Application Form

Personal details

Position applied for* Full name* Previous name Date of birth National insurance number Qualified to work in the UK Applying as a job sharer

Contact details

Mobile telephone* Home telephone Address (Line 1)* Address (Line 2) Town/City Postcode* Email*

Professional details

DfE number

Teachers' Pension Scheme*YesNo

QTS*YesNo

NPQH*YesNo

Subjects taught Key stages Professional bodies Teacher training Professional development

Current employment

School/Establishment Name Role / Title Start date


Type of school
School gender
School age range
Total number of students
Contract
Notice required
Reason for leaving
Salary
Grade / scale
Additional allowances

Previous employment

	Date (from-to)	School Name	Role	Details
1
2
3
4
5

Gaps in employment/education history?

*Yes

If 'Yes', please give details

Education

Higher education

	Degree/Course	University/CollegeLevel	Qualification	Years attended

Schools attended

	School	Dates attended

A-levels or equivalent

	Subject	Exam	Grade

GCSEs or equivalent

	Subject	Exam	Grade

Supporting statement

Please use the area below to write your 'Supporting Statement' or upload a document using the upload link below. Additional skills Upload additional documents No file chosen

Referees

Current or most recent employer

May be contacted prior to interview?YesNo


Title
Name
Position held
Organisation
Capacity
Address
Email address
Telephone

Second referee

May be contacted prior to interview?YesNo


Title
Name
Position held
Organisation
Capacity
Address
Email address
Telephone

Declarations

Any convictions, cautions, reprimands or final warnings, whether in the United Kingdom or in another country? These should exclude those defined as “protected” by the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (as amended in 2013).*YesNo

Included in any list of people barred from working with children by the DBS or the NCTL*YesNo

DBS Update Service registration number

Restrictions on being resident or being employed in the UK?YesNo

Lived outside the UK for more than three months in the past five yearsYesNo

If you answered 'Yes' to any of the declarations above, please give more details

Job-specific questions

Details of relations to any current employees, pupils or governors

Confirmed data to be accuratePlease check to confirm

Equal opportunities monitoring

Application date

Details


Nationality
Cultural/Ethnic Background
Age
Gender
Sexual orientation
Religion / belief
Do you consider yourself to be disabled?
Special arrangements required

True Learning Partnership

Poynton High School, Yew Tree Lane, Poynton, Stockport, Cheshire. SK12 1PU, Company number: 10455740 Registered in England

info@truelearning.org.uk

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