Apply for a Staff Vacancy Step 1 of 11 9% Personal DetailsThe School is legally required to carry out a number of pre-appointment checks which are detailed in the School's Recruitment, selection and disclosure policy and procedure. The information you are being asked to provide in this form is required so that the School can comply with those legal obligations should your application be successful. Channing School is committed to safeguarding and promoting the welfare of children and young people and child protection screening will apply to this post. Some of the information we are requesting you to provide on this form is for this purpose. Further details of this can be found in the School's Recruitment, selection and disclosure policy and Appendix 1. Position you're applying for*Select a positionTitle*DrMrMrsMissMsForename(s)*Surname*Date of Birth* Date Format: DD slash MM slash YYYY Former NamePreferred NameAddress* Name/Number and Street Address Line 2 Town/City Postcode National Insurance Number*Are you currently eligible for employment in the UK?YesNoPlease provide details*Home telephone number*Work telephone numberMobile number*Email* Teacher's R P number (if applicable):Do you have Qualified Teacher status?*YesNoHave you read the School's child protection policy?*YesNoDuring the last 5 years, have you been resident outside the UK for more than 3 months?*YesNoPlease provide details*Are you related to or do you maintain a close relationship with an existing employee, volunteer, Governor or Trustee of the School?*YesNoPlease provide details* Sanctions, restrictions and prohibitionsHave you ever been referred to, or are you the subject of a sanction, restriction or prohibition issued by, the Teaching Regulation Agency (previously known as 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?*YesNoHave you ever been referred to the Department for Education, or are you the subject of a direction under section 128 of the Education and Skills Act 2008 which prohibits, disqualifies or restricts you from being involved in the management of an independent school?*YesNoHave you ever been the subject of a direction under section 142 of the Education Act 2002?*YesNoPlease provide more details* EducationPlease start with the most recent.Name of school/college/university*Dates of attendance (from)* Date Format: DD slash MM slash YYYY Dates of attendance (from)* Date Format: DD slash MM slash YYYY Examinations*State the subject, result, date and awarding body (1 per line).Name of school/college/university*Dates of attendance (from)* Date Format: DD slash MM slash YYYY Dates of attendance (to)* Date Format: DD slash MM slash YYYY Examinations*State the subject, result, date and awarding body (1 per line).Name of school/college/universityDates of attendance (from) Date Format: DD slash MM slash YYYY Dates of attendance (to) Date Format: DD slash MM slash YYYY ExaminationsState the subject, result, date and awarding body (1 per line). Other vocational qualifications, skills or trainingPlease provide details of any vocational qualifications or skills that you possess or training that you have received which you consider to be relevant to the role for which you have applied.* EmploymentCurrent/most recent employer*Current/most recent employer's address* Name/Number and Street Address Line 2 Town/City Postcode Date started* Date Format: MM slash DD slash YYYY Date employment ended (if applicable) Date Format: MM slash DD slash YYYY Current salary/salary on leaving (including scale point)*Do you/did you receive any employee benefits? If so, please provide details of these.Reason for seeking other employment*Please state when you would be available to take up employment if offered*Previous employment and/or activities since leaving secondary education*Gaps in your employmentIf there are any gaps in your employment history, eg looking after children, sabbatical year, please give details and dates. InterestsPlease give details of any interests, hobbies or skills that you could bring to the School for the purposes of extra curricular activity* SuitabilityPlease 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. Continue on a separate sheet if necessary. Criminal RecordsThe School applies for an Enhanced Disclosure from the Disclosure and Barring Service (DBS), including a Children's Barred List check for 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. Employment with the School is conditional upon the School being satisfied with the result of the Enhanced DBS Disclosure. 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 required 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. Have you been cautioned, subject to a court order, bound over, received a reprimand or warning or been found guilty of committing any criminal offence whether in the United Kingdom or in another country?*YesNoYou are not required to disclose a caution or conviction for an offence committed in the United Kingdom which is subject to the DBS filtering rules (see Appendix 1).Is there any relevant court action pending against you?*YesNoPlease provide details in a separate email to email@example.com marked Confidential. ReferencesPlease supply the names and contact details of two people who we may contact for references. Email address and telephone number are both required. Before submitting your application, please ensure that you have given correct and up to date referee contact details. One referee 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. The School intends to take up references from all shortlisted candidates before interview. The School reserves the right to take up references from any previous employer. If the School receives a factual reference i.e. one which contains only limited information about you, additional references may be sought. If you have previously worked overseas the School may take up references from your overseas employers. The School may also telephone your referees in order to verify the reference they have provided. Referee 1Name*Organisation*Address* Name/Number and Street Address Line 2 Town/City Postcode Email* Occupation*Telephone number*May we contact prior to interview?*YesNoReferee 2Name*Organisation*Address* Name/Number and Street Address Line 2 Town/City Postcode Email* Occupation*Telephone number*May we contact prior to interview?*YesNo RecruitmentIt is the 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. Please take time to read them. 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 six months after the date on which you are notified of the outcome. Please refer to the School's retention of records policy for further detail on how such information is retained by the School. How we use your information Information on how the School uses personal data is set out in the School's Privacy Notice, which can be found on our website. DeclarationI 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 named on the Children's Barred List or otherwise disqualified from working with children. 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 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.Signature*Please sign this box with your finger or mouse.Here this form is submitted electronically and without signature, electronic receipt of this form by the School will be deemed equivalent to submission of a signed version and will constitute confirmation of the declaration at Section 12.