Position Applied ForRole Title*Personal DetailsTitle*Surname*Fornames*Previous Name(s)Address*Postcode*Previous Address and Postcode (if it has been less than five years since you moved to your current address)Home TelephoneMobile Telephone*Email Address*Nationality*Date of Birth*National Insurance Number*Are you related to any member of the Governing Body or Employee of Feltonfleet?*YesNoPlease give the name(s) of the person/people.Education and QualificationsPlease give details of your Secondary and Further Education.*Include: College/institution's full name and address Qualifications, grades, date awards made and awarding body Dates you started and finished at the institution Please give details of any Higher Education or equivalent courses.Include: Institution's full name and address Qualifications, grades, date awards made and awarding body Dates you started and finished at the institution Please give details of any other professional or vocational qualifications you hold that are relevant to your application.Include: Name of awarding body Qualifications obtained and grade/level Date obtained Registration with ISA*YesNoDfES Number (for teaching positions only)If applicable, do you hold Qualified Teacher Status?YesNoDo you require a Work Permit to work in the UK?*YesNoDo you hold a current UK Driving Licence?*YesNoDo you own a car?*YesNoCurrent EmploymentJob Title*Current SalaryCurrent Scale (if applicable)Employer*AddressEmployed FromEmployed toPlease give a brief description of current duties, responsibilities and achievements*Previous EmploymentPlease supply a full history (with start and end dates) of all employment, self-employment and any periods of unemployment since leaving secondary education. Please give your employment history in reverse date order and include details of any voluntary work. Please provide information about your previous employmentInclude: Dates employed from-to Name, address, and phone number of employer Job title and brief description of duties Salary per annum Reason for leaving Employment/Education GapsIf there are any periods in your education or employment history unaccounted for (i.e., time spent raising a family, self-employment, further education or extended travel periods) please give dates and details. Health and Disability DetailsDo you have a disability for which reasonable adjustments may be required to enable you to attend an interview?*‘Disability’ defined as a physical or mental impairment which has a substantial and long term effect on a person’s ability to carry out normal day-to-day activities YesNoPlease give brief details of your disability and the adjustments we would be required to make.Are you fit to work?*YesNoPlease provide details.Leisure and InterestsPlease note your leisure interests, sports and hobbies, other pastimes etc.Details of Online ProfileKeeping Children Safe in Education (KCSIE) asks all schools to carry out online searches on shortlisted candidates as part of the process of assessing suitability. Therefore, you are required to provide the following information as part of your application: social media platforms on which you have accounts; the account names / handles for all your social media accounts, including any under a nickname or pseudonym; any websites you are involved with, in or featured in or named on; and any other publicly available online information about you of which the School should be made aware. If you are shortlisted for the role, we may carry out an online search based on the information you provide in this form. If we carry out a search, we will also search more widely for any other online information about you. You are not required to provide account passwords or to grant the School access to private social media accounts. If you are not shortlisted for the role, online searches will not be carried out on you. Please provide details of your online profile(s)RefereesPlease provide two referees. Note, we have an obligation to contact at least one of your referees prior to your interview. If for any reason you would not like us to contact one or both of your referees before interview, please contact hr@feltonfleet.co.uk One referee must be your current or most recent employer. If you are currently working with children, on an either paid or unpaid basis, your current employer will be asked about disciplinary offences relating to children and/or child protection concerns you may have been subject to. Where you are not currently working with children but have done so in the past, one referee must be from the employer by whom you were most recently employed in work with children. Please note that references will not be accepted from relatives or from referees writing solely in the capacity of friends. We reserve the right to take up references with any previous employer. If you are or have recently been a student, one of your referees should be your Tutor or Head of Department. Referee 1Name*Position*In what capacity do you know the referee?*Name of organisation*Address*Telephone*Email*Referee 2Name*Position*In what capacity do you know the referee?*Name of organisation*Address*Telephone*Email*Where did you hear about the role?* School Website TES LinkedIn eTeach University Careers Site Direct Enquiry Other If Other, please specifyPersonal Statement*Using the person specification that you have been sent with your application pack please demonstrate, using examples, your suitability for the position you are applying. Please include your reasons for applying for and interest in this position. Rehabilitation of Offenders ActThis post involves contact with children and is exempt from the Rehabilitation of the Offenders Act 1974 and all subsequent amendments and is subject to sanctions imposed by a regulatory body. All convictions, police cautions or ‘bind-overs’, including any that would otherwise be considered ‘spent’ under the Act must be disclosed, and will be considered in deciding whether to make an appointment. It is an offence to apply for a role if you are barred from engaging in regulated activity relevant to children. In the event of a successful application, all offers of employment are conditional upon receipt of a satisfactory Enhanced Disclosure being obtained and will be sought from the DBS in relation to criminal and child protection matters. Please sign below if you agree that the appropriate enquiry might be made. In the case of overseas applicants, we would still obtain Police clearance from their country of origin. Have you been disqualified from working with children, named on the DofE Barred List or the Protection of Children Act List, or subject to any sanctions imposed by a regulatory body?*YesNoIs there any relevant court action pending against you?*YesNoHave you ever been convicted and/or cautioned/"bound-over" in respect of any offence?*YesNoDeclaration (please read carefully)For the purposes of the Data Protection Act 2018, I consent to the information received by Feltonfleet School relating to the subject matter on 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 DBS, 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. Confirmation of Agreement*Please type your full name to confirm you have read and agreed to the statement above. This will serve as your digital signature. Submit In this Section