Applicant Surname (CAPITAL LETTERS):

Application Form
Specialising in English and Humanitie
SCHOOL

Thank you for your interest in this post.

The following information is necessary to ensure that full consideration

can be given to all candidates. The information given will be treated as
TRUST

confidential.

Please ensure you complete all the sections.

HIGH

The Declaration (Section 14) must be signed and can be found on Page 9
of this form.
ACADEMY

Section 1
MOULSHAM

Post Details

Application for appointment as:

BRIDGE

Reference (if applicable):

s

Closing Date:

Do you need permission to work in the UK? Yes No

Please return your completed application form to:

Mrs Ceri Bird

Notley High School and Braintree Sixth Form
Notley Road
Braintree
Essex, CM7 1WY
Email: [email protected]

Registered Company: As above Company Registration No: 07663795

Personal details Section Section 2

Last name: Title:

First name(s): Previous names:

Date of Birth: (Optional): Home telephone no:

Mobile telephone no: Work telephone no:

Work email address: Home email address:

Address:

Town : National Insurance no:

County:
Postcode:

Please tick the box if you do not wish to be contacted at work ☐

Secondary School Education Section 3

Please list most recent first
School(s) From To Qualification/subject obtained Grade Date
and awarding body

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Continuing Education (University/College/Apprenticeships etc.) Section 4
Please list most recent first
Educational Establishments From To Qualification/subject obtained Grade Date
and awarding body

Professional Qualifications Section 5

Including details of professional association membership
Do you hold Qualified Teacher Status (QTS)? Yes No DFE number:
If yes, please complete the following:
If qualified since August 1999, date Statutory Induction Period started:

completed:

General Teaching Council registration date:

Present Employment (if currently employed) Section 6

Employer’s name and address (if
applicable):
Address:

Town :
County:
Postcode:

Nature of business:

Job title:

Date appointed: Notice required:

Grade/salary spine: Current salary (point):

Allowance(s) received: Type(s) Value(s)

Reason for leaving:

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 Section 7
Brief outline of duties in your current or most recent job

Previous employment Section 8

Please include all full-time and part-time positions. Please list the most recent first and continue on a separate
sheet if necessary.
Employer Start End Job title Salary/ Reason for leaving
date date Grade

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Breaks in employment history Section 9
If you have had any breaks in employment since leaving school, give details of these
periods and your activities during these times, e.g. unemployment, raising family, voluntary work, training.

Other relevant training and development activities attended Section 10

in the last five years
Please list the most recent first
Brief description/Course title Date Organising Body

page 5 of 11
 Section 11
Information in support of this application
Please use the person specification as a prompt to describe the experience, skills, competencies and qualifications
that make you suitable for this job. These may have been gained from your work experience, any voluntary or
community work or any other organisation you may have been involved with. You should ensure that any
information submitted reflects your experience relating to the competencies that are detailed in the Person
Specification (please continue overleaf if necessary). If you are a teacher, please provide details of any
specialist training experience/skills you possess that may be relevant to the post.

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 Section 11
Information in support of this application (cont.…)

page 7 of 11
References Section 12

Please note, we require two professional references. Reference 1 should be from your
current employer (manager), and reference 2 should be from your previous most recent
employer. If the request is from a school, it should be addressed to the Headteacher. If
no work references are available, your referees should be people who know you in a
professional capacity, not a friend or family member.
ction
Name: Name:

Position: Position:

Address: Address:

Postcode: Postcode:

Telephone no: Telephone no:

Fax no: Fax no:

Email: Email:

Note: (i) Referees may be contacted before interviews.

(ii) If either of your referees know you by another name, please give details.

(iii) The school may contact other previous employers for a reference with your consent.

(iv) References will not be accepted from relatives of from people writing solely in the capacity of friends.

Close personal relationships Section 13

Section
Are you a relative or partner, or do you have a close personal relationship with, any employee
or governor of the school? If ‘yes’ please state the name(s) of the person(s) and relationship
(see notes below).

Yes No

Failure to disclose a close personal relationship as above may disqualify you. Canvassing of
governors or senior managers of the school by or on your behalf is not allowed.

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 Section 14

Declaration

I certify that, to the best of my belief, the information I have provided is true and I understand
that any false information will result, in the event of employment, in disciplinary investigation by
the school, and is likely to result in dismissal.
Se
Cti
on
Disclosure of Criminal Convictions

Short-listed candidates will be asked to complete a ‘Disclosure of Criminal Convictions’ form

and, where appropriate, a Disclosure will be sought from the Criminal Records Bureau in the
event of a successful application. A conviction will not necessarily be a bar to obtaining
employment.

Safer Recruitment

I certify that I am not disqualified from working with children or subject to sanctions imposed by
a regulatory body which would restrict me from applying for this post. I understand that it is an
offense to apply for this role if I am barred from engaging in regulated activity relevant to
children.

Data Protection Act 2018

I hereby give my consent for personal information (including recruitment monitoring data)
provided as part of this application to be held on computer or other relevant filing systems and
to be shared with other accredited organisations or agencies in accordance with the Data
Protection Act 2018.

Please confirm the above statements are true by signing below.

Signed: Date:

(A scanned signature can be pasted in the box above)

Signed: ____________________________________________ Date: _______________

If you are submitting this application form electronically and are shortlisted for interview you will be asked to
counter sign this form as part of the interview process

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page 10 of 11
Correspondence

Thank you for applying for this post. Your interest in working for us is much
appreciated. It is not our practice to acknowledge receipt of applications.
However, if you would like to be informed of the outcome of your application once
the selection process has been completed, then please enclose a stamped
addressed envelope.

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