Teacher Job Application Form

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Teacher Application Form
If you need a copy of this information in large print,
Braille, another language or on cassette, please ask us.
Application for
the Post of:
1. Personal Information
Previous Name(s): (if applicable)
Last Name
First Name(s):
Home Address:
,
Please specify alternative
correspondence address on
a separate sheet.
Postcode:
E-mail address:
National Insurance Number (If you have one):
Date of Birth:
Do you have a full current
Home Telephone
Yes
No
driving licence?
Number:
Do you have daily use of
Work Telephone
Yes
No
a vehicle?
Number:
Do you have any penalty points
Mobile Telephone
Yes
No
on your licence?
Number:
If so, how many?
Do you consider yourself to have a disability?
Yes
No
(NB: The Disability Discrimination Act defines a person as having a disability if he/she “has a physical or
mental impairment which has a substantial and long-term adverse effect on his or her ability to carry out
normal day to day activities”)
The Academy operates an “interview Guarantee Scheme” for people with a disability and who meet the
essential criteria of the post.
If you have a disability, are there any arrangements which we can make for you if
Yes
No
you are called for interview?
If Yes, please outline your requirements:
How did you find out about this job?
Are you applying on a job share basis?
Yes
No
If so, please state the proportion of full-time you are willing to work:
Teacher Application Form
If you need a copy of this information in large print,
Braille, another language or on cassette, please ask us.
Application for
the Post of:
1. Personal Information
Previous Name(s): (if applicable)
Last Name
First Name(s):
Home Address:
,
Please specify alternative
correspondence address on
a separate sheet.
Postcode:
E-mail address:
National Insurance Number (If you have one):
Date of Birth:
Do you have a full current
Home Telephone
Yes
No
driving licence?
Number:
Do you have daily use of
Work Telephone
Yes
No
a vehicle?
Number:
Do you have any penalty points
Mobile Telephone
Yes
No
on your licence?
Number:
If so, how many?
Do you consider yourself to have a disability?
Yes
No
(NB: The Disability Discrimination Act defines a person as having a disability if he/she “has a physical or
mental impairment which has a substantial and long-term adverse effect on his or her ability to carry out
normal day to day activities”)
The Academy operates an “interview Guarantee Scheme” for people with a disability and who meet the
essential criteria of the post.
If you have a disability, are there any arrangements which we can make for you if
Yes
No
you are called for interview?
If Yes, please outline your requirements:
How did you find out about this job?
Are you applying on a job share basis?
Yes
No
If so, please state the proportion of full-time you are willing to work:
2. Qualified Teacher Information
a) Date of gaining Qualified Teacher Status:
b) DfES reference number:
th
c) If you qualified after 7
May 1999,
Yes
No
If yes, give date
have you completed your induction year?
d) Have you passed your skills tests?
Numeracy
Literacy
ICT
(Trainees only)
If not, when do you expect to complete them?
Successful applicants will be required to provide evidence of their registration with the GTC
3. Previous Teaching Experience – Please list most recent first
Please include all teaching history. (Include information such as: % of time teaching, ability levels, subjects
taught etc.) If newly qualified please give information of teaching practices in “Details of the Post:”
A. Current Position
School name:
Address &
Telephone
Number:
Local Authority:
Post Title:
Grade/Scale:
Allowances:
-
(Please specify
(Please specify)
salary point)
What date did you
UPS 2: Date
Upper pay
What date did you
-
pass the
spine:(
progress to -
If applicable)
UPS 3: Date
threshold?
Approximate
Age range taught:
number on roll:
Dates:
Subject/
From - To:
Specialisms:
Details of Post:
3. Previous Teaching Experience Continued
B.
School name:
Local Authority:
Post title:
Approximate
Age range taught:
number on roll:
Dates:
Subject/
From - To:
Specialisms:
Details of Post:
(Please include any
management
allowances held)
C.
School name:
Local Authority:
Post title:
Approximate
Age range taught:
number on roll:
Dates:
Subject/
From - To:
Specialisms:
Details of Post:
(Please include any
management
allowances held)
D.
School name:
Local Authority:
Post title:
Approximate
Age range taught:
number on roll:
Dates:
Subject/
From - To:
Specialisms:
Details of Post:
(Please include any
management
allowances held)
4. Employment Outside Teaching
(Please include all employment history since leaving secondary education, if not included in teaching
experience)
Dates:
Full or
Employer & Address:
Job Title & Main Duties:
Part Time
From:
To:
A.
B.
C.
D.
5. Other Relevant Experience
I
6. Education
Please give details of all nationally recognised qualifications awarded/results awaited; from GCE Advanced
Level to Further Degree Level or their equivalents in chronological order.
Attended
F/T
Name of
Grade/
Date
Qualification:
Subject:
or
From
To
School/College:
Level:
Gained:
P/T:
1996
6. Education Continued
F/T
Attended
Name of
Grade/
Date
Qualification:
Subject:
or
School/College:
Level:
Gained:
From
To
P/T:
Copies of essential qualifications will be required on appointment.
7. Other Continuing Professional Development
Please list in chronological order, most recent first, any relevant courses or training you have attended in the last
five years indicating the date of attendance. (Please continue on a separate sheet if necessary.)
If applying for a headship, please include details regarding NPQH
Date of
Title of Course:
Organising Body:
Awards (if any):
Attendance:

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