Saffron Academy trust application form

Section 1 – Personal and Post details

Title* First Name(s)* Last Name* Date of Birth* Home Telephone No* Mobile Number* Work Telephone No Home Email Address* Work Email Address Home Address* National Insurance No*

Post Details

Application for appointment as* Closing Date*

Do you have the right to work in the UK?*YesNo

Other details

Section 2 – Present Employment (if currently employed)

Employer’s Name and Address (if applicable) Nature of Business Current Post Title Date Appointed Grade/Salary Range Current Salary Allowance(s) received: Type(s) Value(s): £ Notice Required Reason for Leaving Brief outline of duties in your current or most recent job*

Section 3 – Previous Employment

Please include all full time and part time positions. Please list the most recent first.

	Employer	Start Date	End Date	Job Title	Salary/Grade	Reason for Leaving

Section 4 - Breaks in Employment

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, career break, voluntary work, training.

	Start Date	End Date	Reason for break in employment

Section 5 – Ability to Travel (if required)

Do you have a valid driving licence?*YesNo

Do you have access to a vehicle which you are able to use for work purposes?*YesNo

If not, are you able to travel, for work purposes, by another means of transport?YesNo

Are you registered disabled?*YesNo

RDP No

Section 6 – Secondary School Education

	School(s)	From	To	Qualifications/subject obtained and awarding body	Grade	Dates
GCSE
A Level

Section 7 – Continuing Education

	Education Establishment	From	To	Qualifications/subject obtained and awarding body	Grade	Dates

Section 8 – Professional Qualifications

Including details of professional association membership.

Do you hold Qualified Teacher Status (QTS)?*YesNo

Teacher Reference Number

If yes please complete the following:

Date NQT Statutory Induction Period (if qualified since August 1999)

	Started:	Completed:	Non-teaching Professional Qualifications

Section 9 – Other relevant training and development activities

Please list the training activities you have attended in the last five years with the most recent first.

	Course Title	Date	Organising Body

Section 10 – Personal Interests

Please give brief details of any hobbies/interests that you have:*

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 on a separate sheet if necessary). If you are a teacher, please provide details of any specialist teaching experience/skills you possess that may be relevant to the post.

*

Section 12 – References

Please give the name and addresses of your two most recent employers (if applicable). If you are unable to do this, please clearly outline who your referees are. Applicants must ensure referees consent to be contacted and for reference information to be held for a period of 6 months

Reference 1 - Title and Full Name* Reference 1 - Address* Reference 1 - Position* Reference 1 - Telephone Number* Reference 1 - Relationship between referee and applicant* Reference 1 - Period of time applicant known to referee Reference 1 - Email Address*

Reference 2

Reference 2 Title and Full Name* Reference 2 - Address* Reference 2 - Position* Reference 2 - Telephone Number* Reference 2 - Relationship between referee and applicant* Reference 2 - Period of time applicant known to referee* Reference 2 - Email Address*

Note:
(i) Referees will 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 without your consent.
(iv) References will not be accepted from relatives or from people writing solely in the capacity of friends.

Section 13 – Close Personal Relationships

Are you a relative or partner, or do you have a close personal relationship with, any employee, Trustee or Governor of the establishment to which your application is being made?*YesNo

If ‘yes’, please state the name(s) of the person(s) and relationship (see notes below).

Failure to disclosure a close personal relationship as above may disqualify you.

Canvassing of Governors, Trustees, County Councillors or Senior Managers of the School by or on your behalf is not allowed.

Supporting Documents

Please upload any supporting documents or additional answers to the above questions.

Section 14 – Declarations

Please read the following statements and information relating to your application carefully. By submitting this form and clicking on the box below you are certifying that the information you have supplied is accurate and confirming that the declarations are true to the best of your knowledge. Any false information will result in the withdrawal of any offer of employment or, in the event of employment, in disciplinary investigation by the school which may result in dismissal.

I certify that the information I have supplied on this form is accurate and true to the best of my knowledge.*Please click here to confirm

Disclosure of Criminal Convictions:
Short-listed candidates will be asked to complete a Self-Disclosure Form (SD2) and, where appropriate for the role, a disclosure/status check will be sought from the Disclosure and Barring Service (DBS) in the event of a successful application.

A conviction/caution/reprimand will not necessarily be a bar to obtaining employment, save in the case of management positions where a S128 Direction issued by the Secretary of State will prohibit employment.

Safer Recruitment and Childcare Disqualification Checks:

I certify that I am not disqualified from working with children or subject to any sanctions imposed by a regulatory body which would prohibit or restrict me from applying for this post.*Please click here to confirm

Short listed candidates applying for a relevant post in a school setting covered by the Childcare (Disqualification) Regulations 2009 (“the Regulations”) will be asked to complete a Disqualification Declaration Form. A disqualified person may only be employed in a relevant post if they obtain a waiver from Ofsted. A copy of the Disqualification Declaration Form is available from the school office if you wish to review this Form prior to submitting your application.

Data Protection
I acknowledge that by completing this form the school will hold and process personal data (including special categories of data e.g. information about health) about me in line with their data protection policy. I acknowledge that the school will use/process this information for the duration of the recruitment process. I acknowledge this information will only be shared in line with the Privacy Notice.

If I am the successful applicant, I acknowledge that this information will be retained in line with the school’s retention schedule. If I am not the successful candidate, I acknowledge this information will be retained by the school in a secure electronic/paper system for no longer than 6 months from the date of the appointment of the successful candidate.

All forms submitted (in paper or electronic format) will be held securely by the school in line with their data protection policy.

Thank you for applying for this post and your interest in working for this school.

A confirmation email will be sent to confirm that this application has been received.

Declaration - Signed together with email address

By entering your email address below you are effectively providing your signature, indicating that all the information provided is true and accurate.

Full details of our Privacy Notice and further guidance documents can be found on the Saffron Academy Trust website:

http://www.saffron.academy/GDPR

Please enter your email address*