Staff Application Form

I confirm that I have read the pre-application guidance information found at www.shc.ac.uk/vacanciesI confirm I have read the privacy notice found at www.shc.ac.uk/vacancies

Post you are applying for* Where did you hear about this vacancy?*

Personal Details

	Mr	Mrs	Miss	Ms	Dr	Other
Title

Forename* Surname* Previous legal name(s) Which dates were these names active? Address* Postcode* Date of Birth Home Contact Number* Mobile Contact Number* Email Address* Working In The UK

	Yes	No
Are you eligible to work in the UK?
Do you require a work permit to work in the UK

If yes, when does your work permit expire? National Insurance Number* If you are appointed to this role, when will you be available to start?* Are you related to any elected Councillor, School Governor or employee at Shooters Hill Sixth Form College? If yes please provide their name and nature of relation below.*

Teaching Qualifications - Only those applying for teaching positions need complete

Unqualified teachers should note that they should seek to gain QTS within 1 year of commencement of employment.
Should the QTS not be gained within this timeframe, the school reserves the right to review or terminate the employment.

Date QTS Awarded Teacher Reference Number Statutory Induction Period

	Date Started	Appropriate Body	Date Completed	Appropriate Body

Please indicate which areas you are trained to teachKey Stage 3Key Stage 4Key Stage 5

Subject Specialisms Years Teaching Experience Since Qualified Years Teaching Experience Overseas

Do You Hold NPQH?YesNo

Employment, Education and Training History

Current or Most Recent Employer Position Reason for Leaving Start Date End Date Notice Period Salary - Pay Grade - Total Remuneration Continuing on from your most recent job as provided above, please list employment providing all of the details requested. It is important that there are no gaps in employment on your application form. Please include periods of unemployment, detail which office you may have received benefits from. If you have been self-employed you will be required to provide proof.

	Job 1	Job 2	Job 3	Job 4	Job 5
Name/Address of Employer
Job Title
Grade
Salary
Employment Dates
Full Time or Part Time
Main Responsibilities/Duties
Reason for Leaving

Education and Qualifications

Please include any qualifications that are relevant to the post, as set out in the Person Specification, including details of examinations awaiting results. You will be required to provide original evidence of qualifications gained. If overseas trained, please advise of UK comparability.

	1	2	3	4
Secondary School, College or University
Dates From /To
Subjects and Grades Achieved
Date Achieved

Training and Development History

Professional courses attended within the last 5 years (e.g. First Aid). Please give details on any training and development courses or non-qualifications courses which support your application. Include any on the job training as well as formal courses.

	1	2	3	4
Course Title and Organising Body
Date(s) of Attendance
Accredited
Certificate Date From/To

Personal Statement

Please provide a statement explaining how you meet the points on the person specification and what makes you suitable for this job. Ensure that you set out your responses so that you can evidence/demonstrate how your knowledge, experience, skills and abilities meet the requirements of the role. The selection panel will make the decision to shortlist based on the evidence you provide in support of your application aligned to the Job Description and Person Specification.

Personal Statement* Special interests and relevant experience - Please give details of your recreational and cultural interests, voluntary work and any other special skills you have developed which may be relevant to the post and to your work with children.

References

Please provide names and addresses of two professional referees who can provide use with a reference for the past five years of your employment. One of these must be your current Head Teacher or most recent Head Teacher/Line Manager. NQTs are advised to include their initial teacher trainer and a successful teaching practice school. Referees must not be friends or relations of yours. If you are not currently working with children, one referee must be from the organisation where you last did, if appropriate.

Referee 1 Full Name R1 Job Title R1 Business Address R1 Contact Number R1 Email Address R1 Relationship to you Referee 2 Full Name R2 Job Title R2 Business Address R2 Contact Number R2 Email Address R2 Relationship to you

Other Details

Is the post applied for:*Full TimePart TimeJobshare

If Jobshare, do you have a Jobshare partner?YesNo

Have you previously been employed by Shooters Hill Sixth Form College*YesNo

Have you previously received any redundancy payment or enhanced retirement benefit?*YesNo

Do you have transferable local government continuous service?*Yes - Please state details belowNo

Transferable Service Start Date The organisation where you have carried out your service Verification Email Address

Safer Recruitment

I am applying for a post which is exempt under the terms of the Rehabilitation of Offenders Act 1974 and confirm my status as follows

You are required to complete the following declaration*I have a criminal record, cautions, bind-overs, reprimands and final warnings and/or pending prosecution(s), details of which I will provide under separate cover (in a sealed envelope).I do not have a criminal record, cautions, bind-over orders, reprimands and final warnings and/or pending prosecutions.I do not appear on List 99 (DfES list of people barred or restricted from working with children)I am not disqualified from working with children or subject to sanctions imposed by a regulatory body eg the Teaching Regulation Agency (TRA)

If you do have a criminal record, cautions, bind-over orders reprimands or pending prosecutions, or appear on List 99 or are disqualified from working with children, your declaration of this should be sent with this application form in a sealed envelope marked confidential. Please ensure that your full name and post title is included with any information sent.

Any information given will be kept confidential and will only be considered in relation to the job you are applying for.

I acknowledge that checking this box represents my digital signature*Yes

Date

Declaration

I hereby declare that I have understood and will comply with the provisions concerning the disclosure of criminal convictions, that I do not appear on the barred list and am not subject to sanctions imposed by a regulatory body e.g. the National College for Teaching and Leadership. I agree that the information given on this form may be used for registered purposes under the Data Protection Act, 1998.

(Providing any misleading or false information to support your application or canvassing, directly or indirectly, anyone likely to be involved in the appointment process will disqualify you from the appointment or if appointed will render you liable to dismissal without notice and possible referral to the police.)

Shooters Hill Sixth Form College is under a duty to protect the public funds it administers and to this end may use the information you have provided on this form for the prevention and detection of fraud. It may also share this information with other bodies administering public funds solely for these purposes.

I certify that the information provided is true and accurate and that I have not omitted any facts, which may have a bearing on my application. I authorise the employer to check the information that I have supplied. I understand that falsification of qualification or information may lead to dismissal without notice or in some circumstances legal action taken against me.

You cannot sign this form on screen. By submitting an email application, you undertake that the information you have provided is true and accurate to the best of your knowledge. If shortlisted, you will be required to sign your application form at a later stage of the selection process.

Signature (please leave this box blank) Date

Data Protection

*I confirm I have read and understood the data protection statement found at www.shc.ac.uk/vacancies.By ticking this box, I have understood that I am agreeing to Shooters Hill Sixth Form checking information supplied in this application.I understand that providing misleading or false information/qualifications will disqualify me from appointment or if appointed, may lead to disciplinary action and dismissal.I hereby give my consent for personal information (including recruitment monitoring) provided as part of this application to be held on computer or other relevant filing systems and to be shared with other accredited organisations or agencies in accordance with GDPR.

Equal Opportunities Monitoring Information

This form is separated from the main application form and will not be provided to the short-listing panel.

Your answers will be treated in the strictest confidence and the information you provide will only be used for monitoring purposes. How you complete this form has no connection to the evaluation of your application in any way.

As an equal opportunities employer we welcome applications from suitably skilled people irrespective of their ethnic origin, disability, sexuality, age or religion.

Shooters Hill Sixth Form College wishes to ensure there is genuine equality of opportunity in employment. It is collecting the following information to monitor the effectiveness of its equality initiatives. This information will be held by Human Resources within the College and not seen by the Appointment Panel.

About You*MaleFemaleTransgender

Please specify your ethnic origin if it is not appropriately represented above

Do you consider you have a disability which falls within the Equalities Act 2010?*YesNo

The Equalities Act 2010 considers a person disabled if you have a longstanding physical or mental condition or disability that has lasted 12 months or is likely to last 12 months or more and this condition or disability has a substantial adverse effect on your ability to carry out normal day-today activities.

We want to ensure the recruitment process is accessible to disabled applicants.
If you have a disability, please let us know if there are any arrangements which we can make for you if you are called for an interview and/or work-based exercise?

If Yes, please specify, (e.g. ground floor venue, sign language interpreter, audio tape etc.)