"Application Form for Teaching Post - Bassett House School" - United Kingdom

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60 Bassett Road, London, W10 6Jp
Tel: 020 8969 0313
e-mail: info@bassetths.org.uk
Application for Teaching post
Employment history, education and academic qualifications as well as personal details which are already clear from any CV enclosed
with this form may be omitted below
PERSONAL DETAILS
Advertised in &
Post Applied for:
date:
Surname:
Forenames:
Title:
Previous surname:
Present address (including postcode):
Tel no.:
e-mail:
Date when free to start:
EMPLOYMENT HISTORY
Company/organisation
Dates of employment
Position
QUALIFICATIONS
Secondary school(s) attended
“A” Levels or equivalent passes + grades
University and/or College:
Full/Part
Course title
From/To:
Time
Professional/vocational qualifications not listed above (titles and dates of courses attended and
qualifications attained)
60 Bassett Road, London, W10 6Jp
Tel: 020 8969 0313
e-mail: info@bassetths.org.uk
Application for Teaching post
Employment history, education and academic qualifications as well as personal details which are already clear from any CV enclosed
with this form may be omitted below
PERSONAL DETAILS
Advertised in &
Post Applied for:
date:
Surname:
Forenames:
Title:
Previous surname:
Present address (including postcode):
Tel no.:
e-mail:
Date when free to start:
EMPLOYMENT HISTORY
Company/organisation
Dates of employment
Position
QUALIFICATIONS
Secondary school(s) attended
“A” Levels or equivalent passes + grades
University and/or College:
Full/Part
Course title
From/To:
Time
Professional/vocational qualifications not listed above (titles and dates of courses attended and
qualifications attained)
Referees
References will be taken up only if you are shortlisted for the post. The main reference will be sought from your
present employer or, if new to the profession, your college. You are requested to name two additional referees
unrelated to you in any way whatsoever. Unless you state otherwise following a first interview we assume we have
your permission to contact the referees.
Employer or College referee
Name:
Status:
Address:
Tel no.:
e-mail:
1
additional referee (Professional)
st
Name:
Status:
Address:
Tel no.:
e-mail:
2
additional referee
nd
(Friend, friend of family, someone who has known you > 10 years but NOT a
relation)
How
Name:
known:
Address:
Tel no.:
e-mail:
Please answer the question below.
Protection of children
In accordance with guidance by the Department for Education the school requires all new members of staff to have
been the subject of an enhanced disclosure (the check applicable to someone who is to be working with children) by
the Disclosure and Barring Service. The school provides a form of application for the disclosure upon offering an
appointment to its staff. Can you confirm that you know of no matter likely to be contained in such a disclosure?
Please tick “Yes” or “No” below:
Yes
I confirm I know of no matter
No
Please give full details on attached separate sheet
The information I have given on this application form and any papers that accompany it is true and
complete.
Signed:
Date:
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