Teacher of English to a level including Literacy Support


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NameTeacher of English to a level including Literacy Support
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CONFIDENTIAL


APPLICATION FOR

TEACHING APPOINTMENT






Reference No

01/Eng/29/7/2017 18:03

Post

Teacher of English to A Level including Literacy Support

(Maternity Cover, full-time)

February 2017 to May 2017

Closing Date

Thursday 10 November 2016

Closing Time

2.00 pm

Return Arrangements

This form should be completed and returned to:

The Principal

St Mary’s Grammar School

3 Castledawson Road

MAGHERAFELT BT45 6AX


Please ensure that you have read the ‘Applicant Guidance Notes’ before completing this application form. A Curriculum Vitae or additional pages must not be submitted. Applicants must ensure they provide sufficient information on the application form to enable the selection panel to assess their eligibility for consideration. Failure to do so will result in the application being rejected. Late applications will not be accepted. Any alterations to this form will invalidate your application.
SECTION A – PERSONAL DETAILS

(Dr/Mr/Mrs/Ms/Miss) Please delete as appropriate

Forename(s)




Surname




Address







Postcode



Contact Email Address





Daytime Contact Number(s)







National Insurance Number




























Are you free to remain in and take up employment in the UK?

Yes




No




GTCNI Registration Number




Date of Registration

(or expected date as appropriate)




Teacher Reference Number (if applicable)




What notice are you required to provide your present employer?






SECTION A – PERSONAL DETAILS (Continued)


References




Please give the names and addresses of two referees, one of whom should be able to comment on your suitability to work with children/young people in an educational setting and/or your professional ability. Prior consent of referees should be obtained. References must not be submitted with this form. The Authority/Board of Governors will seek references from present/previous employers for all posts involving ‘regulated activity’.


  1. Character Referee

2. Professional Referee

(Current/ recent employer)

Name:




Name:




Address:



Address:




Tel No:




Tel No:




Capacity in which you (the referee) know this person:




Capacity in which you (the referee) know this person:




Position Held:




Position Held:




Email Address:




Email Address:




Please note - Any family member or person involved in the recruitment process for the post for which you are currently applying cannot act as a referee.




Disability

In accordance with the Disability Discrimination Act, a person is disabled if they have, or have had, “a physical or mental impairment which has, or has had a substantial and long-term adverse effect on their ability to carry out normal day to day activities”.

Do you have a disability that requires reasonable adjustments to be made if you are called for interview or assessment?

Yes  No 

If you consider yourself to have a disability please provide any relevant information about requirements that you may have so that reasonable arrangements can be made for your attendance at interview (if short-listed).



St Mary’s, as part of its Equal Opportunities Policy, welcomes applications from people with disabilities.


SECTION B – INFORMATION RELATING TO THE SELECTION PROCESS
EDUCATION AND TRAINING

Post Primary School Education (for example GCSE/GCE etc)

Subject

Level of Exam

Examining Body

Grade

Year Obtained


















Higher Education

Name of University or College

Dates

Qualification / Degree Awarded

If honours, state class and division*












Main / subsidiary subjects studied in each

Year


1st Year

2nd Year

3rd Year

4th Year











* Predicted grade/classification can be entered. If an offer of employment is made and the predicted grade/classification has been used as an essential, desirable or enhanced criterion and is NOT achieved, the offer will be withdrawn.


Teacher Training

College or University Department

Dates

Qualification(s) obtained










Subjects Studied during training

(main subjects and other subjects)







Has the final exam been passed?

Yes




No




If no, when is the final result expected?









SECTION B – INFORMATION RELATING TO THE SELECTION PROCESS (Continued)



Additional Qualifications

Name of Awarding Body

Dates

Qualification(s) obtained













Membership of Professional Bodies

Name of Organisation

Dates

Qualification/membership status attained












RESPONSIBILITY DETAILS (if applicable)

Responsibility Points in order of award

(if applicable)

Dates of award

Main Duties

From

(dd/mm/yy)

To

(dd/mm/yy)














INSERVICE TRAINING

Please include any relevant course(s) you have attending (from/to) in the last 5 years whether as a participant or a leader.


Title of Course

Dates Attended

From

To












EMPLOYMENT

Present Teaching Employment







School name and type:




Date appointed

to the school:




School Address:




Present post held:




Date appointed to present post:




Postcode:




Temporary




OR

Permanent




Enrolment at present school:




Current point on teacher salary spine:




Key stage(s) / subject(s) taught since appointment



Additional teaching responsibility allowance points (if any) attached to present post (include date of award of each allowance)



Other allowances (if any) attached to present post (include date of award of each allowance)



Outline duties / responsibilities attached to present post:






SECTION B – INFORMATION RELATING TO THE SELECTION PROCESS (Continued)


Previous Teaching Experience (Please list most recent first)

Name and type of school

Position held (Include details of salary and any teaching allowances)

Key Stage/Subject(s) taught

Reason for leaving

Dates

From

dd/mm/yy

To

dd/mm/yy



















EMPLOYMENT (Continued)

If you graduated since 1997, please indicate if you have successfully completed the following:

Induction

Yes




No




Date completed










EPD

Yes




No




Date completed










If you graduated before 1997, please indicate if you have successfully completed the following:

Probation

Yes




No




Date completed











SECTION B – INFORMATION RELATING TO THE SELECTION PROCESS (Continued)


Non-teaching Employment (Please list most recent first)

Name and address of employer

Job title/Grade

Dates (dd/mm/yy)

Main duties and responsibilities

Reason for leaving

From

To
















GAPS IN EMPLOYMENT

Please provide information below to explain any gaps in your employment history.



CHILD PROTECTION

(Please note this post involves ‘regulated activity’ as defined under Safeguarding Vulnerable Groups (NI) Order 2007) (see notes of guidance)

Are you aware of anything in your employment or personal history which would render you unsuitable to work with children and young people?

If Yes, please provide details below.

Yes

No











TRANSPORT

Do you hold a current driving licence

Yes




No




Do you have access to a car or other suitable form of transport if necessary to meet the essential requirements of the post?

Yes




No





SECTION B – INFORMATION RELATING TO THE SELECTION PROCESS (Continued)
ESSENTIAL CRITERIA
In this section applicants must present clear evidence to demonstrate how they meet each of the essential criteria, including relevant dates (as appropriate) and relevant examples. Please ensure you only use the space provided. Additional pages will not be submitted to the selection panel.


Essential Criteria




SECTION B – INFORMATION RELATING TO THE SELECTION PROCESS (Continued)
DESIRABLE CRITERIA
In this section applicants must present clear evidence to demonstrate how they meet each of the desirable criteria, including relevant dates (as appropriate) and relevant examples. Please ensure you only use the space provided. Additional pages will not be submitted to the selection panel.


Desirable Criteria






SECTION B – INFORMATION RELATING TO THE SELECTION PROCESS (Continued)
Additional relevant information






SECTION C – APPLICANT DECLARATION
Please tick to confirm.
 I have read the Terms and Conditions of Employment relating to the position. I declare that I have not canvassed in any way and that the information contained in this form is true and accurate. I understand that canvassing and/or falsification of information could result in disqualification or dismissal.
 I understand that this post is (or may be) exempt from the provisions of the Rehabilitation of Offenders (NI) Order 1978. In the event of my application being successful, I consent to a check being made by Access NI, a single history disclosure body, to determine if there is any record of criminal convictions, pending prosecutions, cautions or bind-over orders against me.
 I understand that the information on this form is required by the Education Authority for the purposes of processing my application. The information is covered by the provisions of the Data Protection Act 1998. I understand that by completing this declaration I am indicating my authorisation for the Education Authority to process and retain the information for the purposes stated including approaching my current employer for a reference in the event of my being recommended for appointment.
 I will contribute to the extra-curricular life of the school.


Signature




Date






Please complete and return this form by the closing date advertised, to the Address on the front of this form.

St Mary’s is an Equal Opportunity Employer, committed to fairness and equality.

Fraud Prevention and Detection – St Mary’s is under a duty to protect the public funds it administers and, to this end, may use the information you have provided on this form for the prevention and detection of fraud. It may also share this information with other bodies responsible for auditing or administering public funds for these purposes.




29/7/2017 18:03

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