Application Form
Thank you for your interest in working at Devon Studio School.
We are committed to safeguarding and promoting the welfare of children and young people and expect
all staff and volunteers to share this commitment. We are fully committed to ensuring that consistent
effective safeguarding procedures are in place to support families, children and staff at school.
Please complete the form in full in black ink. We will treat the information you provide as private and
confidential. Your application should be returned to [email protected].
Application for the post of:
How did you hear about this vacancy?
Personal Details
Title (Dr, Mr, Mrs,
Miss, Ms or other)
Surname
Date of Birth
Forenames
Home Address
and Postcode
Telephone
Number 1
National
Insurance Number
If you are not a European Citizen, please state if
you require a work permit
Are you permitted to work in the UK in accordance
with the Immigration and Asylum Act 1996?
Have you worked for Devon Studio School before?
Telephone
Number 2
e-mail address
Are you related to an employee of Devon Studio
School?
If yes, please give name and relationship:
Yes
No
Yes
No
Yes
No
Yes
No
Education and Training
Name of Secondary School/s
Dates
attended
(mm/yy),
from/to:
Examination/s/ taken:
Grade/s achieved
Please state highest level of
qualification in English, Maths and
Science
Date
achieved
(mm/yy)
Examination/s/ taken:
Grade/s achieved
Dates
attended
(mm/yy),
from/to:
Dates
attended
(mm/yy),
from/to:
Examination/s/ taken:
Grade/s achieved
Examination/s/ taken:
Grade/s achieved
Membership of Professional
Bodies
Dates of
Membership
(mm/yy)
By Examination
(Yes/No)
Level/Grade of
membership
Other professional qualifications
Date
obtained
Grade/Level
Awarding body
Name of College/University
Teaching Qualifications and Registration
Teaching Qualifications achieved
Post Graduate Certificate of
Education
Certificate of Education
PTLLS
CTLLS
DTLLS
Other – Please Specify
Yes
Yes
Yes
Yes
Yes
Yes
No
No
No
No
No
No
Teaching Registration
Institute for Learning (IfL)
Yes No
Registration No:
Qualified Teacher Status (QTS)
Yes No
Registration No:
Have you completed and passed the
NQT year?
Assessor/Verifier Awards
Yes No
Level 3 Training, Assessment and
Quality Assurance Award (TAQA)
Yes No
Level 4 Training, Assessment and
Yes No
Quality Assurance Award (TAQA)
Please give an overview of your teaching subject experience and levels/year groups taught
Employment Record: Current Employment
Name and address of current employer:
Post title:
Full/Part Time:
Part Time Hours :
Date appointed:
Current annual salary:
Brief description of present duties :
Reason for wishing to leave current employment:
Type of Business:
Employment Record: Previous Employment
Please include all previous employment.
Name of Employer:
Address:
Job title:
Principal duties and
responsibilities:
Type of business:
Final Salary:
Dates employed:
From (mm/yy):
To (mm/yy):
Reason for leaving:
Name of Employer:
Address:
Job title:
Principal duties and
responsibilities:
Type of business:
Final Salary:
Dates employed:
From (mm/yy):
To (mm/yy):
Reason for leaving:
Name of Employer:
Address:
Job title:
Principal duties and
responsibilities:
Type of business:
Final Salary:
Dates employed:
Reason for leaving:
From (mm/yy):
To (mm/yy):
Gaps in Education and/or Employment
Dates of Gap
Reason for Gap
Personal Statement
This section has been provided so that you can include any information that may support your
application in greater detail.
Please give consideration to how your skills, experience and disposition relate to the job description
and the person specification.
Please keep your personal statement to 750 words.
References
Please give names and addresses of four referees, one of which must be your present or most recent
employer. Referees should have direct knowledge of your professional capacities and performance.
Referee 1
Name
Relationship
Job Title
Dates Covered
Address for contact
E-mail address
Telephone Number
Can we contact this referee with immediate effect?
Referee 2
Name
Job Title
Dates Covered
Address for contact
E-mail address
Telephone Number
Can we contact this referee with immediate effect?
Referee 3
Name
Job Title
Dates Covered
Address for contact
E-mail address
Telephone Number
Can we contact this referee with immediate effect?
Referee 4
Name
Job Title
Dates Covered
Address for contact
E-mail address
Telephone Number
Can we contact this referee with immediate effect?
Relationship
Relationship
Relationship
Rehabilitation of Offenders Act 1974 (Exemptions) Order
1975
Devon Studio School aims to promote equality of opportunity for all job applicants with the right mix of skills and
potential. We welcome applications from a diverse and representative community. A criminal record will not
necessarily be a bar to obtaining employment. Each case is considered on its own merit.
It is school policy that all staff appointments are subject to an enhanced Criminal Record Bureau check.
Do you have a police record for any conviction, caution, reprimand or final warning
Yes
No
If yes please give details on a separate A4 sheet. A decision whether you are short listed will not be based in any
way on the information you have given.
Failure to disclose criminal offences could lead to either your application being rejected, or if you are appointed, to
dismissal if it is subsequently learnt that you have had any criminal convictions. If you are unsure, please contact a
member of the Human Resources team.
Data Protection Statement
Devon Studio School will process personal information provided by you in the application form and any other
personal information provided by you now or in the future, in accordance with the Data Protection Act 1998, to
assist us in considering your application for employment and, if you become an employee, for purposes relating to
your employment.
For selection purposes, your personal information will be considered by our Human Resources team and where
appropriate, relevant managers of the School. Any appointment will be subject to references and the completion of
a medical certificate.
Should your application be unsuccessful, it will be kept by the Human Resources Department for six months, and
then destroyed.
If you are successful, the information provided by you will be held in your personal file and may be held on the
School database. Should you leave, your information will be held for a reasonable period of time in line with Human
Resources practise, including the purpose of providing references and dealing with queries in connection with your
employment.
Data Protection Declaration
I declare that to the best of my knowledge and belief all the statements and information given in this form are true
and complete, and that I have not withheld any material fact. I understand that any appointment will be made on
the basis that the information given on this form is true and correct. I understand that if I have failed to disclose
information, or have given incorrect information, that this could lead to an offer of appointment being withdrawn, or
in disciplinary action or dismissal at a later date.
I consent to the School obtaining information or references from any previous employers, or other company or
institution which the School considers appropriate. I also consent to those previous employers releasing information
about my sickness absence while in their employment for those references.
I have read and understood the Data Protection statement and consent to the School processing any personal
information as described in that section.
I understand that the School will ask for evidence of relevant qualifications at the interview.
Signature………………………………………………………..…………Date…………………………………
If you are completing this form on-line then you will be asked to sign if called for interview.
Equality and Diversity
Devon Studio School is committed to the principles of Equality and Diversity in employment, in respect of
our recruitment and selection procedures and in ensuring that all employees receive equal treatment in
employment and to comply with relevant legislation.
We seek to employ a workforce which reflects the diverse nature of our community and value the
contribution of each individual regardless of sex, age, marital status, disability, sexual orientation, race,
colour, religion, ethnic or national origin.
In order to promote Equality and Diversity and monitor the effectiveness of our policies in accordance with
best practice, the relevant Codes of Practice and fulfil our obligations under the Equality Act 2010, all
applicants are requested to complete this form.
Responses will be treated in the strictest of confidence and will be held separate from individual
employment records. The information you provide will form a confidential database, which will be used for
statistical analysis only and help evaluate progress towards improvement in the School strategy.
The information will be held in compliance with the Data Protection principles as set out in the Data
Protection Act 1998. Should you become an employee, we will seek periodic confirmation from you as to
its accuracy.
What is your ethnic origin?
White
Mixed
Pakistani
British - White
White and Black Caribbean
Bangladeshi
Irish - White
White and Black African
Other Asian
Other - White
White and Asian
Chinese or other
Ethnic Group
Asian or Asian British
Black or Black British
Chinese
Indian
Black Caribbean
Pakistani
Black African
Other Black
Other
Disability
The Disability Discrimination Act defines a disabled person as someone who has a physical or mental
impairment that has a substantial and long term adverse effect on his or her ability to carry out normal day
to day activities.
Do you consider yourself to have a disability? (Please delete)
Yes
No
Age
My age is
16-20
21-30
31-40
41-50
51-60
61-70
Gender
My gender is (this should be your
gender at birth or Gender Recognition
Certificate
Male
Female
70+