teacher of business and economics
TRANSCRIPT
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CHURCH OF ENGLAND - DIOCESE OF SOUTHWARK
TEACHING STAFF APPLICATION
CONFIDENTIAL
SOUTHWARK DIOCESAN
BOARD of
EDUCATION
NAME OF SCHOOL: CHRIST’S SCHOOL
POST APPLIED FOR: BUSINESS AND ECONOMICS TEACHER
Closing date for completed form: 9am, Monday 11th May 2015
Return form to: Mrs J Ralph at: jralphchrists!richmond!sch!u" Christ#s school$ueens RoadRichmond
%urrey &'10 5()
to *hom all +ueries should e addressed
-lease state *here yousa* the ad.ertisementfor this post:
1 APPLICANT'S PERSONAL DETAILS
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2 TEACHER STATUS
1 %)( &eacher 3pplication orm January 2015
mailto:[email protected]:[email protected]:[email protected]
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)o you ha.e $uali;ed &eacher %tatus< es
o
3re there any restrictions on your residence or employment in the 47< es
o /f es, please gi.e details
)o you ha.e documentation to pro.e you are authorised to *or" in the 47< es
o =ailure to produce this documentation *hen re+uested may result in the %chool eing unale topursue your application>
3 SUPPORTING STATEMENT
Please continue on a separate sheet(s) if required.This section is essential and failure to complete this section may render your application invalid.
2 %)( &eacher 3pplication orm January 2015
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8 PRESENT OR MOST RECENT EMPLO9MENT
? %)( &eacher 3pplication orm January 2015
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&ype @ statusofestalishment
3gerangeand roll=approB>
&itle of post =includespecial responsiilities>
)ates ofemploymentand reason=s>for lea.ing
%)( &eacher 3pplication orm January 2015
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EDUCATION AND ACADEMIC UALIFICATIONS
%choolDcollegeDuni.ersity rom &o %ujectsD$uali;cationsDAradesD8onours, dates a*arded and a*arding ody
%econdary =post 1E>
8igher (ducation
urther postgraduate+uali;cations =including -AC(>
IN-SER
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OTHER PAIDUNPAID WORK EPERIENCE =,/#a*# #?,/ai a0 !a,* i #5,/(05#%@
(mployer rom &o ature of 6ccupation and reasons forlea.ing
DETAILS OF OTHER ACTI
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1 RELIGIOUS AFFILIATION = Answering ‘None’ will not disqualify you from being selected forinterview)
F %)( &eacher 3pplication orm January 2015
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)etails of your +uali;cations and eBperience *hich you feel are especially rele.ant to *or"ing in aChurch of (ngland school, not included in your supporting statement! 'here appropriate, pleaseinclude details of a Christian or other faith commitment and any centre of *orship you regularlyattend!
11 PROFESSIONAL REFERENCES - ,/#a*# *,,/0 % a5#* a$ a$$"#**#* ( %( ,#"*(*i//i! %( ,"(vi$# "##"#+#*7 O# *&(/$ )# "(5 0(" +""#% H#a$%#a+"7 I 0( a"#(% +""#%/0 ("6i! i%& +&i/$"#. a "##"#+# "(5 % #5,/(0#" )0 &(5 0( #"#5(*% "#+#%/0 #5,/(0#$ %( ("6 i%& +&i/$"# i// )# "#4i"#$7 R##"#+#* i// (% )#a++#,%#$ "(5 "#/a%iv#* (" ,#(,/# "i%i! *(/#/0 i % +a,a+i%0 ( "i#$*7
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G %)( &eacher 3pplication orm January 2015
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12 DECLARATION B9 APPLICANT
DISCLOSURE OF CRIMINAL CON
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urther to the recent changes =May 201?> to the )isclosure and arring %er.ice, cautions andcon.ictions on the Criminal Record Chec" *ill e ;ltered according to the criteria elo*! -leasedisclose all cautions and con.ictions that fall *ithin these categories:
- Cautions relating to an oHence from a list agreed y -arliament I see https:DD***!go.!u"Dgo.ernmentDpulicationsDdsIlistIofIoHencesIthatI*illIne.erIeI;lteredIfromIaIcriminalIrecordIchec"
-Cautions gi.en less than E years ago =*here indi.idual o.er 1G at the time of caution>
- Cautions gi.en less than 2 years ago =*here indi.idual under 1G at the time of caution>
- Con.ictions relating to an oHence from a list agreed y -arliament I %ee *esite ao.e
- 'here the indi.idual has more than one con.iction, i+/$# a// +(vi+%i(*
- Con.ictions that resulted in a custodial sentence =regardless of *hether ser.ed>
- Con.ictions gi.en less than 11 years ago =*here indi.idual o.er 1G at the time of con.iction>
-Con.ictions gi.en less than 5!5 years ago =*here indi.idual under 1G at the time of con.iction>
-lease note that these are the criteria y *hich the )isclosure and arring %er.ice *ill discloseinformation aout your criminal history should you e oHered the position! 3s a responsile employer,*e *ill e assessing the accuracy of information disclosed *ithin the application *ith *hat is returnedon the completed )% chec"! 3s such, any false information or failure to disclose information held onthe )% chec" at application stage may result in dismissal! ailure to understand the ;ltering criteria*ill grant no protection from dismissal!
Con.ictions-lease list any con.ictions!3dd Con.iction
Cautions-lease list any Cautions3dd Caution
3llegations-lease list any allegations made against you and the outcome to these3dd 3llegation
10 %)( &eacher 3pplication orm January 2015
https://www.gov.uk/government/publications/dbs-list-of-offences-that-will-never-be-filtered-from-a-criminal-record-checkhttps://www.gov.uk/government/publications/dbs-list-of-offences-that-will-never-be-filtered-from-a-criminal-record-checkhttp://stage.haveringschools.jobs/vacancy_applications/online_application/92http://stage.haveringschools.jobs/vacancy_applications/online_application/92http://stage.haveringschools.jobs/vacancy_applications/online_application/92https://www.gov.uk/government/publications/dbs-list-of-offences-that-will-never-be-filtered-from-a-criminal-record-checkhttps://www.gov.uk/government/publications/dbs-list-of-offences-that-will-never-be-filtered-from-a-criminal-record-checkhttp://stage.haveringschools.jobs/vacancy_applications/online_application/92http://stage.haveringschools.jobs/vacancy_applications/online_application/92http://stage.haveringschools.jobs/vacancy_applications/online_application/92
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APPLICANTS FROM OUTSIDE THE UK
3pplicants from outside the 47 need to pro.ide an o.erseas criminal records chec" andDor certi;cateof good conduct from their home country!
/ can pro.ide this information es o
137 KEEPING CHILDREN SAFE IN EDUCATION- DISUALIFICATION REUIRMENTS
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DISUALIFICATION8a.e you e.er een cautioned or con.icted of a serious oHence against children or adults< es □
o □
8a.e you e.er had registration refused or cancelled in relation to childcare or children#s homes oreen dis+uali;ed from pri.ate fostering<
es □ o □
3re you suject to an 6rder, direction or similar in respect of childcare, including an 6rder made inrespect of your o*n children< es □ o □
DISUALIFICATION B9 ASSOCIATION
)o you li.e in the same household as a person *ho is dis+uali;ed li.es or *or"s< es □o □
/f you ha.e ans*ered yes to the ao.e +uestion ha.e you applied for a *ai.er< es □ o □
8a.e you een granted a *ai.er< es □o □
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187 ELIGIBILIT9 TO WORK IN THE UK
3re you eligile to *or" in the 47D((3< es
o
)o you re+uire a *or" permit< es
o
ational /nsurance numer =, etter, umer>
F(" (-EU a,,/i+a%* (/0
)o you re+uire sponsorship certi;cate< es
o
/f yes, please gi.efollo*ing:
%ponsorship &/(R:
o: (Bpirydate:
1;7 DISCLOSURE OF RELATIONSHIP
11 %)( &eacher 3pplication orm January 2015
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3re you related to, or ha.e a close personal relationship *ith any memer of the school#s staH,school go.ernor, the school#s local authority Councillor or Council ocer, or any memer of the%outh*ar" )iocesan oard of (ducation
es o
/f yes, state the name, relationship and position held
12 %)( &eacher 3pplication orm January 2015
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DECLARATION
/ certify that all information gi.en y me on each section of this form and in supporting documents iscorrect to the est of my "no*ledge and elief, that all +uestions ha.e een fully and accuratelyans*ered, and that / possess all +uali;cations *hich / claim to hold and *ill produce e.idence of thesame! / ac"no*ledge that / ha.e read and understood the accompanying notes to applicantsattached to this application form!
/ understand that my name *ill e *ithdra*n from the list of candidates if, prior to appointment, /am found "no*ingly to ha.e omitted or concealed any rele.ant fact, and / ac"no*ledge that suchdisco.ery suse+uent to appointment is li"ely to lead to my dismissal *ithout notice and, *hereappropriate, referral to the police!
/ herey gi.e my permission for a )% chec" to e carried out and consent to the processing of sensiti.e personal data, as de;ned y the )ata -rotection 3ct 199G, in.ol.ed in the consideration of this application!
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1? %)( &eacher 3pplication orm January 2015
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EUAL OPPORTUNITIES
ADDITIONAL INFORMATION =CONFIDENTIAL@ - T&i* *#+%i( ( % ("5 *##6* a$$i%i(a/i("5a%i( ,#"%i#% %( 0(" a,,/i+a%i(7 I% i// )# "#5(v#$ )#("# *&("%/i*%i! a$ i//(% )# *## )0 a0 5#5)#"* ( % *#/#+%i( ,a#/7 A++#** %( i% i// )# /i5i%#$ %( *%aJ iv(/v#$ i a$5ii*%#"i! % a,,(i%5#% ,"(+#** &( ##$ a++#** (" #4a/
(,,("%i%i#* 5(i%("i! (" %( %a6# a$5ii*%"a%iv# a+%i( )a*#$ ,( % i("5a%i(,"(vi$#$ #7!7 O++,a%i(a/ H#a/%& "##""a/
P(*i%i( a,,/i#$ (":
&itle: irst name: %urname:
)ate of irth:
3re there any reasonale adjustments you *ould li"e us to ma"e to enale you to participate fully andfairly in the recruitment process<
es o
/f es, please gi.e details:
1 %)( &eacher 3pplication orm January 2015
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EUAL OPPORTUNITIES MONITORING - # i*& %( 5(i%(" +(%i(*/0 =i % *%"i+%#*%+($#+#@ % ,"(!"#** ( (" E4a/ O,,("%i%i#* P(/i+07 P/#a*# /, * )0 !ivi! %//#*% ,(**i)/# a*#"* %( % 4#*%i(* )#/(7
S#?: M A!#: 20I29 ?0I?9 0I9 50I59 E0IE5
/ consider myself to e disaled *ithin the meaning of the )isaility )iscrimination 3ct 1995
P/#a*# i$i+a%# 0(" +/%"a/#%&i+ ("i!i*
&his information is included as part of the duty of the school to promote race e+uality and to ensuree+ual opportunities for all staH!
White
ritish(nglish%cottish
'elsh6ther: please *rite in/rish3ny other 'hite ac"ground: please *rite in
Black, Black British, Black English, Black Scottish or Black Welsh
Cariean3frican3ny other lac" ac"ground: please *rite in
Asian, Asian British, Asian English, Asian Scottish or Asian
/ndian-a"istaniangladeshi3ny other 3sian ac"ground: please *rite in
Mixed
'hite @ lac" Cariean'hite @ lac" 3frican'hite @ 3sian3ny other MiBed ac"ground: please *rite in
Chinese, Chinese British, Chinese English, Chinese Scottish or Chinese Welsh or otherethnic group
Chinese3ny other ac"ground: please *rite in
Prefer not to state
Put a cross here if you prefer not to state your ethnic group
Fai%&R#/i!i(: -lease specify or decline to ans*er
)ecline to ans*er:
S#?a/ O"i#%a%i(: -lease specify or decline to ans*er
)ecline to ans*er:
15 %)( &eacher 3pplication orm January 2015
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N(%#* %( a,,/i+a%*
• efore signing this form please chec" that e.ery section has een completed!
• &he form should e returned as instructed in the details of the post!
• (nclose a stamped addressed en.elope if you *ish us to ac"no*ledge your application!
• ou are reminded that this is an application form for a post in a Church of (nglandDChurch in 'ales
oluntary 3ided school or a oundation school in *hich the Ao.erning ody is the employer! /f youare appointed the Contract you *ill e as"ed to sign *ill include the follo*ing clause =the secondparagraph is omitted in the case of a oundation school or *here you are not re+uired to gi.ereligious education>:
o 3s a teacher in a Church of (nglandDChurch in 'ales school you are re+uired to ha.e regard
to the Christian character of the school and its oundation and to underta"e not to doanything in any *ay contrary to the interests of the oundation!
o ou may e re+uired to gi.e andDor super.ise the gi.ing of religious education in accordance
*ith the doctrines of the Church of (nglandDChurch in 'ales and &rust )eed of the %chool! ou are re+uired to ta"e part in and lead acts of religious *orship!
• &he successful applicant *ill e re+uired to pro.ide an (nhanced )isclosure from the )%!
Details of referees
• 6ne referee should e your current or most recent employer! /f you are not currently *or"ing *ith
children ut ha.e done so in the past, a reference *ill e re+uired from the employer y *hom you*ere most recently employed in *or" *ith children!
• &he school *ill see" references on shortIlisted candidates, and may approach pre.ious employers
for information to .erify particular eBperience of +uali;cations, efore the inter.ie*!
• /f you are currently *or"ing *ith children, on a paid or .oluntary asis, your current employer *ill
e as"ed aout disciplinary oHences relating to children, including any penalty *hich is time eBpiredand *hether you ha.e een the suject of any child protection concerns, and if so, the outcome of the en+uiry or disciplinary procedure! /f you are not currently *or"ing *ith children ut ha.e doneso in the past, the rele.ant pre.ious employer *ill e as"ed aout those issues!
• References from relati.es or friends *riting solely in the capacity of friends *ill not e accepted!
1E %)( & h 3 li ti J 2015