Candidate Registration Form

Welcome to Step Into Teaching. We look forward to working with you.

Personal Details
Title: Mr. Full Name: Sun Htut Aung
Date moved into
Full Address: 8 Waddington Street E15 1QJ address (Month and 08/2024
Year Needed)
Nationality: Myanmar (Burmese) NI Number: TL933789B
Date of Birth: 22.06.1999 Contact Number: 07449245189
Gender: Male Email Address: [email protected]
Driving
Full OR Provisional none Driving License Number:
License:
Do you require a work permit? No If yes Provide details:
Do you hold a British in-date Do you hold a QTS? No
passport? No If yes, please provide the QTS number.

DBS Information
On the update
DBS Registered YES/ NO No YES/ NO No
service?
Certificate
DBS Issue Date
Number
In order for Step Into Teaching to carry out a DBS check for you, we require the following information:
Town and County of Birth Yangon, Myanmar
Any change of name:
(Please include all names used and all dates including current name)
Name Name used from (Month & year) Name used to (Month & year)

Address History:
(If lived in your current address for less than 5 years please confirm full 5-year address history with postcodes):
Address (Including postcode) Month and year used from Month and year used to
155 Far Gosford Street Coventry CV1 09/2022 08/2024
5DE
466 Baho Street 35th Quarter North 07/2021 09/2022
Dagon Township 11081
25/5 Thiri Mingalar Avenue 7th 04/2008 07/2021
Quarter Yankin Township 11081

Step into Teaching

Registered Company Number: 13246234
Address: Unit 3 Jephson Court, Tancred Close, Leamington Spa, CV31 3RZ
Office number: 01926363007
Criminal Convictions Declaration
Step Into Teaching’s company policy is to register all placed candidates with the Disclosure and Barring Service or the
National Care Standards Commission for job roles exempt from the Rehabilitation of offenders Act 1974. In order to
ascertain suitability for this registration, please complete the following questionnaire. If you require a more detailed
explanation as to why Step Into Teaching requires you to complete the questionnaire, please ask the recruiting officer
who will arrange for a senior staff member to contact you. Thank you for your co-operation.
Please indicate below whether you have ever been:
Charged, cautioned or convicted of any offence, or been subjected to an investigation by police YES NO
Subject to any form of complaint, dismissal or disciplinary proceedings (including disqualification for YES NO
caring for children under the disqualification caring for children’s regulations 1991)
Employed by, or in any way associated with an establishment/agency which has been the subject of:
Police Investigation YES NO
Inspection Unit (DOH or NCSC) investigation YES NO
Adult or Child Protection Investigation YES NO
Proceedings under the Registered Homes Act 1984, the Resident Care Home Regulations 1989, or YES NO
Care Standards Act 2000
Proceedings under the Children Act 1989, The Children’s Home Regulations 2001, or Fostering or YES NO
Adoption Regulations 2002
Proceeding under the Nursing Homes and Mental Nursing Home Regulations 1984 YES NO
If you have answered yes to any of the above, please give details and dates below:

Qualifications
Certificate
Qualification Started Completed Where did you qualify?
Available? Y/N
Degree 09/2022 05/2024 Coventry University Yes

A Levels

GCSE’S

Other

Step into Teaching

Registered Company Number: 13246234
Address: Unit 3 Jephson Court, Tancred Close, Leamington Spa, CV31 3RZ
Office number: 01926363007
Referee Details
We require referee details to cover the last full 3 years of your employment history including your current line manager.
We will not contact your referee unless you have given us permission by selecting the option required.
Referee Name: Thomas Clarke
Referee Job Title: Manager
Organisation in which they managed you: J D Wetherspoon
Dates you were employed here: 02/2023 to 08/2023
Email Address: [email protected]
Contact Number: 02476627300
Are you happy for us to contact the referee? YES / NO Yes
If placed via an agency for this placement, please also
provide agency contact email/ Number:

Referee Name:
Referee Job Title:
Organisation in which they managed you:
Dates you were employed here:
Email Address:
Contact Number:
Are you happy for us to contact the referee? YES / NO
If placed via an agency for this placement, please also
provide agency contact email/ Number:

Referee Name:
Referee Job Title:
Organisation in which they managed you:
Dates you were employed here:
Email Address:
Contact Number:
Are you happy for us to contact the referee? YES / NO
If placed via an agency for this placement, please also
provide agency contact email/ Number:

Referee Name:
Referee Job Title:
Organisation in which they managed you:
Dates you were employed here:
Email Address:
Contact Number:
Are you happy for us to contact the referee? YES / NO
If placed via an agency for this placement, please also
provide agency contact email/ Number:

Step into Teaching

Registered Company Number: 13246234
Address: Unit 3 Jephson Court, Tancred Close, Leamington Spa, CV31 3RZ
Office number: 01926363007
Health Declaration
Family Doctor’s Name Contact Number
Doctors Address

Next of Kin Details

Full Name Wint Maw Home Number 36
Mobile Number 07472417935 Relationship to you Family friend
1. Do you have any health problem or disability (physical or psychological), which may affect your YES NO ✔
ability to perform work duties?
If Yes to the above, please confirm details:

2. Do you have a health problem or disability which may require any adjustments to your work YES NO ✔
activities or your place of work?
If Yes to the above, please confirm details:

3. Have you had any illnesses that have left you unable to work in the last three years? YES NO ✔
If Yes to the above, please confirm details:

4. Do you consider yourself fit to work? YES NO

✔
5. Are you at present having any treatment or medicine prescribed by a doctor? YES NO ✔
If Yes to the above, please confirm details:

Candidate Declaration
By completing this form, I am giving my authorisation for Step Into Teaching to act on my behalf in the pursuit of
sourcing myself, either an Interim, contract or Permanent employment, via a 3rd party* or with Step Into Teaching
directly. I confirm that I am aware of the Legitimate Interests in which Step Into Teaching requires this information in
relation to GDPR as set out in their Privacy Policy. I understand that further data will be required once a placement is
made and will be stored as per the terms of the Privacy Policy.

I affirm that the information set out in this application form is true and correct, is not misleading, and that no material
information has been omitted. I understand and agree that if I submit any false or misleading information or omit any
material information, this may result in an offer of employment/ registration being withdrawn. I agree the information
given on this form may be used for registered purposes under data protection legislation.

* 3rd Party, denotes to anyone whom we discuss your CV or career history with.

Full Name
Sun Htut Aung

Signature

Date 17.09.2024

Step into Teaching

Registered Company Number: 13246234
Address: Unit 3 Jephson Court, Tancred Close, Leamington Spa, CV31 3RZ
Office number: 01926363007