PERSONAL DETAILS



139065016192500Application for employment as TEACHER OFPlease complete this form IN FULL. PERSONAL DETAILSSurname First Name(s) Your permanent home address, including post code, home contact telephone number and email addressTitle (Mr/Mrs/Ms/Miss/Dr) Daytime contact telephone number(s) and email addressNational Insurance NoDfE reference number (7 digits) Any former Surnames (e.g. maiden name) or First Names DRIVING LICENCEDo you hold a current valid driving licence? YES / NO (delete as appropriate)Is your driving licence Provisional / Ordinary / Other (please specify)Do you have a D1 licence (to drive a minibus)? YES / NO (delete as appropriate)EMPLOYMENT AND CAREER HISTORY – see appendix attachedPlease supply a full history of work, parenting or other experience on the separate appendix sheet enclosed, starting with your most recent position and working backwards since leaving secondary education. Include periods of any post-secondary education/training, part-time and voluntary work as well as full time employment, with start and end dates (months and years); explanations for periods not in employment, education or training; salaries and reasons for leaving employment. Applicants should note that in accordance with guidelines from the Department for Education (DfE) to prevent unsuitable people working with young people, Ipswich School may contact any previous employer.EDUCATION AND QUALIFICATIONS Important Note: candidates will be asked to verify qualifications relevant to the post applied for. Please continue on a separate sheet if necessary.FIRST DEGREEInstitution where you studied for your first degree Subject(s) that you studied for your first degreePlease specify class of degree (e.g. BA 2:1) and date obtainedTEACHING QUALIFICATIONIf you have a PGCE, Cert Ed, BEd or other teaching qualification, please give details. Candidates whose first degree was a BEd or equivalent should simply put ‘see above’. The teaching qualification you obtained and date awardedThe institution which awarded the qualificationHIGHER DEGREE(S)Degree(s) obtainedSubject(s) studiedInstitution(s) which awarded the degree(s)OTHER PROFESSIONAL QUALIFICATIONSPlease give details of any other qualifications which you have, including the dates when you obtained themSECONDARY EDUCATION Please give details relating to A levels, Highers or equivalentDatesFromToName of School or CollegeExaminations Passed/Grades Obtained INTERESTS AND APTITUDESPlease let us know about your personal interests and skills, and about your involvement in extra-curricular activities in the schools in which you have taughtPlease state details of any special requirements you may have if you are called for interview SUPPORTING INFORMATIONPlease provide a separate covering letter, or use this page, to set out your reasons for applying for this post, and to provide any other information in support of your application. Please continue on a separate sheet if necessary. CURRENT EMPLOYMENT (further details)You may have given some of this information in the Employment and Career History section or in your supporting information and may simply put ‘see attached’ if applicableOutline of responsibilities in current employmentDate when you commenced current employment Current salary REFERENCESReferences will always be obtained prior to interview, to enable the content to be discussed with you during your interview. Please note we require two full, verified references prior to issuing a formal offer of employment. Please give the names, addresses and contact details of two people who would be willing to supply a reference about you, at least one of whom must be your most recent or current employer or a suitable person in authority at your university/college if this is your first teaching post. Please state in what capacity they know you. Please note that references are not acceptable from relatives or from people writing solely in the capacity as friends and that it is Ipswich School’s policy to verify all references.Most recent or current employer or suitable person at your university/collegeName Position Full Postal Address (including post code)Telephone number and e-mail address Other refereeName Position Capacity in which you know the person (please see notes above) Address Telephone number and e-mail address Important note:If you are not currently working with children but have done so in the past, we will obtain a reference from that employer and we will ask you to supply relevant details in order for us to do so. We may also approach previous employers, particularly where you have worked with children, for information to verify particular experience or qualifications or issues as outlined above before interview.If you are currently working with children on either a paid or voluntary basis, your current employer with children will be asked about disciplinary offences relating to children, including any in which the penalty is ‘time expired’ and whether you have been the subject of any child protection concerns and if so, the outcome of any enquiry or disciplinary procedure. I give consent for Ipswich School to contact the above named to obtain employment referencesSigned Dated DECLARATIONSIpswich School is committed to safeguarding and promoting the welfare of children and young people and expects all staff to share this commitment. Applicants must be willing to undergo child protection screening, including checks with past employers and the Disclosure and Barring Service (DBS). Having a criminal record will not necessarily be a bar to obtaining the position. The Ipswich School Policy on the recruitment of ex-offenders and the Code of Practice relating to the Disclosure and Barring Service are available on the School’s website ipswich.school/vacancies, or on request (hr@ipswich.school)VETTING: DISCLOSURE AND BARRING SERVICEPlease note: if your application is successful a Disclosure will be required from the Disclosure and Barring Service (DBS). The post is exempt from the Rehabilitation of Offenders Act 1974 and therefore all convictions, cautions, reprimands and final warnings, including those regarded as ‘spent’ must be declared. You should exclude those defined as ‘protected’ by the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 as amended in 2013*. *The amendments to the Exceptions Order 1975 (2013) provide that certain spent convictions and cautions are ‘protected’ and are not subject to disclosure to employers and cannot be taken into account. All guidance and criteria on the filtering of these cautions and convictions can be found in the?DBS filtering collection.IMPORTANT: Please delete one of the following statements – your application may not be considered if you do not complete this section:I do not have any criminal convictions, cautions, reprimands or final warnings (in the UK or in another country)I attach details of convictions, cautions, reprimands or final warnings that are not ‘protected’ as defined by the?Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (as amended in 2013)Are you currently registered with the DBS Update Service? YES / NO (delete as appropriate)Have you ever been subject to any disciplinary action in your current or previous positions /employments, or had allegations made against you? YES / NO (If yes, please provide details below)Do you have the right to live and work in the UK? YES / NO (delete as appropriate)Are there any restrictions to your right to live and work in the UK which might affect your right to take up employment with us in this post? YES / NO (delete as appropriate). If yes, please provide details belowHave you lived outside of the UK for more than three months in the past five years, or for more than twelve months in the last ten years? YES / NO (delete as appropriate). If yes, please provide details below. Please specify which countries, and the month and year those stays started and ended.I declare that:the information given on this form is true and complete to the best of my knowledge and belief I am not disqualified from working with children under the Childcare (Disqualification) Regulations 2018 (if relevant to the post applied for) Note: further information on the staff to whom these regulations apply can be found here: am not included in any list of people barred from working with children by the Disclosure and Barring Service (DBS), the TRA (Teaching Regulation Agency), or subject to sanctions imposed by any other regulatory body/organisation in the UK or EEAI have enclosed details of any convictions, cautions, reprimands or final warnings (in the UK or in another country) if appropriate I know of no reason, on grounds of mental or physical health, why I should not be able to discharge the responsibilities required by this post I consent to the School making direct contact with the people specified as my referees to verify the referenceI consent to the School making direct contact with all previous employers where I have worked with children or vulnerable adults to verify my reason for leaving that position.I?understand that providing false information is an offence and could result in the application being rejected, an offer of employment being withdrawn, or summary dismissal (if I am selected for the post), and possible referral to the police.SignedDate If you are submitting this application form electronically and it has not been signed, you will be asked to provide a signed copy prior to any offer of employment being made. In accordance with the Data Protection Act 1998, and the General Data Protection Regulations, Ipswich School intends to use the information supplied in this form for the purpose of recruitment and selection only. Your signature on this form indicates your consent to the information being kept and used for Ipswich School personnel records if?successful. If unsuccessful, this information will be kept for a certain period and then destroyed. All information you provide will be treated as confidential and managed in accordance with relevant data protection legislation and guidance. A copy of the School’s Privacy Notice can be found on the School’s website: ipswich.school. Please return completed form to: Mr N Weaver, Headmaster, Ipswich School, 25 Henley Road, Ipswich IP1 3SG or by emailing hr@ipswich.school. Please tell us how you heard about this vacancy Are you related to, or maintain a close relationship with, an existing employee, volunteer or Governor of the School. If so, please provide details:APPENDIX : EMPLOYMENT AND CAREER HISTORYName Application for Employment as IMPORTANT NOTE: Do you have any gaps in your employment history? If so, please make sure relevant dates and explanations are given (e.g. parenting, looking for work, career break). DatesFrom(monthandyear)To(month and year)Employer's Name, Address and Type of Businessor Name and Address of School/CollegePosition Held, Duties, Salary and Reason for Leavingor Course TitlePlease continue overleaf if necessaryDatesFrom(month and year)To(month and year)Employer's Name, Address and Type of Businessor Name and Address of School/CollegePosition Held, Duties, Salary and Reason for Leavingor Course Title ................
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