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APPLICATION FOR TEACHING APPOINTMENT Applicant s Name: Title of post applied for: Job Reference No. Closing Date: Committed Equal Opportunities

GUIDANCE FOR THE COMPLETION OF THE APPLICATION FOR EMPLOYMENT FORM This information has been compiled assist you in the completion of the application form. Please remember the application form is an essential part of our selection process, and the information you give will assist in selecting a shortlist of candidates for interview, it is therefore important that you complete the application in full. Please complete the form using black ink, or type. Completing your Application Form Read through the information you have been sent, and particularly study the advertisement, job description and person specification, (where applicable). Complete as fully as possible all of the sections. If any information requested is not applicable you then please state this in the relevant section. If you have write more than the space provides on the application form, use additional sheets of paper ensuring that you mark clearly your name and the job title and reference number on each sheet. Add a letter of application of no more than two sides of A4 paper. Curriculum Vitae (CV) please do not enclose a CV. You are asked complete the application form in full. If a CV is required this will be specifically requested. It is acceptable, however, provide additional information in support of your application, but this should be relevant the job you are applying for. The form can be completed and emailed the school or printed and posted. People with Disabilities In order meet the requirements of the Disability Discrimination Act 1995, and our Equal Opportunities Policy offer a guaranteed interview people with disabilities who meet the basic job requirements, this form seeks information on whether you consider yourself have a disability. As the Disability Discrimination Act contains definitions of what is meant by disability or a disabled person and substantial adverse effect, the following notes should help you complete the answer relating disability. Defining a disabled person: A person has a disability if s/he has a physical and mental impairment, which has a substantial and long-term adverse effect on her/his ability carry out normal day day activities. Impairment: This covers physical and mental impairment including learning disabilities and hearing and sight impairments. Substantial adverse effect: This is something that is more than minor or trivial effect, and is beyond the normal differences in ability, which exist. Long-term effect: This is one which has lasted or is likely last for at least 12 months, or for the rest of a person s life. The loss of mobility due a broken leg, which a person is likely recover from in less than 12 months, or a long-term illness from which a person is likely recover within 12 months are not included. Normal day--day activities These are activities carried out by people on a regular basis. It does not include activities which are normal for only a particular person, or a group of people. An impairment has a substantial adverse effect if it affects: Mobility Manual dexterity Physical co-ordination Continence Ability lift, or Speech, hearing or Memory, or the ability move everyday eyesight (excludes the concentrate, learn or objects wearing of spectacles) understand. Access Requirements: If as a result of a disability you have requirements relating the physical accessibility of the workplace, access information in different formats or if you require support in the way of aids/adaptations equipment, it is important that you specify these on the application form.

1. PERSONAL DETAILS Full Name Preferred Title (e.g. Mr. Mrs. Ms.) Previous surname/s Home Address Home Tel. No. Post Code Mobile No. Email address National Insurance No. DfES No. GTC Registered? YES [] NO [] Date of Birth, if under 21 or over 65 2. EDUCATION POST 16 (including A levels, degree, professional/teacher training) University, Polytechnic, Qualification Main Subjects Grade/Class College etc. To 3. CURRENT EMPLOYMENT References may be sought from the Headteacher prior interview. If you are a Headteacher, a reference may be sought from the appropriate LEA. Tel no: Level of current post: Spinal point on pay spine: Management Points: Headteacher or Deputy/Assistant Headteacher: Group size: Spinal point:

4. PREVIOUS TEACHING EXPERIENCE (most recent appointment first). If you are a student please include teaching practice. Please note that references may be sought from the Headteacher prior interview. If you are a Headteacher, a reference may be sought from the appropriate LEA.

5. ADDITIONAL EXPERIENCE OUTSIDE TEACHING full or part time. A reference may be sought from your previous employer prior interview. Employer - with address & Salary contact name for reference and Job Title and Main Duties : To: Reason for leaving purposes grade 6. COURSES ATTENDED in last four years Provider Course title and Qualification : To: 7. INTERESTS 8. REFEREES Please supply the names of two references, one of which should be the headteacher of your current employment, or your university tur. It is important that you make this person aware of the possibility that they may be asked supply a reference for you. Name and Position/Profession Address including an email address Tel. No. Capacity in which you are known this person 9. PEOPLE WITH DISABILITIES Do you consider yourself disabled? YES [] NO [] (please see the guidelines for completing the application for employment form) Please indicate if you need any particular aids or modifications assist you in attending for interview or carrying out the duties of this post:

10. CONVICTIONS Please give details of any conviction, including the date of conviction and the sentence imposed. N.B. i) Road traffic offences should be included. ii) Because of the nature of the work for which you are applying, this post is exempt from the provisions of Section 4(2) of the Rehabilitation of Offenders Act 1974 by virtue of the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975. Applicants are, therefore, not entitled withhold information about convictions which for other purposes are spent under the provisions of the Act. In the event of employment any failure disclose such convictions or cautions or bind over orders could result in dismissal or disciplinary action by the Authority. All convictions or cautions or bind over orders must therefore be disclosed. Conviction Sentence Date The post for which you are applying gives substantial access children. If your application is successful, you will be required obtain a Disclosure from the Disclosure & Barring Service Records. Employment with The Corsham School will be conditional upon the results of the Disclosure obtained, which will indicate your suitability work with children, young adults or vulnerable adults. 11. ADDITIONAL INFORMATION a) Do you have regular access the use of a car? YES [] NO [] b) Do you have a work permit? YES [] NO [] c) The Working Time Regulations place a maximum limit on weekly hours worked. Will you continue in any other employment, should you be offered this appointment? YES [] NO [] If YES, how many hours per week? d) Please state in which publication you saw the advertisement for this post Please note: Deliberate omission or falsification of information could lead the disqualification of your application or later dismissal, if appointed. The appointment is subject satisfacry evidence of your medical fitness, and the results of a Disclosure from the Disclosure & Barring Service, where applicable. The information that you supply will be used The Corsham School for the purpose of administration in relation prospective, current and past staff. If your application is successful, some of the information will be used compile your personal file. It may be used and shared with other designated bodies administering public funds, for the prevention and detection of fraud. Data Protection Statement Data Protection Act 1998 The Corsham School has a duty protect personal information; The Corsham School will process this information in accordance with the Data Protection Act 1998. This information will be sred on computer and manual files. Completion and submission of this form is taken as consent process the information that you have provided. Please sign and date below confirm that the information given is accurate. Signature Date PLEASE RETURN TO THE ADDRESS SHOWN ON THE ADVERTISEMENT

EQUALITY OF OPPORTUNITY The Corsham School is committed a policy of ensuring that all job applicants and employees receive equality of opportunity. The aim of this policy is ensure that no applicant or employee receives less favourable treatment on the grounds of race, colour, nationality, ethnic or national origins, sex or marital status, age, disability, sexual orientation or religious beliefs and practices or is disadvantaged by conditions or requirements which cannot be shown be justifiable. Selection criteria and procedures are regularly reviewed ensure that individuals are selected, promoted and treated on the basis of their relevant merits and abilities. The Corsham School will continue review its personnel policies and practices generally and take appropriate action make this policy fully effective. To ensure the Equal Opportunities Policy is being carried out, The Corsham School has undertaken monir all aspects of the recruitment and selection processes. The moniring exercise has been designed in accordance with guidelines from the Commission for Racial Equality and the Equal Opportunities Commission and it has been approved by the appropriate Trade Unions. The information will not be used for any other purposes than moniring of the Equal Opportunities Policy. The analysis will be made available the HR Department and all information supplied will be kept strictly confidential. In order assist The Corsham School pursue its policy of equal opportunity would you please complete the questionnaire overleaf. The information you give will be sred in a computer. The categories of ethnic origin, which you are asked complete are as follows: White Asian or Asian British Black or Black British Chinese or other Ethnic Group Mixed - British - Irish - Any other White background - Indian - Pakistani - Bangladeshi - Any other Asian background - Caribbean - African - Any other Black background - Chinese - Any other ethnic group - White and Black Caribbean - White and Black African - White and Asian - Any other mixed background Only with your co-operation can the moniring exercise be effective and we would therefore be particularly grateful for your help.

EQUALITY OF OPPORTUNITY The Corsham School is committed through its Equal Opportunities Policy ensuring that all job applicants are considered on a fair, unbiased and lawful basis. The Corsham School requires information about sex, ethnic origin, age and disability help monir this policy. Further details of this policy and information required are provided overleaf. The following information will only be used for this purpose and will be treated in strict confidence. Title of post applied for:. ETHNIC ORIGIN I would describe my ethnic origin as: (please tick the appropriate box) WHITE [] British [] Irish [] Other white (please specify): BLACK OR BLACK BRITISH [] Caribbean [] African [] Other Black (please specify): ASIAN OR ASIAN BRITISH [] Indian [] Pakistani [] Bangladeshi [] Other Asian (please specify): CHINESE OR OTHER ETHNIC GROUP [] Chinese [] Other Ethnic Group (please specify): MIXED [] White and Black Caribbean [] White and Black African [] White and Asian [] Other mixed (please specify): SEX (please tick the appropriate box): [] Male [] Female AGE: DATE OF BIRTH: DISABILITY (please tick the appropriate box): Do you consider yourself disabled? [] Yes [] No WHERE DID YOU SEE THE VACANCY ADVERTISED? (please tick the appropriate box) [] Local Newspaper [] National Newspaper [] Vacancies Bulletin [] Professional Journal [] Job Centre [] Internet (please specify): www. [] Other (please specify): Thank you for answering these questions. Please place this page in a sealed envelope and sign across the seal. DO NOT INSERT THE WHOLE APPLICATION FORM IN THIS ENVELOPE Please return the application form and the sealed envelope the address given on the advertisement Completion and submission of this form is taken as consent process the information you have provided