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Home
About Us
Welcome from the Head of Sixth Form
Welcome from the Principal
Welcome from the CEO
Mission, values, vision & ethos
Key Leaders
Centre UCAS Overview & Covid-19 Statement 2020
Facilities
Burslem School of Art Notable Students
Our family of schools
Work with us
Students
Apply for a place
Courses available
Extracurricular
Financial support
Learning resources
Pastoral support
Post-18 – University and Careers
Post-18 – University
Post-18 – Bursaries and scholarships
Post-18 – Careers
Rewards
Curriculum Pathways
Level 3 Pathway
A level 3D Product Design
A level Art & Design
A level Biology
A level Business Studies
A level Chemistry
A level English Language & Literature
BTEC Health & Social Care
A level History
BTEC Information Technology
A level Maths
A level Photography
A level Psychology
A level Sociology
BTEC Sport
A level Textiles
Employability & Life Skills Pathway
Enterprise Pathway
Adult Learning
Parents & Carers
Apply for a place
College day
Dress code
Open days
Prospectus
Remote learning
SEND
Social Media
Term dates
Key Information
Achievement data / performance tables – Student destinations and results
Admissions arrangements
Apply for a place
British Values Statements
Careers
Covid Funding
Curriculum
Equalities objectives
Exam arrangements
GDPR
Governance
Ofsted
Policies
SEND
Health (including Emotional Health and Well-being)
News
Community
Alumni
Business partnerships
Lettings & community use
University partnerships
Contact Us
Home
About Us
Welcome from the Head of Sixth Form
Welcome from the Principal
Welcome from the CEO
Mission, values, vision & ethos
Key Leaders
Centre UCAS Overview & Covid-19 Statement 2020
Facilities
Burslem School of Art Notable Students
Our family of schools
Work with us
Students
Apply for a place
Courses available
Extracurricular
Financial support
Learning resources
Pastoral support
Post-18 – University and Careers
Post-18 – University
Post-18 – Bursaries and scholarships
Post-18 – Careers
Rewards
Curriculum Pathways
Level 3 Pathway
A level 3D Product Design
A level Art & Design
A level Biology
A level Business Studies
A level Chemistry
A level English Language & Literature
BTEC Health & Social Care
A level History
BTEC Information Technology
A level Maths
A level Photography
A level Psychology
A level Sociology
BTEC Sport
A level Textiles
Employability & Life Skills Pathway
Enterprise Pathway
Adult Learning
Parents & Carers
Apply for a place
College day
Dress code
Open days
Prospectus
Remote learning
SEND
Social Media
Term dates
Key Information
Achievement data / performance tables – Student destinations and results
Admissions arrangements
Apply for a place
British Values Statements
Careers
Covid Funding
Curriculum
Equalities objectives
Exam arrangements
GDPR
Governance
Ofsted
Policies
SEND
Health (including Emotional Health and Well-being)
News
Community
Alumni
Business partnerships
Lettings & community use
University partnerships
Contact Us
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Part of the City Learning Trust
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Application Form
Please fully complete the form to apply for the position of
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Personal Details
Surname
Forename(s)
Address
Contact Number
Email
Date of Birth
National Insurance Number
Qualified Teacher Status
Yes
No
DfE Reference Number
Present or Most Recent Employment
Job Title
Salary
Notice Period
Date Joined
Date Left (if applicable)
Name of Line Manager
Name of Employer
Employer Address
Main Duties
References
Please provide two professional references, the first reference should be your present or most recent employer. It is normal practice for references to be obtained before any formal interview is held, although time may not always permit this.
Reference 1
Name
Address
Occupation
Email
Years Known
Reference 2
Name
Address
Occupation
Email
Years Known
Previous Employment
Previous Employment 1
Position
Employer
Reason for Leaving
Dates (from/to)
Previous Employment 2
Position
Employer
Reason for Leaving
Dates (from/to)
Previous Employment 3
Position
Employer
Reason for Leaving
Dates (from/to)
Employment Gaps
Please explain any gaps in your employment history
Education, Qualifications & Training
Qualification 1
School/College/University/Training Establishment
Qualification Obtained
Dates (from/to)
Qualification 2
School/College/University/Training Establishment
Qualification Obtained
Dates (from/to)
Qualification 3
School/College/University/Training Establishment
Qualification Obtained
Dates (from/to)
Skills, Experience & Knowledge
Please state the reasons why you wish to apply for the position and give details of any experience, skills and training that you think is relevant, together with any other information to support your application.
Disability
The Equality Act 2010 defines a person as disabled if they have a mental or physical impairment, which has a substantial and long-term and adverse effect on the person’s ability to carry out normal day to day activities.
Do you have a disability, long term illness or health condition?
Yes
No
Rehabilitation of Offenders Act 1974
All posts involving direct contact with children are exempt from the Rehabilitation of Offenders Act 1974. However, amendments to the Exceptions order 1975 (2013 & 2020) provide that certain spent convictions and cautions are ‘protected’. These are not subject to disclosure to employers and cannot be taken into account. Guidance and criteria on the filtering of these cautions and convictions can be found on the Ministry of Justice website. Shortlisted candidates will be asked to provide details of all unspent convictions and those that would not be filtered, prior to the date of the interview. You may be asked for further information about your criminal history during the recruitment process. If your application is successful, this self-disclosure information will be checked against information from the Disclosure & Barring service before your appointment is confirmed.
Declaration
I confirm that the above information is complete and accurate and I understand that any offer of employment is subject to satisfactory references, satisfactory DBS and Barred list checks, entries on this form proving to be complete and accurate, satisfactory medical report, if applicable. I can confirm that I have not been disqualified from working with children, cautioned or sanctioned in this regard.
Name
Date
Reference Permission
I have applied for the position
I understand that in order to complete my application references must be sought on my behalf and are a statutory requirement for any employee or volunteer position within education. I hereby grant full permission for my professional records including attendance and disciplinary data to be shared with the City Learning Trust.
Name
Date
Equal Opportunities Monitoring Form
City Learning Trust is an equal opportunity employer. The aim of our policy is to ensure that no job applicant or employee receives less favourable treatment because of age, disability, gender reassignment, marriage and civil partnership, pregnancy or maternity, race, religion or belief, sex or sexual orientation. To ensure that this policy is fully and fairly implemented and monitored, we would appreciate if you could provide the following information:
Age
Prefer not to say
School age
Over school age - 17
18-24
25-34
35-44
45-54
55-64
65-74
75+
You will be considered as having a disability for discrimination purposes if you fit the definition as given in the Equality Act 2010. In the Act, a disability is a ‘physical or mental impairment which has a substantial and long-term adverse effect on a person’s ability to carry out normal day to day activities.’ For these purposes, ‘long term’ is taken to mean the condition is likely to last longer than 12 months or likely to recur.
Do you have a disability?
Prefer not to say
Yes, I am aware I have a disability
No, I don’t have a disability
As far as I am aware, I don’t have a disability
I have a long-term health condition not a disability
Ethnicity
Prefer not to say
Asian or Asian British
Bangladeshi
Indian
Pakistani
Black or Black British African Caribbean
Chinese
White and Asian
White and Black African
White and Caribbean
White British
White Irish
Other
Religion or Belief
Prefer not to say
Buddhist
Christian
Hindu
Jewish
Muslim
Sikh
Other
No religion
Gender
Prefer not to say
Male
Female
Sexual Orientation
Prefer not to say
Lesbian
Gay man
Bisexual
Heterosexual/straight
Data Protection Statement
Data Controller name: City Learning Trust The Trust uses this information to review compliance with its policies on equal opportunity in relation to recruitment. We will use this data to inform our statistics on the representation of the categories of individual as shown above. We will treat all personal information in line with current data protection legislation and our data protection policy. *For more information on how we use the information you have provided, please see our privacy notice for job applicants which is located at
citylearningtrust.org.
In order for us to process this information and to comply with data protection legislation, we require your consent. You are not required to give your consent; you acknowledge that any consent given is freely given. Your job application is not dependent on your giving consent to our processing of this data. Including your signature below will signify your consent to our processing of this information. Once you have given consent, you may withdraw it at any time by contacting us via email.
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Date
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