Application Form for Support Staff role

Application for the post of:* School* Where did you see the post advertised?*

BEFORE COMPLETING THIS FORM, PLEASE READ THE INSTRUCTIONS ‘APPLYING FOR A JOB WITHIN THE DUSTON SCHOOL’

Personal Details

Title* First name(s)* Surname* Preferred Name Email* Home telephone number Mobile telephone number* Address (line 1)* Address (line 2) Town / City* Postcode*

Are you aged 16 or over*YesNo

Current or Most Recent Employment

Name of Employer* Address (line 1)* Address (line 2) Town / City* Postcode* Telephone number* Position held* Date appointed* Notice required Salary/Wages £* Please Give A Brief Description Of The Main Duties Of This Post*

Previous Employment

Start with your most recent job. You should include 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 may be asked to explain the gaps.

*
	Name of employer/organisation and full address	Job Title	From Month/Year	To Month/Year
1
2
3
4

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

Education and Qualifications

Education and Qualifications

Please give details of your education and any qualifications obtained. This should include any qualifications which you are studying for now. You will be required to prove you have obtained the qualifications you have listed.


Secondary School/College/University/Institute
Qualifications and grades achieved

Training And Memberships

Please give details of any training you have had which you feel is relevant to the job you are applying for. Include any on-the-job training as well as formal training courses. There is no need to mention any courses listed in section 4.

		Date (approx) started/completed
Title of training programme/course and brief description
Membership of Professional Association and Level

Teachers’ Pensions Reference Number (Teachers only) GSCC Registration Number (Qualified Social Workers only)

Additional Information

Disabilities

The School wishes to encourage people with disabilities to apply for jobs.

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 enter

If you have a disabilityPlease tick here

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?*YesNo

If you answered yes please give details

Flexible Working Arrangements

Please indicate below if you wish to undertake this job on a flexible working arrangement pattern:*Flexible working pattern onlyFull time onlyEither flexible working pattern or Full time

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 explain 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.

Other Details

Are you able to travel freely between locations?*YesNo

Do you have a current driving licence?*YesNo

Do you need a work permit to work in the UK?*YesNo

If yes, when does your current work permit expire? What is your National Insurance Number?

Are you related to any Governing Body member of the school?*YesNo

Are you related to any employee of the School?*YesNo

If you have answered yes to either of the last two questions, please give full details below.

I would like you to retain my details on your files for a period of 6 months for consideration should suitable alternative opportunities arise.*YesNo

Declaration Of Interest

In Private Enterprise/Code Of Conduct

The Duston School employees must not allow personal and/or private interests to influence their conduct as employees.

In particular The Duston School requires all applicants (and existing employees) to inform The Duston School if they have any other current employment and also if they, their partners or close relatives have an interest in a private enterprise. If The Duston School considers that there is 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 booklet ‘Applying for a Job with The Duston School’.

Please detail any such information below.

Criminal Convictions

This appointment is excluded from the Rehabilitation of Offenders Act 1974. Applications must declare any convictions which for other purposes are “Spent” and in the event of employment, failure to disclose such convictions could result in dismissal or disciplinary action by the School. This includes the Childcare Disqualification Requirements (DfE). I will provide the information requested on a questionnaire to be sent to me at the time of shortlisting and understand that the provisionally selected candidate for such posts will be required to apply for a criminal record check through the Disclosure and Barring Service, at the appropriate level. Any information will be treated confidentially.

Signed*Please check the box to confirm the criminal convictions statement above

Date of signature*

References

References will only be required for candidates shortlisted for interview. Candidates must give names and addresses of two referees (not relatives or people with whom you live). If you have been in employment, one referee must be your present or most recent employer. We reserve the right to ask you for further referees if necessary.

Name by which you were known to your referee(s) if different from now

(A) Referee Details

Name* Position in organisation (if applicable)* Address* Postcode* Email* Telephone Number*

(B) Referee Details

Name Position in organisation (if applicable) Address Postcode Email Telephone Number

References may be requested prior to interview, for those candidates shortlisted.

May we contact your present employer if you are shortlisted?*YesNo

If you have indicated NO above, please note that references will be required if you are the preferred candidate
after interview.

Declaration

I declare that I have read and understood the contents of the booklet ‘Applying For a Job With The Duston School’.

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 Duston School shall be entitled to withdraw any offer of appointment or terminate any contract of employment.

I will not approach any elected School or employee of The Duston School 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.

The Duston School

Application Form for Support Staff role

Personal Details

Current or Most Recent Employment

Previous Employment

Education and Qualifications

Training And Memberships

Additional Information

Disabilities

Flexible Working Arrangements

Supporting Statement

Other Details

Declaration Of Interest

In Private Enterprise/Code Of Conduct

Criminal Convictions

References

(A) Referee Details

(B) Referee Details

Declaration

Default Text

Default Text

Default Text

Default Text

Default Text

Default Text

Cookie Policy