Appendix 1
PRIVATE & CONFIDENTIAL
APPLICATION FOR THE POST
OF
…………………………….
Candidate’s Name: ………………………………
How did this position come to your notice?
□ Internet Advertisement
□ Newspaper advertisement
□ Recommendation
□ Other
By whom:
Please specify:
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PERSONAL DETAILS
SECTION 1
Full Name (underlining the names by which you like to be known):
Email Address:
National Insurance no:
Telephone Number (home):
Current Address:
Telephone Number (work):
Telephone Number (mobile):
Previous address (if resident at current address for less than five years then please provide any previous address during
this period):
Are you legally entitled to work in the UK? Yes/No
Full UK Driving Licence? Yes/No
EDUCATION
School Education:
SECTION 2
Full or Part
Time
From
To
University or other institution of higher education
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QUALIFICATIONS
SECTION 3A
A Level or equivalent; certificate/diploma in education/degrees(s); degree level or advanced qualification.
Qualification
Examining Body
TEACHING POSTS ONLY
Subject(s)
Pass/Grade
(if appropriate)
Date
SECTION 3B
Please provide your DfES reference number:
Do you have Qualified Teacher Status?
Are you registered with the GTC?
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EMPLOYMENT & CAREER HISTORY
SECTION 4A
Please supply a full history (with start and end dates) of all employment, self-employment and any periods of
unemployment since leaving secondary education. Provide where appropriate explanations for any periods not in
employment, self-employment or further education/training and in each case any reasons for leaving employment.
Please start with your current or most recent job and continue on another sheet if required.
Name of Employer & type of
establishment/business
Post held, responsibilities and
scale
Staff Recruitment/Handling Disclosures Information
Full or
PartTime
From
Year
Month
To
Year
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Month
EXPERIENCE
SECTION 4B
Please give details of all experience relevant to the post you are applying for:
REASONS FOR APPLYING FOR THIS POST
SECTION 4C
Please give details of the reasons only you are applying for the post:
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CURRENT SALARY (PLEASE SPECIFY): £
EXTRA-CURRICULAR ACTIVITIES/INTEREST/ACHIEVEMENTS
EXISTING CONTACTS WITHIN SCHOOL
SECTION 4D
SECTION 4E
SECTION 4F
Please indicate if you know any existing employees or governors at the school, and if so, how you know them.
AVAILABILITY
SECTION 4G
Please state date available or notice period.
EQUAL OPPORTUNITIES
SECTION 4H
Bruton School for Girls is committed to the fair treatment of its staff, potential staff or users of its services, regardless
of race, gender, religion, sexual orientation, responsibilities for dependants, age, physical/mental disability or offending
background. We are an equal opportunities employer and the questions in this section are designed to ensure that we
do not discriminate against any applicant and our policy of equal opportunities is implemented.
Bruton School for Girls welcomes applications from people with disabilities. So that we may know of any reasonable
adjustments that may need to be made for interview or at work, please give details of any disability you may have. If
none, please state:
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Are there any reasons, or grounds of mental or physical health, why you are not able to discharge the responsibilities
intrinsic to the post in question, or whether any reasonable adjustments can be made?
□ Yes
□ No
If YES please give brief details:
Please confirm that you understand that any offer of employment made by the school may be conditional on
verification of medical fitness.
□
Yes
□
No
Please give details of any current medical problems that you wish to disclose.
REFERENCES
SECTION 5
Please provide at least two references. One referee should be your current employer or most recent employer. Where
you are not currently working with children but have done so in the past one referee must be from the employer by
whom you were most recently employed in work with children.
Please note, references will not be accepted from relatives or from referees writing solely in the capacity of
friends.
Name: Mr/Mrs/Ms/Other
Name: Mr/Mrs/Ms/Other
Name: Mr/Mrs/Ms/Other
Address:
Address:
Address:
Telephone:
Telephone:
Telephone:
Context:
Context:
Context:
Contact prior to interview? Yes/No
Contact prior to interview? Yes/No
Contact prior to interview? Yes/No
Email:
Email:
Email:
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DECLARATION
SECTION 6
As the job for which you are applying involves substantial opportunity for access to children, it is important that you
provide us with legally accurate answers. Upfront disclosure of a criminal record may not debar you from
appointment as we shall consider the nature of the offence, how long ago and at what age it was committed and any
other relevant factors. Please submit information in confidence enclosing details in a separate sealed envelope which
will be seen and then destroyed by the Headmistress or Bursar, as appropriate. If you would like to discuss this
beforehand, please telephone in confidence for advice.
Please disclose any unspent convictions, cautions, reprimands or warnings. Please note that the amendments to the
Exceptions Order 1975 (2013) provide that certain spent convictions and cautions are 'protected' and are not subject
to disclosure to employers, and cannot be taken into account. Guidance and criteria on the filtering of these cautions
and convictions can be found at the Disclosure and Barring Service website. www.gov.uk/dbs.
You should be aware that the school will institute its own checks on successful applicants with the
Disclosure and Barring Service (DBS).
Failure to declare any convictions (that are not subject to DBS filtering) may disqualify you for appointment or result
in summary dismissal if the discrepancy comes to light subsequently.
I have nothing to declare....or....I enclose a confidential statement
(please delete as appropriate)
Signature: ………………………………………………………………….
Date: ………………………………………………………………………
Staff Recruitment/Handling Disclosures Information
AL/Updated August 2016