOOL APPLICANT PAGE 4 / 13
General Education: Name and address of School or College 1 Date achieved / Qualification / Grade: 1. 2. 3. Further Education: College or University 1 Date achieved / Subject / Grade: Membership of Professional Bodies and other Qualifications: Name and Address of Professional Body 1 Date achieved / Qualification / Grade: 1. 2. 3. Membership of Professional Bodies and other Qualifications: Name and Address of Professional Body 2 SHREWSBURY INTERNATIONAL SCHOOL APPLICANT PAGE 5 / 13
EMPLOYMENT HISTORY. Please detail your employment record in chronological order beginning with your most recent position. Any gaps in employment must also be detailed. Current or Last Employment: Name and Address of Employer 1 Date Started: Date Left: Current or Last Salary Job Title: Brief outline of your job and responsibilities: Reason for Leaving: SHREWSBURY INTERNATIONAL SCHOOL APPLICANT PAGE 6 / 13
Current or Last Employment: Name and Address of Employer 2 Date Started: Date Left: Current or Last Salary: Job Title: Brief outline of your job and responsibilities: Reason for Leaving: SHREWSBURY INTERNATIONAL SCHOOL APPLICANT PAGE 7 / 13
Current or Last Employment: Name and Address of Employer 3 Date Started: Date Left: Current or Last Salary: Job Title: Brief outline of your job and responsibilities: Reason for Leaving: SHREWSBURY INTERNATIONAL SCHOOL APPLICANT PAGE 8 / 13
Current or Last Employment: Name and Address of Employer 4 Date Started: Date Left: Current or Last Salary: Job Title: Brief outline of your job and responsibilities: Reason for Leaving: SHREWSBURY INTERNATIONAL SCHOOL APPLICANT PAGE 9 / 13
Please summarise here any earlier employment: SHREWSBURY INTERNATIONAL SCHOOL APPLICANT PAGE 10 / 13
OTHER SUPPORTING INFORMATION Outline your particular interests and indicate how these may be of benefit to the extra-curricular life of Shrewsbury International School: Detail any positions of responsibility held together with dates: SHREWSBURY INTERNATIONAL SCHOOL APPLICANT PAGE 11 / 13
Please provide a supporting statement which refers directly to the requirements as set out in the job description: Please provide any further information relating to your teaching experience and your motivation in applying for this position. (This information would normally form part of a covering letter): SHREWSBURY INTERNATIONAL SCHOOL APPLICANT PAGE 12 / 13
REFERENCES A minimum of two referees should be provided one of which in normal circumstances should be the Principal or Headmaster of the school at which you are employed at currently or from your most recent employment. Persons with whom your relationship is solely through friendship cannot be named as referees. Full Name and Title of Referee 1 Position: Name and address of organisation: Telephone Number: Email Relationship to you: Is it possible to contact this referee prior to interview? Yes No Full Name and Title of Referee 2 Position: Name and address of organisation: Telephone Number: Email Relationship to you: Is it possible to contact this referee prior to interview? Yes No SHREWSBURY INTERNATIONAL SCHOOL APPLICANT PAGE 13 / 13
Full Name and Title of Referee 3 Position: Name and address of organisation: Telephone Number: Email Relationship to you: Is it possible to contact this referee prior to interview? Yes No DECLARATION A minimum of two referees should be provided one of which in normal circumstances should be the Principal or Headmaster of the school at which you are employed at currently or from your most recent employment. Persons with whom your relationship is solely through friendship cannot be named as referees. I certify that the information given on this form and that given on any other document supplied in support of this application is, to the best of my knowledge, true and complete. Any false statement may be sufficient cause for rejection or, if employed, dismissal. Yes No Date SHREWSBURY INTERNATIONAL SCHOOL APPLICANT PAGE 14 / 13