Teaching application form - Web viewHave you ever been the subject of a formal disciplinary procedure or have you ever been ... Rehabilitation of Offenders Act 1974 or do you have

Edgcumbe Avenue Newquay Cornwall TR7 2NLTel: 01637 874543

[email protected] www.newquayjunior.net

Headteacher: Mr Andrew Reep BSc (Hons), PGCEAssociate Deputy Headteacher:  Mrs Anne Howard B.Ed (Hons)

APPLICATION FOR A TEACHING APPOINTMENTCONFIDENTIAL

This form should be typed or clearly written in black ink and returned as requested in the advertisement/job description.Post Title

Name of School Newquay Junior Academy

Surname Title

First Name(s)

Previous Surname(s)

Home Address

Telephone Number Day Evening

E-mail Address

Teacher Reference Number

Date of recognition by DfE as a qualified teacher

National Insurance NumberTitle of present or last teaching post held

Name, address and telephone number of school/college in which present or last employed

Name, address and telephone number of present or last employing LAORIf employer independent or GMS establishmentCommencement Date On which date would you be

able to start duty if appointed?

EDUCATION AND PROFESSIONAL TRAININGEducation at Degree Level and beyondName of University/College and inclusive dates of attendance

Title of course followed and qualification obtained – if Honours degree – state class

Date awarded

AGE RANGE/SUBJECTS THAT YOU ARE QUALIFIED TO TEACHAge range

Principal subjects

Other subjects

RECENT PROFESSIONAL DEVELOPMENT (Courses etc, within the last three years)Course / Venue / Organising Body Period of Course and Year

PARTICULARS OF TEACHING EXPERIENCE – INCLUDING CURRENT OR LAST POST (most recent post first)Establishment name, type of school, status of school, gender taught, and name of LA if applicable

Numberon roll

Key Stages taught

Post held, grade/scale etc

FT/PT If PT give hours

PLEASE GIVE PRECISE DATESFrom To

D M Y D M Y

SALARY

If current or last post was on standard scale

Salary - £pa Salary Point Details of any additional payments/allowances

If current or last post was as a Headteacher or Deputy Headteacher

Salary - £pa Salary Point School Group Size

ALL EMPLOYMENT OTHER THAN TEACHINGName and address of employer/ organisation

Post held, grade/scale and nature of activities undertaken

FT/PTIf PT give hours

From ToM Y M Y

REFEREESPlease give two referees who can write from experience about your professional competence. Do not use friends or relatives. If you are a qualified teacher, unless you are seeking your first appointment, you should quote your present or most recent Headteacher from whom a reference may be sought. Applicants for headships should (if employed by an LA) give the name of a Senior LA Officer as one referee.

Full nameReferee One Referee Two

Job title

Employer

Address (including postcode)

Daytime telephone number

E-mail address

DECLARATION OF CRIMINAL CONVICTIONSThis post is exempt from the Rehabilitation of Offenders Act 1974 and applicants are therefore required to disclose all criminal convictions, including any which may be ‘spent’. Applicants should also include details of any cautions, reprimands or final warnings.Have you ever been convicted of any criminal offence, whether ‘spent’ or ‘unspent’, as defined in the Rehabilitation of Offenders Act 1974 or do you have any charges pending?If yes, please provide details:

□ Yes □ No

Have you ever been cautioned, reprimanded or received a final warning which although not considered to be criminal convictions and become ‘spent’ immediately, must be considered in relation to this exempt post?If yes, please provide details:

□ Yes □ No

Any subsequent offer of employment will be subject to a Disclosure & Barring Service (DBS) check. This check will include details of cautions, reprimands or final warnings as well as convictions. Appointment will be subject to the information received from the DBS.

I accept that if any of the information is found to be false or misleading I will be disqualified from appointment. I understand that any subsequent offer of employment will be subject to the outcome of a Disclosure & Barring Service (DBS) check and that Newquay Education Trust will request my authorisation for such a check to be made.

Signature: Date:

DISCLOSURE OF INTERESTAre there any restrictions to you living and working in the UK which might affect your right to work at Newquay Education Trust (eg needing a work permit/visa)?If yes, please provide details:

□ Yes □ No

Do you hold a full current UK driving licence? □ Yes □ NoDo you have access to transport? □ Yes □ NoThe Working Time Regulations (1998) require us to check the hours worked by our employees. Please confirm whether this role would be your only employment. If not, please provide details of your other role(s) and the days and hours worked:

□ Yes □ No

Canvassing of Governors and employees of the School (asking them to help you to get this role), directly or indirectly, for any appointment at the School will disqualify your application. Also, any candidate who fails to declare any relationship with a Governor or employee of the School may be disqualified and, if appointed, may be liable to dismissal without notice.Are you related to or have you formed any relationship (personal, financial or professional) with any current Governor or employee of Newquay Education Trust?If yes, please provide details:

□ Yes □ No

Do you, your partner or family have any interests (personal, financial or professional) that may conflict with you doing this role?If yes, please provide details:

□ Yes □ No

Have you ever been the subject of a formal disciplinary procedure or have you ever been dismissed from any previous employment?If yes, please provide details:

□ Yes □ No

DATA PROTECTIONWe keep on file information from this application form, equal opportunities form and any documents you attach. This is required for recruitment and equal opportunities monitoring purposes, the payment of staff and the prevention and detection of fraud. All information will be dealt with in accordance with data protection legislation and will not be sold to any third party. Application forms for unsuccessful candidates will be destroyed after 6 months; anonymised data will be kept for monitoring purposes.DECLARATIONI understand that any employment, if offered, will be subject to the information on this form being correct and I confirm that no valid information has been wilfully withheld. I understand that if I am appointed, I am liable to dismissal without notice if the information on this form is later proved to be inaccurate.

Signature: Date:

Please sign and date if you are returning the form by post. If returning by email, you will be asked to sign a copy before any offer of employment is made.

STATEMENT IN SUPPORT OF YOUR APPLICATIONPlease use this sheet to make any further points you wish to be considered in support of your application and attach it to the back of the completed form.

JOB APPLICATION

DECLARATION OF CRIMINAL CONVICTIONSCONFIDENTIAL

Please read Guidance Notes for Applicants - Declaration of Criminal Convictions’ on the reverse before completing this form.

This post is exempt from the Rehabilitation of Offenders Act 1974 and you are therefore required to disclose all criminal convictions, including any which may be ‘spent’. You should also include details of any cautions, reprimands or final warnings.

Have you ever been convicted of any criminal offence, whether ‘spent’ or ‘unspent’ as defined in the Rehabilitation of Offenders Act 1974 or do you have any charges pending?

Yes No

If yes, please give details:

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Have you ever been cautioned, reprimanded or received a final warning which although not considered to be criminal convictions and become ‘spent’ immediately, must be considered in relation to this exempt post?

Yes No

If yes, please give details:

.....................................................................................................................................................................................

.....................................................................................................................................................................................

.....................................................................................................................................................................................

Any subsequent offer of employment will be subject to a criminal record check (Disclosure request) from the Disclosure and Barring Service (DBS). This check will include details of cautions, reprimands or final warnings as well as convictions.

I accept that if any of the information is found to be false or misleading I will be disqualified from appointment. I understand that any subsequent offer of employment will be subject to the outcome of a criminal record check from the DBS and that Newquay Education Trust will request my authorisation for such a check to be made.

Signature …………………………………………………………………………. Date: …………………………………………………..

Print name: ………………………………………………………………………………………………………………………………………….

GUIDANCE NOTES FOR APPLICANTSDECLARATION OF CRIMINAL CONVICTIONS

The Rehabilitation of Offenders Act 1974 provides that certain criminal convictions become ‘spent’ after the passage of time, that is the law will treat them for most purposes as if they had never happened and it is not necessary to disclose them. However, the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 and 1986 contain certain classes of employment where a person can be asked to disclose all criminal convictions, including any which may be ‘spent’.The post for which you are applying falls within these Orders and you are therefore required to detail all previous convictions on the form entitled ‘Declaration of Criminal Convictions’ whether or not they are spent. Details of what constitutes a conviction are given below.Please note that you should also include details of any cautions, reprimands or final warnings which, although not considered to be criminal convictions and become ‘spent’ immediately, have to be considered in relation to exempt posts such as this one.A conviction includes:

a sentence of imprisonment, youth custody or borstal training; an absolute discharge, probation order, conditional discharge, bind-over order; a fit person order, supervision or care order arising from criminal conviction; simple dismissal from the Armed Forces, Cashiering, discharge with ignominy, dismissal with

disgrace or detention by the Armed Forces; detention by direction of the Home Secretary; detention centre, remand home, approved school or attendance course orders; a suspended sentence a fine or any other sentence not mentioned above.

In accordance with the Police Act 1997, any offer of employment will be subject to a criminal record check (‘Disclosure’) from the Disclosure and Barring Service (DBS). This will include details of cautions, reprimands or final warnings as well as convictions.Explanatory Notes1. Any information that you provide on the ‘Declaration of Criminal Convictions’ form will be treated

in strictest confidence and will be considered only in relation to the post that you have applied for on this occasion.

2. Newquay Education Trust aims to promote equality of opportunity for all with the right mix of talent, skills and potential and welcomes applications from diverse candidates. Criminal records will be taken into account for recruitment purposes only where the conviction is relevant. Disclosure of a conviction, caution etc does not necessarily mean that you will not be appointed to this post; your suitability will be looked at as a whole in light of all the information available, merit and ability. Main considerations will be whether the offence is one which renders you unsuitable to undertake the duties of the post for which you have applied and the circumstances and background to the offence.

3. Relevant criminal convictions and other associated information that you provide on the ‘Declaration of Criminal Convictions’ form will be discussed at interview in order to assess job related risks.

4. You will be given the opportunity to discuss any Disclosure information provided by the DBS before a final recruitment decision is made. Should you think that a mistake has been made by the DBS you will be given the right to appeal to them.

5. In order to request information from the DBS, Cornwall Council has registered with them. (Cornwall Council requests information from the DBS on behalf of Newquay Education Trust.) As part of this registration it is necessary for Cornwall Council to comply with the DBS ‘Code of Practice’. A copy of this Code of Practice is available on request. The Council has policies on Criminal Record Checking, Security of Disclosure and Disclosure Information and Recruitment of Ex-offenders, copies of which are available on request. To request a copy you should contact HR Services.

6. Any information regarding offences will be kept confidential and on a ‘need-to-know’ basis. Disclosures will not be retained for longer than 6 months after the date on which recruitment or other relevant decisions have been taken or after the date on which any dispute about the accuracy of the Disclosure information has been resolved. This period will only be exceeded in exceptional circumstances which justify retention for a longer period.