Internal use only
Ref . No._________________
Date Received ___________
Employment Application Form: Teaching
The Governing Body is committed to safeguarding and promoting the welfare of children
and young people and expects all staff and volunteers to share this commitment.
Please ensure that you complete all sections of Part 1 and Part 2 of the application. Please note that providing false
information will result in the application being rejected, or withdrawal of any offer of employment, or summary dismissal if
you are in post, and possible referral to the police. Please note that checks may be carried out to verify the contents of your
application form. Please complete the form in black ink or type. CVs are not accepted.
Vacancy Job Title
KS2 Teacher
Part 1. INFORMATION FOR SHORTLISTING AND INTERVIEWING
Initials
C.A. ___________
Surname or Family name
Dagnan _______________
2.
LETTER OF APPLICATION Please enclose a letter of application. Please refer to the applicant information pack
which may include instructions on completion of the letter of application.
3.
PRESENT / LAST APPOINTMENT: IF TEACHING
Name, address and telephone number of
school
1
Type of school
Boys
Girls
Mixed
Age range
Number on Roll
2
Type of school
e.g. Community, Aided, Foundation, Academy, Free School, Independent etc
Job title Please enclose a copy of your
current job description
Subjects/age groups taught
Date appointed to current post
Current salary
Date available to begin new job
4.
PRESENT / LAST APPOINTMENT: IF NON-TEACHING
Name address and telephone number of
employer
Cambridge Assessment
1 Hills Road
Cambridge
CB1 2EU
Job title Please enclose a copy of your
current job description
Senior Finance Assistant
Date appointed to current post
11/08/2011
Current salary
£20,700
Date available to begin new job
1 month notice period
Sept 2013
5.
FULL CHRONOLOGICAL HISTORY Please provide a full history in chronological order since leaving secondary
education, including periods of any post-secondary education/training, and part-time and voluntary work as well as
full time employment, with start and end dates, explanations for periods not in employment or education/training, and
reasons for leaving employment.
Job Title
or Position
Name and address of school,
other employer, or description of
activity
1 Senior Finance
Assistant/Operati
ons Administrator
Cambridge Assessment
2 Assistant
Cambridge Wine Merchants- Mill
Road
Manager/ Wine
assistant/
Number
on roll and
type of
school, if
applicable
F/T
or
P/T
N/A
Dates
From
Reason
for
leaving
To
Mth
Yr
Mth
Yr
F/T
08
2011
present
N/A
F/T
05
2010
08
2011
It was a
small
company
and so no
chance of
progression
N/A
F/T
06
2006
05
2010
The last
position
with OCR
was fixedterm only
I wish to
return to
teaching
I supervised a team of 3
permanent plus temporary staff
as required. In my role I oversaw
the daily workload of the team
prioritising accordingly so that
service level agreements are
successfully maintained.
I ordered stationery and paper
as required. I circulated and
amended agendas and minutes
for the GMWG Group meetings
and set up the meeting
bookings. I ordered certificates;
I responded to invoice queries
and processed refund requests.
I tracked the despatch of
certificates. I have used EPS,
YLE China databases, Pivotal
and Microsoft Office. I also use
SAP on a daily basis to process
payments and make transfers
from OMS, and EPS. I answer
queries by email and telephone
from our Assessment Service
Providers.
I was responsible for ordering
stock and maintaining accurate
stock levels. I was in charge of
the staff rota and for training
new members of staff. I carried
out stocktakes and updated
data. I used problem solving
skills and diplomacy to fulfil
customer orders and seek
resolutions to problematic
situations as they arose. I
completed the WSET
Intermediate course learning
about wine tasting and food
pairings.
3 Qualifications
Leader/Team
Leader
Asset
Languages
January 2009 – June 2010
Cambridge Assessment
Qualifications Leader, Oxford,
Cambridge & RSA Examinations
I managed three Legacy GCSE
qualifications. I also acted as
Sept 2013
Customer Services link for the
Social Sciences and History
team to ensure timely
production of materials for use
at teacher training events. I
managed a busy workload in
which business critical
deadlines had to be met. I dealt
with external complaints and
queries by email, letter and
telephone. Proofreading and
attention to detail were vital to
the role together with effective
prioritisation. I was responsible
for ensuring the smooth running
of Award Grading and
standardisation of marking
meetings, which are of great
importance
January 2008 – January 2009
Cambridge Assessment
Team Leader, Cambridge
International Examinations
I was the Objective Testing
Section Team Leader for the
Question Paper Management
team. I line-managed 5 staff
within t team and carried out
their performance reviews. My
duties included typesetting,
managing schedules,
scheduling and attending
meetings. I was the primary
contact person for a large
number of senior external staff
and I dealt with any issues
promptly and with discretion.
June 2006 – January 2008
Cambridge Assessment
Asset Languages, Oxford,
Cambridge & RSA Examinations
I joined the Asset Languages
Development Team in June 2006
as an Administrative Assistant. I
soon applied for promotion and
became an Administrative
Officer in July 2006. My role
gave me the opportunity to plan,
prioritise and manage a busy
workload, use databases, attend
important editing and preediting meetings to improve test
paper content, liaise with item
writing teams, commission item
writers, proofread materials and
co-ordinate sample papers. I
was involved in the
development and processes of
creating computer-based tests; I
trained others in the team how
to create and check tests in this
Sept 2013
medium. I acted as an Assistant
Development Manager from May
2007 to cover a colleague’s
maternity leave. As part of this
managerial administrative role I
was responsible for managing
all External and Teacher
Assessment for four languages.
This was an interesting and
varied role where attention to
detail and adherence to
deadlines was crucial
4 Temporary
worker
Supply to Nursery schools
Polkadot Frog. I worked on a
supply basis at various nursery
schools working within the full
nursery age range supporting
staff and assisting with active
learning.
N/A
F/T
09
2005
05
2006
Temporary
work only
F/T
09
2004
06
2005
1 Year
Contract
F/T
09
2004
06
2005
My exhusband
needed to
relocate for
work
Pure Resources
My duties included running
reception, buying travel tickets,
welcoming visitors, ordering
office supplies, filing, filling out
purchase orders, scanning,
maintaining various spread
sheets, updating and
maintaining databases, external
correspondence by email and
letter, making telephone
enquiries, filing and
photocopying.
5 Acting Head of
Spanish
6 Teacher of
Spanish &
French
St Mary’s School Cambridge
Acting Head of Spanish
I was responsible for running
the Spanish department, as well
as teaching Spanish to the full
11-18 age range. I managed two
members of staff as well as
completing departmental
administration; including
agendas, meetings, organising
trips, ordering resources,
management of a budget. I
created worksheets and other
resources for use in the
classroom. I represented the
MFL department as ICT
representative and trained other
colleagues on how to produce
resources. I was a Year 7 form
tutor and delivered PSHE to my
form.
Oakham School, Rutland
I was responsible for the
teaching of French to a year 8
class and Spanish at all levels
from KS3, including the
700
approx.
Catholic
Girls
school
Private
Day &
Boarding
1000
approx.
Mixed
Private
Day &
Sept 2013
7 Teacher of
Spanish & French
International Baccalaureate and
AS, A2 Level. All teaching
incorporated the use of ICT to
enhance learning. I played a full
role in activities and the tutorial
and boarding element of school
life. I assisted with netball and
Duke of Edinburgh Bronze
walking Awards. I was an
assistant house mistress in the
second year. Oakham had a
strong Anglican Ethos. I was a
form tutor for year 7 and had
House responsibilities with the
Sixth Form.
Boarding
Hornsea School, Hornsea
I was responsible for teaching
Key stage 3 French and Key
Stage 4 Spanish to the full ability
range. I developed skills in
behavioural management and in
motivating learners. I taught
basic ICT skills to three Year 7
classes. I was responsible for
the pastoral welfare of a tutor
group in Year 7 and then in Year
8.
1100
approx.
Mixed
Comprehe
nsive
purposes
F/T
09
2000
09
2002
I found a
post closer
to my family
and I had ill
relatives so
this was
more
convenient
8
Please enclose a continuation sheet if necessary
Sept 2013
6.
SECONDARY EDUCATION & QUALIFICATIONS
Name of School/College
From
To
Hartshill High School,
Nuneaton
1989
1993
GCSEs Spanish A French A English Language B
English Literature B Geography B Office Studies
B Maths C Double Science CC.
King Edward VI College,
Nuneaton
1993
1995
A Levels Spanish A Business Studies C French
D GCSE Travel and Tourism B.
7.
Qualifications Gained with Date
HIGHER EDUCATION
Names and Addresses of
University or College and/or
University Education Department
Dates
From
To
Full or
Part-time
Courses/subjects taken
and Passed
Date of
Examination
and
Qualifications
Obtained
Bradford University
1995
1999
Full
BA Hons Spanish with
French Third Class
Bradford and Ilkley College,
Bradford
1999
2000
Full
PGCE Secondary
Modern Foreign
Language Education
Age
Groups
for
which
Trained
Sept 2013
8.
PROFESSIONAL COURSES ATTENDED AS A TEACHER Please list relevant courses attended in the past 3 years.
Subject
9.
Organising Body
Date(s)
Duration
OTHER RELEVANT EXPERIENCE, INTERESTS AND SKILLS
I have just completed a few days’ work experience at Newnham Croft Primary School. I supported Year 5, Year 1
and Reception classes. I lead an ICT session on touch typing in the ICT suite with Year 5 and also taught a
Spanish taster session.
When I finished my PGCE I gained experience Supply Teaching in primary Schools and Middle Schools. I also
have worked in Nursery Schools in a Supply capacity.
I have always maintained my passion for learning and for personal Interest I have also followed and completed
the following Courses:
2002 AS English Literature C, Beverley College, Beverley
2005 GCSE Italian A *, Hills Road College, Cambridge
2005 ABC Basic Japanese, Parkside College, Cambridge
2007 Certificate in the Principles and Practices of Assessment, Cambridge Network work based, the University of
Cambridge
2009 Arts Past and Present, Open University
2010 Creative Writing, Open University
I like to keep fit and so regularly go to the gym and attend various fitness classes. I also attend weekly classes in
Egyptian Belly dancing and yoga. Cooking is a fantastic outlet for creativity and imagination and I enjoy a variety
of international cuisines. I also enjoy maintaining my language skills and reading novels. I also regularly go to
the cinema. I also visit museums and art galleries. I have also taken over the organisation of a Meetup Social
Group with over 680 members and have successfully modernised the group. I schedule and book events
ensuring that all new members are fully integrated into the group. I have made innovative changes successfully
widening the demographic and popularity of the group.
Sept 2013
10.
REFEREES
Give here details of two people to whom reference may be made. The first referee should normally be your present
or most recent headteacher or equivalent person. If you are not currently working with children please provide a
referee from your most recent employment involving children. Referees will be asked about disciplinary offences
relating to children, which may include any in which the penalty is “time expired” and whether you have been the
subject of any child protection concerns, and if so, the outcome of any enquiry or disciplinary procedure.
References will not be accepted from relatives or from people writing solely in the capacity of friends.
First referee
Title and Name
Mrs Leanne Ketteridge
Address and post code
Cambridge Assessment
1 Hills Road
Cambridge CB1 2EU
Telephone number
01223 552748
Email address
ketteridge.l@cambridgeassesment.org.uk
Job Title
Deputy Payments Manager
Relationship to applicant
Mrs Ketteridge is my Line Manager.
Second referee
Title and Name
Dr Jayne Triffitt
Address and post code
St Mary’s School
Bateman Street
Cambridge
Telephone number
01223 353253
Email address
enquiries@stmaryscambridge.co.uk
Job Title
Head Teacher
Relationship to applicant
Dr Triffitt was my Head Teacher at my most recent teaching post.
Sept 2013
THIS PAGE IS INTENTIONALLY BLANK
Sept 2013
Part 2
Internal Ref . No._______
This section will be separated from Part 1 on receipt. Relevant responses may be verified prior to shortlisting and/or used
for administration purposes but will not then be used for selection purposes. If you are called to interview you may be asked
about the answers you have given to questions 15 to 19 and question 14 if relevant to the job.
11.
PERSONAL INFORMATION
1.
Surname or family name
Dagnan
2.
All previous surnames
Donovan
3.
All forenames
Claire Adèle
4.
Title
Ms
5.
Current Address
34 Coles Road
Milton
Cambridge
6.
Postcode
CB24 6BW
7.
Resident at this address since
26/04/2013
8.
Home telephone number
N/A
9.
Mobile telephone number
07894545416
10.
Date of birth
24/06/1977
11.
Email address
claire.a.dagnan@gmail.com
12.
DfE reference number
RP 99/40488
13.
National Insurance Number
JG 32 92 05B
14.
Do you have a current full driving
licence?
No
15.
Did you qualify as a teacher after May
1999?
Yes
Have you ever been subject to a child
protection investigation by your
employer or the General Teaching
Council or Independent
Safeguarding Authority?
No
Do you require sponsorship
(previously a work permit)?
No
Are you related to or have a close
personal relationship with any pupil,
employee, or governor?
No
NQTs ONLY:
Numeracy
Have you provided evidence of
passing the Skills Tests? Please tick
or cross
Literacy
Are there any special arrangements
which we can make for you if you are
called for an interview and/or work
based assessment?
No
16.
17.
18.
19.
20.
If Yes, in which school was induction completed? Hornsea School
If YES please state separately under confidential cover the
circumstances and the outcome including any orders or conditions.
This will not be opened unless you are called to interview.
If YES please provide details under separate cover.
If YES give details separately under confidential cover. This will not be
opened unless you are called to interview.
If Yes please specify, (e.g. ground floor venue, sign language,
interpreter, audiotape etc).
Sept 2013
12.
COMPULSORY DECLARATION OF ANY CONVICTIONS, CAUTIONS OR REPRIMANDS, WARNINGS OR
BIND-OVERS
If you are shortlisted you will be required to complete a “Disclosure of Criminal Record” form and bring the
completed form to interview. The information you give will be treated as strictly confidential. Disclosure of a
conviction, caution, warning or reprimand will not automatically disqualify you from consideration. Any offence will
only be taken into consideration if it is one which would make you unsuitable for the type of work you are applying
for. However, offences relating to children may make you unsuitable since this is a “regulated position” under the
Under the Criminal Justice & Courts Services Act 2000.
13.
DATA PROTECTION ACT 1998
The information collected on this form will be used in compliance with the Data Protection Act 1998. By supplying
information, you are giving your consent to the information being processed for all employment purposes as defined
in the Data Protection Act 1998. The information may be disclosed, as appropriate, to the governors, to
Occupational Health, to the Teachers Pensions Agency, to the Department for Education, to pension, payroll and
personnel providers and relevant statutory bodies. You should also note that checks may be made to verify the
information provided and may also be used to prevent and/or detect fraud. This form will be kept strictly confidential
but may be photocopied and may be transmitted electronically for use by those entitled to see the information as
part of the recruitment process. When the recruitment process is completed, the form will be stored for a maximum
of six months then destroyed. If you are employed as a result of this recruitment process then this application form
will be retained as part of your personnel record.
14.
NOTES
(a) Under the Criminal Justice & Courts Services Act 2000 it is an offence for an individual who has been disqualified
from working with children to knowingly apply for, offer to do, accept, or do any work in a ‘regulated position’.
The position you are applying for is a “regulated position”.
(b) Canvassing, directly or indirectly, an employee or governor will disqualify the application.
(c) Candidates recommended for appointment will be required to provide a satisfactory Enhanced DBS certificate
and complete a pre-employment medical questionnaire and may be required to undergo a medical examination.
.
15.
DECLARATION
I certify that, to the best of my knowledge and belief, all particulars included in my application are correct. I
understand and accept that providing false information will result in my application being rejected or withdrawal of
any offer of employment, or summary dismissal if I am in post, and possible referral to the police. I understand and
accept that the information I have provided may be used in accordance with paragraph 13 above, and in particular
that checks may be carried out to verify the contents of my application form
C A Dagnan__________________
Signature of Applicant
14 June 2014 _______
Date
Claire Dagnan ____________
Print Name
Sept 2013
THIS PAGE IS INTENTIONALLY BLANK
Sept 2013
PART 3
EQUALITY AND DIVERSITY MONITORING
This section will be separated from part 1 and part 2. Collection of equality information is solely for monitoring purposes to ensure
that our policies and procedures are effective. We also collect this data in accordance with the general and specific public sector
equality duties under the Equality Act 2010. Any data you enter onto this monitoring form will only be used for monitoring purposes
and will not be used in assessing and or scoring your application or during the interview process. This information is kept fully
confidential and access is strictly limited in accordance with the Data Protection Act.
Ethnic Group
White
Mixed
Asian
or Asian British
Black
or Black British
Other ethnic group
Prefer not to say
Religion
Workforce
Census Code
WBRI British English Welsh Northern Irish
Scottish
WIRI
Irish
OOTH Irish Traveller
OOTH Gypsy
WOTH Other White background
MWBC White and Black Caribbean
MWBA White and Black African
MWAS White and Asian
MOTH
AIND
APKN
ABAN
CHNE
AOTH
BCRB
BAFR
BOTH
OOTH
Please tick
√
Other Mixed background
Indian
Pakistani
Bangladeshi
Chinese
Other Asian background
Caribbean
African
Other Black background
Arab
Write in:
REFU
Please tick
No religion
Christian (including Church of England,
Catholic, Protestant and all other Christian
denominations)
Buddhist
Hindu
Jewish
Muslim
Sikh
√
Disability
Do you consider that you have a disability? Please tick
Yes Please complete the grid below
No
√
Prefer not to say
My disability is:
Please tick
Physical Impairment
Sensory Impairment
Mental Health Condition
Any other religion write in
Learning Disability/ Difficulty
Long standing illness
Prefer not to say
Sexual Orientation
Other
Please tick
Prefer not to say
Bi-sexual
Gay
Lesbian
Heterosexual
√
Other
Prefer not to say
Gender
Female
Please tick
√
Male
Transgender
Prefer not to say
Personal relationship
Single
Living together
Married
Civil Partnership
Prefer not to say
Please tick
√
Sept 2013