APPLICATION FORM
Job Title
Job Reference Number
PERSONAL DETAILS
Surname
Forename/s
Address
Work Tel No.
Postcode
Home Tel No.
Mobile Tel No.
Email
NI Number
Please indicate where you saw or heard about this vacancy
TEACHING AND ASSESSING QUALIFICATIONS
Do you have a degree?
Yes
No
Do you hold Qualified Teacher Status (QTS)?
Yes
No
Main teaching subject taught
Do you have a teaching qualification or one that leads to QTS/QTSE?
If yes, is this in
Primary
What are your teaching qualifications?
Yes
No
Secondary
Further Education
PGCE
Cert. Ed (HE)
Cert. Ed (FE)
AETEC (FE)
C&G 7407 Stage 1
C&G 7407 Stage 2
C&G 7407 Stage 3
Other
Please describe other category
What are your assessor/verification qualifications? (please mark appropriate boxes)
EOSC/TDLB D32/33
EOSC/TDLB D34
EOSC/TDLB D35
EOSC/TDLB D36
A1
V1
V2
D38
PRESENT OR MOST RECENT APPOINTMENT – or appropriate details if self-employed
Position Held
Name and Address of Employer
Reason for Leaving
Dates Employed
(From/To) (Month/Year)
Full-time
Salary/Pro rata if part-time
Part-time
Notice Required
If you require more space please continue on a separate sheet
MAIN DUTIES, RESPONSIBILITIES AND EXPERIENCE GAINED
PREVIOUS WORK EXPERIENCE – this may include periods spent at home with family or other commitments
Employer
From
(Month/
Year)
To
(Month/
Year)
Position Held
Reason for Leaving
Duties/Responsibilities
(subjects taught for
teaching post)
If you require more space please continue on a separate sheet
SCHOOL QUALIFICATIONS
Institution
FT/PT
Qualification
Grade
If you require more space please continue on a separate sheet
FURTHER EDUCATION QUALIFICATIONS
From
To
Institution
FT/PT
Qualification
Grade/Class
If you require more space please continue on a separate sheet
PROFESSIONAL MEMBERSHIP
Qualification
Date Awarded
Other Details
If you require more space please continue on a separate sheet
IfL Registration Number
PROFESSIONAL TRAINING AND/OR SHORT COURSES ATTENDED
Subject of Course
Organising Body
Date
Have you ever been dismissed from employment for a reason other than redundancy?
(over the last three years employed)
Duration
Qualification
Yes
No
If you have answered YES, please specify on a separate sheet and enclose it in a sealed envelope marked ‘Private and
Confidential’.
If you require more space please continue on a separate sheet
ADDITIONAL INFORMATION
The information you give here will be used to assess your application against the job profile. Please specify how you meet each of the
essential criteria and where appropriate the desirable criteria. Please give clear examples of your skills and experience. If you do not have
any direct work experience please give details of the skills you use in other areas that could be transferred to the workplace. You may also
include any appropriate hobbies and interests. If necessary continue on no more than 2 sides of A4 paper. Please note CVs will not be
accepted.
REFEREES – please give the names, addresses and occupations of two referees who can be approached regarding your experience, qualifications and
suitability for appointment. One of these must be your last/current employer.
Referee 1 Can we contact this person for a reference prior to interview?
Name
Company
Position Held
Fax No
Email
Yes
No
Yes
No
Address
Tel No
Referee 2 Can we contact this person for a reference prior to interview?
Name
Company
Position Held
Fax No
Email
Address
Tel No
DISCLOSURE OF CRIMINAL OFFENCES – please note that your details will be checked by the Disclosure Barring Service making
any offer of employment conditional upon the receipt of satisfactory clearance.
Please note that the place of work to which you are applying means that this post is exempt from the Rehabilitation of Offenders’ Act 1974.
Therefore all applicants are asked to declare any convictions, cautions or reprimands, warnings or bind-overs which you have incurred,
(whether spent or unspent).
If you have been convicted or cautioned you may still be eligible for appointment depending on the nature and circumstances of the offence.
The College will see confirmation of criminal history from the Criminal Records Bureau, before confirming the appointment of any person.
Have you ever been convicted of a criminal offence?
If yes. please give details
Yes
No
Asylum and Immigration Act 1996
Section 8 of the Asylum and Immigration Act 1996 places a duty on employers to check the status of new employees with regard to their
eligibility for work within the UK. Consequently you will be required, prior to commencement of your employment at Tameside College and
regardless of your ethnic origin or nationality, to provide documentary evidence of your entitlement to work within the UK.
Declaration by Candidate
All or parts of the information on this form may be stored on computer files and used for the purpose of Human Resources administration.
Such use will be subject to the provisions of the Data Protection Act 1998. By signing the form it is implied that you agree with these terms.
Should any of the particulars furnished by the candidate in this application be found to be false within the knowledge of the candidate or
should there be any wilful omission or suppression of material fact, the candidate will, if appointed be liable to be dismissed.
‘I hereby certify that the entries contained herein are correct, that all questions relating to me have been fully and accurately answered,
and that I am in possession of the certificates which I claim to hold.’
Signature
Date
If you require any assistance or advice on completing this application form please contact the Human Resources team on 0161 908 6665
Please return your application form to: [email protected]
www.tameside.ac.uk
EQUAL OPPORTUNITIES
Tameside College is committed to being an equal opportunities employer, selecting staff on the basis of ability and the requirements of the
post. In order to monitor the effectiveness of our Equal Opportunities Policy, we request that all applicants complete the section below. This
section will be separated from your application on receipt and kept securely. It will not be seen by the Short-listing Panel.
Surname
Gender
Forename/s
Female
Male
Age Category
0-18
Prefer not to say
19-24
25-34
35-54
55+
Date of Birth
ETHNIC ORIGIN
Asian/Asian British
Mixed
Bangladeshi
White and Asian
Indian
White and Black African
Pakistani
Any Other
Any Other
Black/Black British
White
African
British
Caribbean
Irish
Any Other
Any Other
Other not listed
If you wish, you may disclose information about yourself in this section about your:
Religion
Sexual Orientation
Buddhist
Bisexual
Christian
Gay
Hindu
Lesbian
Muslim
Heterosexual
Jewish
Sikh
None
Any other religion, please specify
If you have a disability falling within the terms of the Disability Discrimination Act, for which the College may need to make a
reasonable adjustment, please provide information below.
I give consent to Tameside College recording and processing information about me in the above categories in order to monitor the effectiveness
of their Equal Opportunities Policy. My consent is conditional upon Tameside College complying with the obligations and duties under the Data
Protection Act 1998.
Signature
Date
Position applied for
Job reference number
TC