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ACE Schools Multi Academy Trust Martinsgate, Bretonside, Plymouth, PL4 0AT 01752 396100 HEADTEACHER: Mrs Sarah Gillett Application for Staff Appointment Name Post Applied for: (Please complete in black ink or electronically) Our Governors Promise to You Fairness and Equality of Opportunity We do not operate an anonymous process but we will treat your application fairly and honestly, and consider it only in relation to the requirements of the job. We will do this regardless of whether or not you currently work for ACE Schools, another employer, or are unemployed. Your application will be processed in strict confidence. Our aim is to appoint the best person for the job. We believe in equal opportunities, and will not unfairly discriminate against anyone. Wherever possible and reasonable, we will help a person with disabilities with the application process. If you consider yourself to have a disability and need such help, please contact the school. Documentary Evidence In accordance with the Immigration, Asylum and Nationality Act 2006 it is a criminal offence to employ someone without entitlement or permission to work in the UK. The Act requires all employers in the UK to make basic document checks on every person before they start work to help ensure that they do not employ illegal workers. Shortlisted candidates will be required to bring original documentation to interview. Original academic and professional qualification certificates will also be required (where relevant). WARNING If you provide false information, this may lead to your dismissal. If you do any sort of canvassing, it will lead to you being automatically disqualified. *Photocopies of documents will not be accepted. The successful applicant will also be required to produce original documents to comply with an enhanced DBS check. Working for ACE Some information about terms, conditions and benefits for employees is sent to shortlisted candidates. If you would like further information at this stage, please contact the School. Returning this Form This must reach us by the closing date. Late applications cannot be considered. Please send it to the HR Team by email (hrpayroll@aceschools.net) or by post to the address on the previous page. September 2017

1 LETTER OF APPLICATION Please write in support of your application, showing how your experience and qualifications are relevant, and how you would contribute to the post. Please continue on a separate sheet if necessary. Please ensure your name and other personal details do not appear in this section, unless you need to continue on a separate sheet, this should then be referenced accordingly. Page 2 of 8

2 Employment History Please ensure that full employment history is provided from leaving full time education, providing months/years. Name and Address of employer: Telephone number Job Title Dates from/to (mm/yy) of Appointment Notice Period Salary Reason for wishing to leave Brief outline of duties Page 3 of 8

3 Previous Employment. Please supply full addresses. Employer/Voluntary Organisation Post Held Dates From/to (mm/yy) Salary/Grade Reason for Leaving Continue on a separate sheet if necessary Gaps in Employment History (Please provide details here of any unaccounted periods) Please ensure that there are no gaps in your employment history and ensure that all time periods have been accounted for since leaving full time education. Any unexplained gaps could lead to not being shortlisted for interview. 4 REFERENCES Two employer references are required and should cover the last five years. One should be from your present/last employer. School leavers should give their previous Headteacher. N.B. References may be sought for all short-listed candidates, including internal candidates, and will be obtained before the interview so that any issues of concern raised can be explored further with the referee, and taken up with the candidate at interview, unless otherwise indicated. Reference Type Employment Character Reference Type Employment Character Can be contacted before interview: Name Occupation Company Name Address Yes No Can be contacted before interview: Name Occupation Company Name Address Yes No Post Code Telephone No. Email Address Post Code Telephone No. Email Address Page 4 of 8

5 EDUCATION AND PROFESSIONAL QUALIFICATIONS (checks on qualifications and information provided here will be made at interview) 1 School/College Attended Date from/to Qualifications (including A Level grades) 2 Qualifications (eg Cert Ed / BA / BEd): Class of Degree University/College Date awarded 3 Post graduate Qualifications (eg Med PGCE) Subject(s) University/College Date Awarded Subjects 4 Other Qualifications please specify giving title / awarding body and date: 6 MEMBERSHIP OF PROFESSIONAL/TECHNICAL BODIES Institute or Association How obtained (e.g. examination or election) Date Grade of Membership 7 PERSONAL DETAILS: DATA PROTECTION ACT: Information from this application may be processed by computer for purposes registered by the School under the data protection legislation. Individuals have the right of access to computerised personal data concerning them. 1 Surname: 2 Forenames: 3 Title: 4 Address Post Code 5 Home/Evening Email Address Telephone No: 6 Date of Birth: NI Number 7 Do you hold a Full Driving License? Yes No 8 Do you have a Minibus driving License? Yes No 9 Do you need permission to work in the UK? Yes No Page 5 of 8

10 Are you able to produce documents at interview which demonstrate that you are entitled to work in the UK? Yes No 11 If this post is open to job share, do you want to be considered for this option? Yes No 8 RELATIONS A candidate for any appointment with the school who knows he/she is related to any member of the school, a Governor of a school or a senior officer is required to disclose that relationship when submitting an application form. In educational establishment the designation senior officer includes Headteacher, Deputy Head and Heads of Department, member of the leadership and management group. A candidate who fails to disclose such a relationship shall be disqualified for the appointment and if appointed shall be liable to dismissal without notice. If applicable please give details: 9 REHABILITATION OF OFFENDERS Because of the nature of the work for which you are applying, this post is exempt from the Rehabilitation of Offenders Act 1974. You will be required to disclose on a separate form all information about any convictions in a Court of Law or any cautions, no matter when they occurred, so that a police check can be carried out if you are offered an appointment. If you are subsequently employed by the Authority and it is found that you failed to disclose any previous convictions or cautions, this could result in dismissal, or disciplinary action by the Authority. All information will be treated in confidence and will only be considered in relation to and application for posts to which the exemption order applies. Have you been convicted of any criminal offence? Yes No If yes, please give details: 10 DECLARATION I declare that the information given is true and accept that if I have given false information it may result in my application no longer being considered or my appointment not being confirmed. Signed Date This form must be returned to Charley Michael, HR Administrator by email (hrpayroll@aceschools.net) or by post. Page 6 of 8

MONITORING FORM: PRIVATE AND CONFIDENTIAL THIS INFORMATION IS FOR MONITORING PURPOSES ONLY, AND WILL NOT BE CONSIDERED AS PART OF THE SELECTION PROCESS ACE schools believes in equal opportunities, part of this involves ensuring that our recruitment and selection practices are fair, equitable and consistent, with the aim of appointing the best person for the job, and fulfilling statutory duties relevant to equality in employment. To make equal opportunities meaningful, it is essential that the School monitors the effectiveness of its policy. Please, therefore complete this form. All information will be treated in the strictest confidence, and will not be made available to the selection panel. Please, therefore complete the following: 1 Job Applied for: 2 School/College 3 Grade: 4 Closing Date 5 Where did you find out about this vacancy? 6 What is your sex? Male Female 7 What is your age? 17-18 19-50 51-65 66-75 76 + Ethnicity To which of these groups do you consider you belong? (please tick one box only): A WHITE C Asian or Asian British British Bangladeshi Gypsy/Traveller Indian Irish Pakistani Any other White Background (please state) Any other Asian Background (please state) B MIXED D Black or Black British White and Black Caribbean African White and Black African Caribbean White and Asian Any other Black Background (please state) Any Other Mixed Background (please state) E Chinese or other ethnic group (please state) F Any other ethnic group (please state) Disability Do you consider yourself to be a disabled person? Page 7 of 8

Would you like to let us know more about your disability? Yes No Prefer not to say Religion How would you describe your faith, belief, religion? (Please tick one box) Buddist Sikh Christian (including Church of England, Catholic, Prefer not to say Protestant and all other Christian denominations) Hindu None Jewish Other religion (please Muslim state) Sexual Orientation What is your sexual orientation? (please tick one box) Bisexual Hetrosexual/straight Gay Man Other (including questioning) Lesbian/Gay Woman Prefer not to say Marital status What is your marital status (please tick one box) Single Married Civil Partnership Living with partner Prefer not to say Page 8 of 8