South Manchester Independent Learning Enterprize Growing responsible global citizens Benchill Primary School Application for Employment

(Teaching Staff)
The information given on this form will be treated in confidence. Any offer of employment will be subject to satisfactory medical clearance and CRB checks and, where appropriate, documentary evidence showing your entitlement to work in the UK. So that we compare candidates fairly, this form is the only document we consider when screening applications. Therefore, please do not send a CV, written references, examples of work or other supporting information unless it is specifically requested.

Position applied for Closing date

QTS Status:

Teacher No

Are you registered with the General Teaching Council: Yes / No

Are you related to any employee / governor of Benchill Primary, Baguley Hall Primary or Newall Green High School. Yes No Dont know

If yes please give the name of the employee / governor ______________________________

EDUCATION Date mm/yyyy From To

SECONDARY: School/College

Qualifications gained (with grades)

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Date mm/yyyy From To

HIGHER: University/Other Institution

Qualifications gained (with grades)

Name of Awarding Body

OTHER EDUCATION Date mm/yyyy Establishments attended From To State full or part time

Qualifications awarded or to be awarded. Give a brief outline of courses taken, chief fields of study and specialist area of teacher training where appropriate.

Name of awarding Body

IN-SERVICE TRAINING COURSES Give details of residential and non-residential courses attended during the last five years, including title of course, organising body, dates and sessions attended.

TEACHING EXPERIENCE Please give details of your present and most recent teaching positions Date Mm/yyyy Full name of school and Education Authority. Nature and scale of post held (subject(s) and stages taught) Reason for Leaving

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From To

State chronologically a) Full Time

b) Part Time

c) Present post and salary

Please give a brief description of current duties, responsibilities and achievements

OTHER EMPLOYMENT Particulars of all other experience eg Industrial, Clerical, Overseas, Armed Forces. Date Mm/yyyy From To Name of Employer/Service Nature of appointments held or rank of service. Specify duties. Reason for Leaving

If there are any gaps in your education or employment please explain them here

IT Skills. Training will be provided where required. Information given here will help us to plan training schemes Microsoft Basic Competent High Microsoft Office Basic Competent High office Word Powerpoint

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Excel Email Project

Databases Other SIMS,

REFERENCES Please supply the names and contact details of at least two referees who can comment on your suitability for this position. One should be your current or most recent employer. (Note: If you are not currently working with children but have done so in the past the second referee should be the employer by whom you were most recently employed in work with children. References will not be accepted from relatives or persons who only know you as a friend)

Name: In what capacity do you know the referee: Name of organisation: Address: Telephone Number: Email:

Position:

Name: In what capacity do you know the referee: Name of organisation: Address: Telephone Number: Email:

Position:

Please note that we will contact these referees if you are short listed for this post and seek reference before interview. Also, in relation to work with children we will seek information about any past disciplinary issues relating to children and/or child protection concerns you may have been subject to. If you have any concerns about this please contact Laura Meighan 0161 998 3075 to discuss the issues

Personal Statement

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Using the person specification that you have been sent with your application pack, please demonstrate using examples, your suitability for the position for which you are applying. Please include your reasons for applying and interest in this position (between 1000 and 2000 words)

For persons who are not British or EU Nationals

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If you have any conditions relating to your employment please give details

PERSONAL DECLARATIONS

The position for which you are applying involves contact with children and is exempt from the Rehabilitation of Offenders Act 1974 and all subsequent amendments (England and Wales). For these positions you are not entitled to withhold information about police cautions, bind-overs, or any criminal convictions including any that would otherwise be considered spent under the Act . Have you ever been convicted of any offence or bound-over or given a caution? YES/NO If yes, please give details on a separate sheet and attach it to this form in a sealed envelope marked Confidential Disclosure. I understand that if my application is successful I will be required to obtain a CRB Disclosure at the appropriate level Declaration Please read carefully For the purposes of the Data Protection Act 1998, I consent to the information contained in this form, and any information received by or on behalf of South Manchester Independent Learning Enterprise relating to the subject matter of this form, being processed by them in administering the recruitment process. I declare that the information I have given on this form is complete and accurate and that I am not banned or disqualified from working with children nor subject to any sanctions or conditions on my employment imposed by The Independent Safeguarding Authority, the Secretary of State or a regulatory body. I understand that to knowingly give false information, or to omit any relevant information, could result in the withdrawal of any offer of appointment, or my dismissal at any time in the future, and possible criminal prosecution. Signed: _______________________________________ Date: _____________________________

Print Name: ____________________________________________ All candidates applying for employment via email will be required to sign and date this form if invited to attend an interview

Are you disabled? If yes are you registered as disabled?

Yes Yes

No No

Please return completed application to:

Benchill Primary School The Smile Trust c/o Laura Meighan School Administrator Benchill Road Wythenshawe Manchester M22 8 EJ Tel: 0161 998 3075

Email:admin@benchill.manchester.sch.uk

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