Application Form

Position Applied For(Required)

Where did you see the post advertised(Required)

Step 1 - Personal details

Section 1- Personal Details

Full Name(Required)

Prefix Forename Surname

Former Name(Required)

(including maiden name)

Date of Birth(Required)

In line with the Safeguarding Children Guidance from Department for Children, Schools and Families we ask for your date of birth to ensure we can account for any gaps in employment.

Address(Required)

Street Address Address Line 2 City County / State / Region Postal Code Country

How long have you lived at this address? If less than 5 years, please provide all previous addresses for the past 5 years (including length of time)

Home Telephone(Required)

Mobile Telephone(Required)

Email(Required)

UK National Insurance Number(Required)

Are you currently eligible for employment in the UK(Required)

Yes

No

If No, Please provide details:

Do you have Qualified Teacher status?(Required)

Yes

No

If yes, please provide QTS number below

Are you related to or do you maintain a close relationship with an existing employee, volunteer, Governor or Trustee of the School? If so, please provide details(Required)

Step 2 - Sanctions, Restrictions and Prohibitions

If answering “Yes” to any of the questions in Section 2 please provide details on a separate sheet and send this in a sealed envelope marked “confidential” with your application form.

Section 2- Details of online profiles

Section 2- Keeping Children Safe in Education (KCSIE) asks schools to carry out online searches on shortlisted candidates as part of the process of assessing suitability. You (and all other candidates) are therefore required to provide the following information as part of your application: the social media platforms on which you have accounts; the account names/handles for all of your social media accounts, including any under a nickname or pseudonym; any websites you are involved with, in or featured on or named on; and any other publicly available online information about you of which the School should be made aware. If you are shortlisted for the role, we may carry out an online search based on the information you provide in this form. If we carry out a search, we will also search more widely for any other online information about you. You are not required to provide account passwords or to grant the School access to private social media accounts. If you are not shortlisted for the role, online searches will not be carried out on you.(Required)

Step 3 - Education & Professional Qualifications

Include in this section all the relevant qualifications. Please also indicate subjects currently being studied.

Section 3 & 4- Qualifications

Education & Professional Qualifications (Please start with the most recent) Please also indicate subjects currently being studied.(Required)

Subject/Qualification

Place of Study

Grade/result

Month

Year

Other vocational qualifications, skills or training(Required)

Please provide details of any vocational qualifications or skills that you possess or training that have received which you consider to be relevant to the role for which you have applied

Step 5 - Employment History

Please record below the details of your current or most recent employer

Section 5- Employment History

Employer Name(Required)

Job Title(Required)

Address(Required)

Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country

Start Date

End Date

(If applicable)

Salary(Required)

Notice Period(Required)

Brief description of your duties and responsibilities(Required)

Do you/did you receive any employee benefits? If so, please provide details of these

Reason for seeking other employment(Required)

Step 6 - Previous Employment and/or activities since leaving secondary education

Please record below the details of your previous employment prior to your current role. Please explain any gaps in employment or add any additional information on the next page.

Section 6- Previous Employment and/or activities since leaving secondary education

Please record below the details of your previous employment beginning with the most recent first. Please explain any gaps in employment in the ‘Supporting Information’ section below. Please add additional employers/information on a separate sheet.

Employer Name(Required)

Job Title(Required)

Address

Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country

Start Date

End Date

Salary

Reason for seeking other employment

Employer Name

Job Title

Address

Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country

Start Date

End Date

Salary

Reason for seeking other employment

Employer Name

Job Title

Address

Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country

Start Date

End Date

Salary

Reason for seeking other employment

Employer Name

Job Title

Address

Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country

Start Date

End Date

Salary

Reason for seeking other employment

Please add any additional employers/ information in the box below

Gaps in your Employment

If there are any gaps in your employment history, e.g. looking after children, sabbatical year, please give details and dates.

Section 8- Interests

Interests

Please give details of any interests, hobbies or skills that you could bring to Crosfields School for the purpose of extra curricular activities

Suitability(Required)

In this section please give your reasons for applying for this post and say why you believe you are suitable for the position. Study the job description and person specification and describe any experience and skills you have gained in other jobs or similar environments which demonstrate your ability and aptitude to undertake the duties of the post.

Criminal Records

An offer of employment is conditional upon the School receiving an Enhanced Disclosure from the Disclosure and Barring Service (DBS) which the School considers to be satisfactory. The School applies for an Enhanced Check for regulated Activity from the DBs (which includes a check of the Children’s Barred List) in respect of all positions at the School which amount to regulated activity. It is unlawful for the School to employ anyone who is barred from working with children. It is a criminal offence for any person who is barred from working with children to attempt to apply for a position at the School. If you are successful in your application you will be required to complete a DBS Disclosure Application Form. Any information disclosed will be handled in accordance with any guidance and/or code of practice published by the DBS.

The School is exempt from the Rehabilitation of Offenders Act 1974 and therefore all convictions, cautions, reprimands and final warnings (including those which would normally be considered “spent” under the Act) must be declared. You are not to disclose a caution or conviction for an offence committed in the United Kingdom if it has been filtered in accordance with the DBS filtering rules (see Appendix 1 to this form.) If you have a criminal record this will not automatically debar you from employment. Instead, each case will be assessed fairly by reference to the School’s objective assessment procedure set out in the School’s recruitment, selection and disclosure policy and procedure.

It is a condition of your application that you answer the questions below. Before doing so please read Appendix 1.

Section 10- Disclosure and Barring Service checks, criminal record and Children’s Barred List

Please be aware that the School applies for an Enhanced Disclosure from the Disclosure and Barring Service (DBS) for all positions at the School which amount to regulated activity. The role you are applying for meets the legal definition of regulated activity with children. If you are successful in your application, you will be required to complete a DBS Disclosure Application Form. Employment with the School is conditional upon the School being satisfied with the result of the Enhanced DBS Disclosure. Any criminal records information that is disclosed to the School will be handled in accordance with any guidance and / or code of practice published by the DBS. The School will also carry out a check of the Children's Barred List. Please be aware that it is unlawful for the School to employ anyone to work with children if they are barred from doing so, and it is a criminal offence for a person to apply to work with children if they are barred from doing so. The declaration at Section 14 of this Form therefore asks you to confirm whether you are barred from working with children. The role you are applying for is also exempt from the Rehabilitation of Offenders Act 1974 and the School is therefore permitted to ask you to declare all convictions and cautions (including those which would normally be considered "spent") in order to assess your suitability to work with children. If you are successful in being shortlisted for this role, you will be required to provide information about your suitability to work with children by completing a self-declaration form. In this form you will be required to provide details of all spent and unspent convictions and cautions. However, you will not have to disclose a caution or conviction for an offence committed in the United Kingdom if it has been filtered in accordance with the DBS filtering rules. Having a criminal record will not necessarily prevent you from taking up employment with the School. Instead, the School will assess each case on its merits and with reference to the School's objective assessment criteria set out in the School's 'Recruitment, selection and disclosure policy and procedure'

Referee 1

Section 11- References

Please supply the names and contact details of two people who we may contact for references. One of these must be your current or most recent employer. If your current/most recent employment does/did not involve work with children, then your second referee should be from your employer with whom you most recently worked with children. Neither referee should be a relative or someone known to you solely as a friend. Crosfields School intends to take up references from all shortlisted candidates before interview. Crosfields School reserves the right to take up references from any previous employer.

Name

Organisation (Must be current employer)

Address

Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country

Occupation

Telephone Number

Email address

May we contact prior to interview?

Yes

No

Name

Organisation

Address

Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country

Occupation

Telephone Number

Email address

May we contact prior to interview?

Yes

No

Declaration

I confirm that the information I have given on this application form is true and correct to the best of my knowledge.

I confirm that I am not on the Children’s Barred List, disqualified from working with children or subject to sanctions imposed by a regulatory body, whether of the UK or any other country.

I confirm that I am not subject to a direction under section 142 of the Education Act 2002 or section 128 of the Education and Skills Act 2008.

I understand that providing false information is an offence which could result in my application being rejected or (if the false information comes to light after my appointment) summary dismissal and may amount to a criminal offence.

I consent to the School processing the information given on this form, including any 'sensitive' information, as may be necessary during the recruitment and selection process.

I consent to Crosfields School making direct contact with the people specified as my referees to verify the reference.

I confirm that, to the best of my knowledge, I am not disqualified from working in early years provision or later years provision with children under the age of eight.

Section 12- Recruitment

It is Crosfields School's policy to employ the best qualified personnel and to provide equal opportunity for the advancement of employees including promotion and training and not to discriminate against any person because of their race, colour, national or ethnic origin, sex, sexual orientation, marital or civil partnership status, religion or religious belief, disability or age. All new appointments are subject to a probationary period. The School is committed to safeguarding and promoting the welfare of children and young people and expects all staff and volunteers to share this commitment. A copy of the School’s recruitment policy and child protection policy is available for download from the School’s website https://www.crosfields.com/explore/we-are-crosfields/school-policies/. If your application is successful, the School will retain the information provided in this form (together with any attachments) on your personnel file. If your application is unsuccessful, all documentation relating to your application will normally be confidentially destroyed after six months.

Section 13- Declaration

 I confirm that the information I have given on this application form is true and correct to the best of my knowledge.  I confirm I have never been referred to, nor am I the subject of a sanction, restriction or prohibition issued by, the National College for Teaching and Leadership (NCTL), any equivalent body in the UK or a regulator of the teaching profession in any other country  I confirm that I am not on the Children’s Barred List or disqualified from working with children whether of the UK or any other country.  I understand that providing false information is an offence which could result in my application being rejected or (if the false information comes to light after my appointment) summary dismissal and may amount to a criminal offence.  I consent to the School processing the information given on this form, including any 'sensitive' information, as may be necessary during the recruitment and selection process.  I consent to Crosfields School making direct contact with the people specified as my referees to verify the reference.  I confirm that, to the best of my knowledge, I am not disqualified from working in early years provision or later years provision with children under the age of eight.  I confirm that I have never been referred to the Department for Education  I confirm I am not subject to a direction under section 142 of the Education Act 2002 or section 128 of the Education and Skills Act 2008.

Signed(Required)

Date(Required)

Where this form is submitted electronically and without signature, electronic receipt of this form by Crosfields School will be deemed equivalent to submission of a signed version and will constitute confirmation of the declaration at Section 13.