APPLICATION FORM for TEACHING APPOINTMENT - The TES

Please type oruse black inkAPPLICATION FORMfor TEACHINGAPPOINTMENTPrivate and ConfidentialPost applied for:At School / College:(as advertised)This form should be completed in full. You should NOT send a C.V. (curriculum vitae) as analternative to completing any section of this form. However you may use additional sheets of paperif there is not enough space to enter relevant information on any section.Your application will be judged on the full range of activities involved in the appointment process.PERSONAL DETAILSBLOCK CAPITALS PLEASESurname: Title (Ms, Miss, Mrs, Mr, Dr etc. :Forenames:IN FULLAddress:Post Code :N.I. Number :Teacher ref no.Please detail any other names by which you have been known since the age of 18Telephone Number(s) (to include STD codes)Home : Mobile :E-mail :Work:May we contact you at work? Yes __ No __Please note we will exercise the utmost discretion should you authorise us to contact you at work.PRESENT EMPLOYMENT (if applicable)Local AuthoritySchool/CollegeJob TitleNumber on rollDate appointedNotice periodSubjects, age groups taught andrequiredother responsibilitiesGross Salary £ (ifSalary Scaleapplicable)Incremental pointReason for wishing to leave presentemployment

You are invited to set out further information in support of your Application. (You should includedetails of other courses attended, with dates, and nature of qualifications gained (if any) togetherwith details of personal development and special interests).

REHABILITATION OF OFFENDERS ACTYou have been asked to provide details about previous convictions for criminal offences. Youshould read the attached guidance notes before doing so.It is essential that you complete and return the attached Rehabilitation of Offenders ActForm.DECLARATIONI confirm to the best of my knowledge that the information given in this form is accurate and that Ihave not omitted any facts which may have a bearing on my application for employment.(WARNING: Any person appointed to the Authority having given false information will be liable tosummary dismissal)SignedDatePlease state whether you are related to a Governor or senior employee of a school maintained by thisAuthority. YES / NO. If yes, please state the nature of relationship and the name of the Governor or senioremployee of the school:Data Protection Act 1998All information contained in this form will be treated as strictly confidential, when used forrecruitment purposes only. By supplying information, you will also be indicating your consent to theinformation being processed for all employment purposes as defined in the Data Protection Act1998, and any verification checks which may be made. It will be copied for use during therecruitment process. Once the recruitment process is completed, the data will be stored for amaximum of 6 months then destroyed. If you are a successful candidate, relevant information willbe taken from this form and used as part of your personnel record.

EQUALITY OF OPPORTUNITYGUIDANCE NOTESSouthampton City Council is an Equal Opportunities Employer. Its aim is to ensure that it does notdiscriminate in the selection for employment or retention and promotion in employment against, or infavour, of any person on the grounds of their race or ethnic origin, marital status, sex, sexualorientation, gender reassignment or religion, and shall actively promote ways of employing a higherproportion of disabled people amongst its workforce.Within the Application Form you have been asked to indicate whether you are a disabled person.Please read the following notes in conjunction with the application form.Southampton City Council recognises its responsibilities in respect of disabled people andundertakes to: comply with the employment provisions of the Disability Discrimination Act 1995;give disabled applicants full and fair consideration for all vacancies;provide, as practical, suitable facilities and accommodation for disabled people;provide full and fair opportunities in general for the training, career developmentand promotion of disabled employees.To ensure that its Equal Opportunities Employment Policy is working and does notdiscriminate, the Council supported by the Trade Unions considers it essential to keep up todate information about job applicants. Accordingly all applicants are requested to completethe information on ethnic origin which will be treated as strictly confidential and used forstatistical purposes only.To help you complete the ethnic information the following categories apply:WHITEBritishPersons born in the United Kingdom whose recent forebears came from the United Kingdom.IrishPersons born in Ireland whose forebears came from IrelandBLACK OR BLACK BRITISHCaribbeanPersons whose forebears originated in, or came from, a Caribbean island.AfricanPersons whose forebears originated in, or came from, an African country.CHINESE OR OTHER ETHNIC GROUPChinesePersons whose forebears originated in, or came from, the Chinese sub-Continent including China,Vietnam etc.OtherSelf defined groups not included in the other categories.ASIAN OR ASIAN BRITISHIndianPersons whose forebears originated in, or came from, India.PakistaniPersons whose forebears originated in, or came from, Pakistan.BangladeshiPersons whose forebears originated in, or came from, Bangladesh.Thank you for your co-operation.

EQUAL OPORTUNITIES MONITORING FORMThe following information is required in order that the Council’s Equal OpportunitiesPolicy can be monitored effectively. (Please refer to guidance notes)Please tick the box from the list below which best describes the ethnic group to which youbelong:Age Date of Birth Sex: Male __ Female __White Black / Black British Chinese / other ethnic group__ British __ Black Caribbean __ Chinese__ Irish __ Black African __ Any other background__ Other White background __ Other Black backgroundPlease specify Please specify Please specifyAsian / Asian British Mixed__ Indian __ White & Black Caribbean__ Pakistani __ White & Black African__ Bangladeshi __ White & Asian__ Other Asian background __ Other mixed backgroundPlease specifyPlease specifyDo you consider yourself to have a disability? Yes __ No __Is there anything we need to know about your disability in order to offer you a fair selectioninterview? (For example a signer or an accessible interview room)How did you hear about this vacancy?Please specify: Job Centre Word of Mouth WebsiteAdvertisement (please specify)Other (please specify)

Please ensure you read this information before submitting your application.RECRUITMENT AND SELECTION PROCEDUREEquality StatementWe strongly encourage applications from black and ethnic minority people, women and disabledpeople to all posts, and require all our employees to be committed to equal opportunities inaccordance with the Council’s Equal Opportunities Policy.All applications are judged solely on their merits irrespective of race or ethnic origin, marital status,sex, sexual orientation, gender reassignment, religion, disability or age.Any disabled person who meets the essential criteria of the Person Specification will be shortlistedfor interview.StandardsRecruitment papers will be circulated within 3 working days of request.Applicants will receive, or have access to, an Application Form, Job Description and PersonSpecification. Information to applicants is available in large print and on audio tape, if requested.Shortlisted candidates will be contacted within four weeks of the closing date and will receive cleardetails about the date, time and location of the interview and the selection process. If you have notbeen contacted within this time you should assume you have not been shortlisted, as it is notCouncil policy to contact unsuccessful applicants.Assistance with access, interpreting and / or signing will be provided on request.Applications will be assessed against the requirements of the Person Specification.Appointments will only be made following appropriate employment checks, such as references,Criminal Records Bureau and medical clearance which are satisfactory to us. References will betaken up at shortlisting.Successful and unsuccessful interviewees will be contacted as soon as possible followingcompletions of the interviews, but no later than 10 working days after the last interview.A Statement of Particulars will be issued before commencing employment, or as soon as possiblethereafter. However, this document must be received within two months of the commencement ofemployment.Applicants will be treated sensitively and with courtesy and will not be the subject of any unfairdiscrimination at any time during the recruitment and selection process.

Please ensure you read this information before submitting your applicationPOSTS EXEMPT FROM THEREHABILITATION OF OFFENDERS ACT 1974You have been asked to provide details about previous convictions and cautions for criminaloffences. You should read these guidance notes before doing so.The Council’s policy is that the disclosure of a criminal record, or other similar information,will not necessarily debar you from appointment. In making a decision the council willconsider the nature of the offence(s), relevance to the post, how long ago and what age youwere when it was committed and any other factor which may be relevant. (You can obtainfurther information from the Human Resource Group who sent you this application form).The job for which you have applied is exempt from the Rehabilitation of Offenders Act 1974. Thismeans that you must provide information about ALL previous convictions, including those which, inother circumstances, would be thought of as ‘spent’ (including a corresponding court martialpunishment).Southampton City Council meets the requirements in respect of exempted questions underthe Act. Applicants for posts who are offered employment will be subject to a Criminalrecord check with the Police or the Criminal Records Bureau before employment isconfirmed. For some posts this will include details of cautions, reprimands or final warningsas well as convictions.An offer of employment may be withdrawn, or employment may be terminated, if any relevantinformation, which was not disclosed, is revealed by subsequent checks.If there is information which you are required to disclose, please complete the sections on thereverse of this form.Thank you for your co-operation.

CRIMINAL CONVICTIONSYou are asked to provide details of previous convictions and cautions for criminal offences. Youshould read the attached guidance notes before doing so.Details of conviction(s) including court(s) passing sentenceDate(s) of conviction(s)I agree that, if necessary, the information I provide may be checked against police records.I understand that an offer of appointment may be withdrawn or dismissal may result if previousconvictions for any criminal offences are not disclosed.SignedDated