APPLICATION FOR EMPLOYMENT WITH
CEDAR MOUNT ACADEMY
(Part of the Bright Futures Educational Trust)
Associate Staff
Please type or complete the application form in BLOCK CAPITALS and dark Ink. It is essential that the
information given should be accurate, as it will be used for the assessment of salary in the case of successful
applicants. Please note that CV’s will not be accepted and your application could be regarded as incomplete
and may not be considered for this vacancy if any sections are incomplete. Cedar Mount Academy is fully
committed to the safeguarding and well-being of all its students and staff. Please note that all posts within
the Academy are exempt from the Rehabilitation of Offenders Act 1974 and all successful candidates will be
expected to consent to an Enhanced Disclosure and Barring Check (previously known as a CRB).
The recruitment panel will need to gain enough evidence about how you might meet the requirements of
the person specification from your submission to be able to shortlist you.
Vacancy Details
Name:
Job applied for:
Salary:
Closing Date:
Terms:
Are you currently employed by the Bright Futures Educational Trust? Yes ☐
No ☐
If YES, at which school and in what capacity:
Are you related to any member of the Trust’s staff? Yes ☐
No ☐
If YES, please answer the three questions below:
Name:
Relationship:
Based at:
Please complete and return this Application to
Christine Barber, H.R.
Email: c.barber@cedarmount.manchester.sch.uk
Address: Cedar Mount Academy, Gorton Education Village, 50 Wembley Road, Gorton, Manchester, M18 7DT
Personal Details
Full Name:
Home Address:
Post Code:
Date of Birth:
National Insurance Number:
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Nationality*:
Contact Number:
Personal Email Address:
Preferred method of contact:
Where did you see this
vacancy advertised:
* Under the Asylum and Immigration Act, 1996, all employers must ensure that only people who have the legal right to work in the UK are taken on as
employees. Cedar Mount Academy is committed to race equality and to ensuring that all job applicants are treated fairly and equally regardless of race,
colour, nationality or ethnic or national origins. To comply with the law, we ask all applicants who are successful and offered the job to prove their legal
right to work in the UK by showing us documentation as required by the Home Office.
Work Experience to date
Current / Most recent employment
Name & Address of
Employer:
Job Title or Role:
Paid/Unpaid:
Main Duties of the
Job:
From Month/Year:
To Month/Year:
Reason for Leaving:
Date of Leaving:
Work Experience (Continued)
Name & Address of
Employer:
Job Title or Role:
Paid/Unpaid:
Main Duties of the
Job:
From Month/Year:
To Month/Year:
Reason for Leaving:
Name & Address of
Employer:
Job Title or Role:
Paid/Unpaid:
Main Duties of the
Job:
From Month/Year:
To Month/Year:
Reason for Leaving:
Name & Address of
Employer:
Job Title or Role:
Paid/Unpaid:
Main Duties of the
Job:
From Month/Year:
To Month/Year:
Reason for Leaving:
Qualifications
Details of qualifications relevant to the post applied for
Date:
Level:
Qualification:
Where Obtained:
Date:
Level:
Qualification:
Where Obtained:
Date:
Level:
Qualification:
Where Obtained:
Date:
Level:
Qualification:
Where Obtained:
Training
Relevant to the post applied for
Date:
Course:
Brief Details:
Date:
Course:
Brief Details:
Date:
Course:
Brief Details:
Continue on additional sheets if necessary
References
Please give details of two people who have agreed to act as referees. The information provided will be used
to verify your references. Please note that at least one reference MUST be from your current or most recent
employer.
Name:
Address:
Post Code:
Relationship:
Contact Number:
Email:
If shortlisted are we able to contact this person prior to the interview taking place?
Yes ☐
No ☐
If NO please give a brief reason why
Name:
Address:
Post Code:
Relationship:
Contact Number:
Email:
If shortlisted are we able to contact this person prior to the interview taking place?
Yes ☐
No ☐
If NO please give a brief reason why
Please note that all references are held by and at the academy and will not be forwarded to anyone outside of
the Academy Trust after employment.
Equal Opportunities Monitoring
The information in this section will be treated in the strictest confidence. The results will be used to produce
overall statistics about recruitment and selection and to take action to prevent discrimination.
Ethnic Origin?
Ethnic origin refers to members of an ethnic group who share the same cultural identity. This does not mean
country of birth or nationality.
I would describe my Ethnic Origin as:
Bangladeshi
Chinese
East African/ Asian
Indian
Kashmiri
Pakistani
Vietnamese
Other Asian (please specify)
Black British
White & Asian
Caribbean
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☐
☐
☐
☐
☐
☐
☐
☐
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☐
Other African (please specify)
Other Black (please specify)
Middle Eastern
White British
White Irish
Other White (please specify)
White& Black Caribbean
White & Black African
Other Mixed Origin (please specify)
Somali
☐
☐
☐
☐
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Gender
I am Male ☐
Female ☐
Disability
The Academy’s definition of disability includes people with physical, mental or sensory impairments who
experience, or have experienced, restrictions or discrimination in taking part fully in the mainstream of society. For
example, they may have been disabled by lack of access in the built environment, segregated services, restricted
employment opportunities, lack of access to information, which exclude them from taking part independently or
fully in everyday life.
Are you a disabled person? Yes ☐
No ☐
Disabled Applicants – If you are successfully appointed, every effort will be made to supply aids or equipment
where required to enable you to carry out the full duties of the job. If you feel that due to the nature of your
impairment, you may not be able to do a certain aspect of the job then the panel will give full consideration to
redesigning the job. If you wish to bring such a matter to the panel’s attention at this stage, please do so in the
space below:
Disclosure of Criminal Background
Information requested under the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975
Normally under the above act, some criminal convictions do not have to be disclosed after a period of time
when they become ‘spent’. This does NOT apply to posts which are involved with vulnerable groups (e.g.
children, elderly people etc).
Due to the nature of the work for which you are applying, this post is made exempt from these rules by the
above Order. This means that you MUST answer the following questions about current and ALL previous
criminal convictions. Any information will be treated with the strictest confidence and will be considered only
in relation to this application. Disclosure of a criminal record will not exclude you from the appointment unless
the Academy considers that the conviction renders you unsuitable. Failure to disclose this information could
lead to your application being rejected, or if you were appointed, to dismissal if it is subsequently learnt that
you have a criminal conviction.
1. Have you been the subject of disciplinary proceedings during the last 12 months and/or have you been
the subject of disciplinary proceedings involving issues related to the safety and welfare of children or
young people?
Yes ☐ No ☐
If Yes, please provide details of the allegation(s) and outcome of the proceedings
___________________________________________________________________________________
___________________________________________________________________________________
2. Have you ever been cautioned, or convicted of any criminal offence?
Yes ☐ No ☐
If Yes, please provide details of the caution(s) or conviction(s) and date(s)
___________________________________________________________________________________
___________________________________________________________________________________
3. Have you ever been charged with any offence which has not been brought to trial?
Yes ☐ No ☐
If Yes, please provide details of the charge and date of the hearing (if known)
___________________________________________________________________________________
___________________________________________________________________________________
If you are ultimately offered the position, we will carry out an independent check through the
Disclosure and Barring Service. The job for which you have applied necessitates an Enhanced
Disclosure.
I confirm that the information given above is correct and I understand that a failure to disclose any
convictions may lead to my dismissal.
Signed: ________________________________________
Date: __________________________
Period of Notice
If offered the job, how soon could you start?
Declaration
Public funds must be protected and therefore the information you have provided on your form may be used to
prevent and detect fraud. The information may also be shared, for this purpose, with other organisations which
handle public funds.
I confirm that to the best of my knowledge the information I have provided in the application (including home
address and self-declaration) is correct and true. I am under 65 years of age. I realize that if it is found that I have
deliberately given false or misleading information I am liable to be disqualified from further consideration or, if
appointed, to be dismissed immediately and without notice.
Signature:
Date:
Data Protection Act 1998
All information contained in this form will be treated as strictly confidential, when used for recruitment
purposes only. However, the Academy is under a duty to protect public funds it administers and to this end
may use this information you have provided within its authority for prevention and detection of fraud. By
supplying information, you will also be indicating your consent to the information being processed for all
employment purposes as defined in the Data Protection Act 1998, and any verification checks which may be
made. It will be copied for use during the recruitment process. Once the recruitment process is completed,
the data will be stored for a maximum of six months then destroyed. If you are a successful candidate you
application form will be used as part of your personnel record.
Information in Support of your Application
Please provide information that demonstrates that you can do the job successfully. The recruitment panel will
need to gain enough evidence about how you might meet the requirements of the person specification from
your submission to be able to shortlist you.
Continue on additional sheets if necessary