School Name Trinity Church of England Primary School


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Application Form for Teaching Appointments


Application for the post of Click here to enter text.

School Name Trinity Church of England Primary School







Post Number (If applicable) Click here to enter text.


BEFORE COMPLETING THIS FORM, PLEASE READ THE ATTACHED INSTRUCTIONS

APPLYING FOR A JOB WITHIN NORTHAMPTONSHIRE COUNTY COUNCIL’


1 PERSONAL DETAILS

Surname Click here to enter text.

First Name(s)

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Title (Mr, Mrs, Miss, Ms etc)

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Preferred Name

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Former Surnames Click here to enter text.

Former Forenames Click here to enter text.

Address

Telephone Numbers:

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Home Click here to enter text.

Second Line of Address.

Work

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Third Line of Address.

Mobile

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Post Code Click here to enter text.

Email address

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National Insurance Number

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2 CURRENT OR MOST RECENT EMPLOYMENT

Name of Local Authority or Employer Click here to enter text.

Name of School or Establishment Click here to enter text.

Address of School or Establishment Click here to enter text.

Second Line of Address.

Third Line of Address.

Post Code

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Telephone Number

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Position Held Click here to enter text.

This post was

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Date Appointed to School Click here to enter a date.

Date Appointed To Position

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Date Free to Take Up Appointment Click here to enter a date.

Age Range of School

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Second Subject Offered Click here to enter text.


Salary/Allowance Details:

Current Scale:

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If other, please state:

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Current Point:

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Allowances:

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For Leadership Scales, please state: School Group:

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For Leadership Scales, please state: ISR:

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Current Salary (for non education employment):

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Teachers Pension: Please give details of Election to Opt Out where applicable Click here to enter text.





Please give a brief description of the main duties of this post:

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3 PREVIOUS EMPLOYMENT


Starting with your most recent employment, list all paid employment, voluntary work, periods of unemployment and time spent out of employment whilst undertaking caring responsibilities since leaving school, college or university. You must provide explanations for any gaps or periods not in employment; training or education since leaving secondary education. Teaching practise should only be included where this application is for your first teaching job.


Name of school,

employer or voluntary agency (inc name of

LA )

FT /

PT /

Supply

School Type: Primary/

Second/ Special/ Other)

Age

Range

Of

School

Number

On Roll

Position Held and Salary Point

From

Month/

Year

To

Month/

Year

Reason for Leaving


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We reserve the right to approach any of the previous employers/organisations listed in this section to confirm the details you have supplied



4 EDUCATION AND QUALIFICATIONS


Please give details of your education and any qualifications obtained with most recent first. This should include any qualifications which you are currently studying for. You will be required to produce original documents, a certified copy, or letter of confirmation from the awarding authority for all your qualifications and accreditations at your interview. Qualifications obtained overseas must be supported by NARIC accreditation.


Institute/University/College/Secondary School

Qualifications and Grades Achieved

Date Awarded


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5 TEACHER TRAINING, OTHER PROFESSIONAL QUALIFICATIONS AND MEMBERSHIP


You will be required to produce original documents, a certified copy, or letter of confirmation from the awarding authority for all your qualifications and accreditations at your interview. Qualifications obtained overseas must be supported by NARIC accreditation. Please list most recent award first.


College or Department of Education Attended (with dates)

FT / PT

Qualifications and Grades Achieved

Date Awarded


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Choose an item.




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We reserve the right to check QTS and Induction status with the Teaching Agency.
Do you have Qualified Teacher Status (QTS)?  Yes  No
Date Qualified Teacher Status attained: Click here to enter a date.
If you qualified as a teacher after 7th May 1999, have you successfully completed NQT Induction?
 Yes  No





6 IN-SERVICE COURSES AND ADDITIONAL ACHIEVEMENTS


(i.e. Swimming awards, music certificates, coaching awards etc.). You will be required to produce original documents, a certified copy, or letter of confirmation from the awarding authority for all your qualifications and accreditations at your interview. Qualifications obtained overseas must be supported by NARIC accreditation.


Title of Training Programme/Course

Date

Awarding Body


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7 RIGHT TO WORK IN THE UK


Do you have the legal right to work in the UK? Yes  No 
If yes, and there are conditions attached, i.e. start and finish dates, please specify: Click here to enter text.
You will be required to present original and valid evidence of eligibility to work in the UK at your interview.


8 ADDITIONAL INFORMATION


Disabilities
The Council encourages people with disabilities to apply for employment.
If you have a disability (as defined by the Disability Discrimination Act) and meet the essential criteria for the

post you will receive an interview.
Please tick here if you have a disability 
You do not have to declare a disability, but you can only be guaranteed an interview (subject to meeting the essential criteria for the job) if you tell us.



In relation to any disability, would you require special facilities or assistance at interview?
Yes  No 
If you have answered yes, please give details below:
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Flexible Working Arrangements:
Please indicate below if you wish to undertake this job on a flexible working arrangement:
 Full time  Part-time  Job Share





9 RESTRICTIONS


Certain restrictions apply to the appointment to the same establishment or the County Council of persons who

are related to or have a close relationship with existing members of staff.
Are you related to any County Councillor/Governor? Yes  No 
Are you related to or have a close relationship with a Governor/County Councillor or any employee of the Council?

Yes  No 
If you have answered yes to either of the last two questions, please give full details below:
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10 DECLARATION OF INTEREST / CODE OF CONDUCT


Employees must not allow personal and/or private interests to influence their conduct as employees.
In particular, all applicants (and existing employees) are required to inform the County Council/Governing Body if they have any other current employment and also if they, their partner or close relatives have an interest in a private enterprise that may represent a conflict of interest. If the County Council/Governing Body considers that there is a conflict of interest (as a result of information disclosed) you will not be considered for employment. Non disclosure of a possible conflict of interest could also result in any employment being terminated.
Examples are given in the attached leaflet ‘Applying for a Job with Northamptonshire County Council’.

Please detail any such information below.
Important: Even if you have nothing to declare, please indicate this by writing “None” in the space below.

(Should you require more space to write, please continue on a separate sheet of paper)

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Signed Date





11 CRIMINAL CONVICTIONS


This appointment is exempt from the Rehabilitation of Offenders Act 1974 and subject to an enhanced Disclosure and Barring Service Disclosure in accordance with the requirements of the Disclosure and Barring Service and the Police Act 1997. You must declare all convictions (including convictions with Absolute Discharge), cautions or bind-overs you may have, even if they would otherwise be regarded as “Spent” under this Act. In the event of employment, failure to disclose a conviction, caution or bind-over could result in dismissal or disciplinary action by the Authority and possible referral to the Police.
Have you ever been convicted of a criminal offence (including Absolute Discharge) or been given a caution;

Reprimand; warning or bind-over?
Yes  No 
If yes, please attach details in a sealed envelope marked confidential with your name and post applied for on the front of the sealed envelope and hand this in with your application form or bring this with you to interview.
Please refer to the guidance notes for further information on this section.


I will provide the information requested on the Disclosure and Barring Service application form which is to be sent to me if shortlisted and understand that the provisionally selected candidate for such posts will be required to apply for an enhanced Disclosure and Barring Service Disclosure. Any information received will be reviewed using DBS and Vetting and Barring Guidance in order to establish whether the information is relevant to the responsibilities of the post.


Signed Date





12 SUPPORTING STATEMENT


Your application form is the only means we have to judge your capability and potential and the information in it will be assessed against the criteria listed on the person specification to draw up a shortlist for the next stage of selection. No assumptions will be made about your experience.
Please describe below how your experience, skills and knowledge, meet the criteria for the post as described in the person specification. Make sure you address all the criteria on the person specification. (Please continue on a separate sheet if necessary)
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Please leave blank



13 REFERENCES

References will only be required for candidates shortlisted for interview. Candidates must give names and addresses of two referees (not relatives, friends or people with whom you live). If you have been in employment, one referee must be your present or most recent employer. If the employment was within a school, the reference must be written by the Head Teacher. We reserve the right to ask you for further referees or contact previous employers if necessary.


A REFEREE DETAILS

Name Click here to enter text.


Position in organisation Click here to enter text.

(if applicable)
Relationship to Applicant Click here to enter text.



Address Click here to enter text.

Click here to enter text.

Click here to enter text.

Postcode Click here to enter text.

Email Click here to enter text.

Telephone Number Click here to enter text.




B REFEREE DETAILS

Name Click here to enter text.


Position in organisation Click here to enter text.

(if applicable)
Relationship to Applicant Click here to enter text.



Address Click here to enter text.

Click here to enter text.

Click here to enter text.

Post code Click here to enter text.

Email Click here to enter text.

Telephone Number Click here to enter text.




Name by which you were known to your referee(s) if different from now Click here to enter text.



Safer Recruitment in Education Guidance advises it is best practice to obtain references for shortlisted

candidates prior to interview.

May we contact your present employer if you are shortlisted? Yes  No 



If you have indicated NO above, please note that satisfactory references will be required if you are the preferred

candidate after interview and before starting employment.



14 DECLARATION


I declare that I have read and understood the contents of the attached leaflet ‘Applying For a Job With Northamptonshire County Council’.
I declare that the information I have provided is a complete and true statement.
I understand that any offer of appointment and subsequent employment is conditional on this declaration and if

my application is incomplete, untrue or inaccurate, then the County Council/Governing Body shall be entitled to

withdraw any offer of appointment or terminate any contract of employment.
I will not approach any Governor/elected Councillor or employee of the County Council in order to advance my

appointment, as I understand this will disqualify me from consideration, other than if the advertisement invites

me to contact a named individual.
I understand that the information provided on this application form will be used to form the basis of a personnel

file and a computerised personnel record should an offer of appointment be made. Further details about data

protection will follow with any contract of employment.

Signature Date      

Print Name: Click here to enter text.




MONITORING OF RECRUITMENT & SELECTION





Initials Click here to enter text. Surname Click here to enter text.
Position applied for Click here to enter text.
Location Click here to enter text.
Post No. Click here to enter text.

(as stated in the advertisement)





  1. The County Council is committed as part of its Equal Opportunities and Social Justice Policy to attempt to ensure that no job applicant or employee receives less favourable treatment on the grounds of colour, race, ethnic or national origin, language, religion, gender, marital status, sexuality, disability, age, social background or any other unjustifiable reason. Procedures will be regularly reviewed to ensure that individuals are recruited, promoted, trained and treated on the basis of merits and abilities.



  2. One means of monitoring recruitment practice is by analysing data obtained from applicants for employment with the County Council. Your co-operation in providing the information requested below will be appreciated. This information will not form part of your application and will be separated from your application on receipt. Please be assured that it will be treated confidentially, used for analysis purposes only and will contribute to the development of future recruitment practice aimed at equality.




  1. The County Council requires all its employees, in the course of their work, to behave in a non discriminatory way toward other employees and members of the public. All County Council staff are encouraged to be part of developing equality and social justice through the practices, provision of services and policy in which they are involved.


If you would like to comment on the information sought, please do so below:
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Please answer the questions below by marking the appropriate box


AGE (YEARS)










16-20 

36-40 

56-60 




21-25 

41-45 

61 and over 




26-30 

46-50 







31-35 

51-55 











Gender Female  Male 
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