mega-item-1773

Personal Details

Surname

Forename(s)

Address

Contact Number

Date of Birth

National Insurance Number

Qualified Teacher Status

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

Years Known

Reference 2

Name

Address

Occupation

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?

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

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?

Ethnicity

Religion or Belief

Gender

Sexual Orientation

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.

Name

Date

Part of the City Learning Trust

Thanks - Job Application Popup

Application Form

Please fully complete the form to apply for the position of

mega-item-1773

Personal Details

Present or Most Recent Employment

References

Previous Employment

Employment Gaps

Education, Qualifications & Training

Skills, Experience & Knowledge

Disability

Rehabilitation of Offenders Act 1974

Declaration

Reference Permission

Equal Opportunities Monitoring Form

Data Protection Statement