Application Form
Before completing this form, please read the guidance notes provided. We do not accept
CV’s in place of this application form.
1. Position Applied for
Post Applied For:
Academy:
Where did you see the position advertised?
2. Contact Details
Surname:
Previous Surnames used (if applicable):
Forename (s):
Known as:
Title:
Address:
Post Code:
Home Telephone No.
Work Telephone No.
Mobile Telephone No.
Email Address:
3. Teacher Status (for teaching applications only)
Do you hold Qualified Teacher Status?
Yes
No
Date Qualified Teacher Status gained:
DfE (GTC) Reference Number:
Have you completed your induction year?
Yes
If no, please confirm end date:
No
4. Employment History
Present or most recent employment:
Job Title:
Employer’s Name and Address:
Period of Employment:
From:
To:
Reason for Leaving:
Current Salary:
(Teachers only)
Main Subject Taught:
Other Subject Taught:
Salary point:
Notice Required:
Brief description of responsibilities and duties:
Previous employment (most recent first), you must include all gaps in employment and
reasons:
Provide
Name and
Job Title
Brief Description of
Reason for
Employment
Address of
Duties
Leaving
Dates
Employer
From:
To:
Previous employment continued:
Provide
Name and Address
Employment
of Employer
Dates
From:
To:
From:
To:
From:
To:
From:
To:
From:
To:
From:
To:
From:
To:
From:
To:
Job Title
Brief Description of
Duties
Reason for
Leaving
5. Education
Dates of Attendance
Name of Educational
Institution and Location
(School/College/University)
Qualifications Achieved and
Grade Awarded
From:
To:
From:
To:
From:
To:
From:
To:
From:
To:
From:
To:
Membership of Professional Bodies, including levels:
Please give details of any training/course of study/research currently being undertaken:
6. Talent Pool
The Academies Enterprise Trust has developed a Talent Pool which allows candidates
maximum exposure to new and upcoming jobs within the Trust. We will keep your details for
a 6 month period and contact you if suitable vacancies arise.
Please indicate if you would like to be included in the Academies
Enterprise Trust Talent Pool?
Yes
If yes to the above please answer the following:
Please state which locations you are willing to work: (delete as appropriate)
Essex, London, Kent, Suffolk, Hampshire, isle of Wight, Gloucester,
Middlesborough, Middlesex, Southampton.
Please state other:
No
7. References
Are we able to contact your current employer now?
Yes
No
Please note that character references and references from friends/acquaintances are not
acceptable for teaching applications. We would expect one reference to be from your
present employer; if not then we will contact them automatically.
Referee 1
Name:
Post Title:
Organisation/Company
Name:
Address:
Email:
Phone:
Fax:
Referee 2
Name:
Post Title:
Organisation/Company
Name:
Address:
Email:
Phone:
Fax:
8. Disclosure of Criminal Convictions
Under the provision of the Rehabilitation of Offenders Act 1974
(exception) order 1975, all applicants for posts are required to disclose
any current criminal convictions:
Please indicate whether you have any current convictions or cautions,
bind-overs, warnings or reprimands that are ‘unspent’ or pending?
Yes
No
9. Details in Support of Application
Please submit information in support of your application that demonstrates how your skills
and abilities relate to the Role and Person Specification. Please use the space provided
below or attach separate sheet (s). Please note that CVs will not be accepted in place of
supporting detail.
10. Declaration
I have read the Guidance Notes for applicants and have provided my supporting details. I
certify that the information I have entered is true, and I understand that any false information
or failure to disclose any criminal convictions when applying for the post with regular contact
with learners may, in the event of employment, result in dismissal or disciplinary action being
taken. I hereby give explicit consent to process the information submitted in the application
under the terms of the Data Protection Act 1998.
I hereby consent to details of my previous employment and education, held under the Data
Protection Act 1998, to be released to Academies Enterprise Trust for the purpose of
obtaining references.
Signed:
Please ensure you complete the monitoring form below.
Date:
11. Monitoring Form
Post Applied for:
The following information is separated from the application form during the recruitment
process and will be treated as confidential. The following information is used for monitoring
purposes only:
Gender:
Date of Birth:
National Insurance Number:
Please state any relationship you have with any
employee within the Academy or Trust:
Please indicate whether you have a disability:
All applicants with a disability who meet the
essential criteria in the Person Specification will
be invited for interview
Race
(Nationality/Ethnic Other Asian Background
Origin): Please
Other Black Background
indicate the
category which
Other Ethnic Background
most represents
your ethnicity
Other Mixed Background
Have you at any time been barred from
teaching by the DfE?
Yes
No
Yes
No
Indian
Pakistani
White – British
White – Irish
Other White Background
White and Asian
Bangladeshi
White and Black African
Black African
White and Black
Caribbean
Black Caribbean
Prefer not to Say
Chinese
Religion or Belief:
Please indicate the
category which
most represents
your religion or
belief
Buddhist
Christian
Hind
u
Muslim
Jewi
sh
Sikh
Any other Religion or Belief
Pref
er
not
to
Say
No Religion
Sexual
Orientation:
Heterosexual/Straight
Bisexual
Please indicate the
category which
Homosexual/Gay
Prefer not to Say
most represents
your sexual
Homosexual/Lesbian
orientation
We would like to take this opportunity to thank you for your application form and for
your interest in Academies Enterprise Trust.