Cambridge Education Group (CEG) is committed to safeguarding and promoting the welfare of children and young people and expects all staff and volunteers to share this commitment. JOB APPLICATION FORM POST APPLIED FOR: DATE: Please speak with a member of the Human Resources Team if you require any reasonable adjustments to the application form or application process under the provisions of the Equality Act 2010. The Equal Opportunities Monitoring Form will be removed prior to the assessment of applications. PERSONAL DETAILS Title: First Name(s): Surname: Other names you have been known by: Address: Post Code: Email Address: Mobile Number: Home Number: Do you have the right to work in the UK? Yes No National Insurance Number: PRESENT OR MOST RECENT EMPLOYMENT Employer: Address: Post Code: From: To: Job Title: Main responsibilities: Notice Period: Reason for Leaving: Salary: £ Cambridge Education Group (CEG) is committed to safeguarding and promoting the welfare of children and young people and expects all staff and volunteers to share this commitment. EMPLOYMENT HISTORY Please give a full history, in chronological order, starting with your most recent occupation. Include periods of post-secondary education/training, part time or voluntary work. If you are still in full time education, please give details of any vacation, part time or voluntary employment. If you have had periods of time not in employment or education/training please record these providing an explanation (e.g. looking for employment, travelling, or time taken out of paid employment due to child care responsibilities etc). The information given may be used to obtain references at a later date. Please continue on a separate sheet using the same format if necessary. Employer Position Held Date From Date To Reasons for Leaving Cambridge Education Group (CEG) is committed to safeguarding and promoting the welfare of children and young people and expects all staff and volunteers to share this commitment. EDUCATION & QUALIFICATIONS Please list any qualifications you have gained or are currently undertaking (e.g. GCSEs, A-levels, degree, NVQs, professional qualifications). Please state where these were obtained if outside the UK. If you are shortlisted for interview you will be required to produce original certificates (or other documentary proof of qualifications) where these are specified as an essential requirement of the post. Please continue on a separate sheet using the same format if necessary. Secondary/Further Education School/ College/University From To Subject or Course Examination e.g. GCSE Grade Relevant Training Courses Attended From To Subject or Course Training Provider Cambridge Education Group (CEG) is committed to safeguarding and promoting the welfare of children and young people and expects all staff and volunteers to share this commitment. SUPPORTING STATEMENT In this section, drawing on your personal and work experience, education and training, outline how you satisfy the requirements of this job as detailed in the job description of the post that you are applying for. Please continue on a separate sheet if necessary. Cambridge Education Group (CEG) is committed to safeguarding and promoting the welfare of children and young people and expects all staff and volunteers to share this commitment. REFERENCES Please give the details of two referees who can verify your employment record and give information about your suitability for this post. Your referees should not be related to you in any way nor writing solely as a colleague or friend. References must include one current and one previous employer (if not in employment two previous employers). If you have not been in paid employment, one reference must be from a school/college/university and one from someone who can comment on your ability to meet the requirements of the job. Please note that it is our policy to take up references covering the last five years. Name: Name: Job Title: Job Title: Relationship with this person e.g. line manager: Relationship with this person e.g. line manager: Address: Address: Telephone Number: Telephone Number: Email Address: Email Address: May we contact this referee prior to an interview? May we contact this referee prior to an interview? Yes Yes No ADDITIONAL DETAILS When would you be available to start work? Where did you see this post advertised? Cambridge Education Group Website Recruitment Website Please specify Publication Please specify Other Please specify No Cambridge Education Group (CEG) is committed to safeguarding and promoting the welfare of children and young people and expects all staff and volunteers to share this commitment. DISCLOSURE OF CRIMINAL RECORD In accordance with statutory requirements, certain pre-employment checks are conducted for positions involving working with vulnerable groups, specifically children and vulnerable adults. The information obtained from these checks is used to help safeguard these groups. It will not be used to discriminate unfairly against those with convictions which we consider as unrelated to working with vulnerable groups. Having a criminal record will not automatically bar you from employment or voluntary work with us. In the event of a successful application, an offer of employment may be made to you which is conditional upon receipt of satisfactory Disclosure and Barring Service Checks (“DBS Checks”) (formerly CRB Check and ISA Check) in relation to criminal and child protection matters. Please note that a conviction will not necessarily be a bar to obtaining employment. By checking the box below you hereby consent to a DBS Check(s) being made to the Disclosure and Barring Service (“DBS”): As the position you are applying for gives you privileged access to vulnerable groups, you are required to disclose all spent convictions and cautions under the Rehabilitation of Offenders Act 1974 (Exemptions) Order 1975 unless it is a “protected” conviction/caution under the amendments made to the Rehabilitation of Offenders Act 1974 (Exemptions) Order 1975 (in 2013) and, therefore, not subject to disclosure. This means that you must disclose spent and unspent convictions on this form other than those which are so “protected”. This may include any driving offences. Guidance on the filtering of “protected” convictions and cautions can be accessed on the Disclosure and Barring Service website. Failure to disclose any disclosable criminal convictions could lead either to your application being rejected or, if you are appointed, to dismissal if it is subsequently discovered that you have had any criminal convictions. It is a criminal offence to apply for a position working with children if you are excluded from doing so. Please check the appropriate box to indicate whether you have any convictions, cautions, reprimands or final warnings that are not “protected” as defined by the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 as amended in 2013: Yes No If you have answered yes to the question above, please set out the details below. Please continue on a separate sheet if necessary. Date of Conviction/pending Hearing/Caution/Reprimand/Warning: Offence: Sentence: PLEASE READ THE FOLLOWING DECLARATION CAREFULLY BEFORE SIGNING THIS FORM By submitting this form, I declare that the information given in this application is to the best of my knowledge complete and correct. I understand that my application may be rejected or that I may be dismissed for withholding relevant details or giving false information. I understand that any employment offer will be subject to satisfactory references, evidence of qualifications, proof of my eligibility to work in the UK and a satisfactory disclosure certificate from the DBS. CEG complies with the Data Protection Act 1998. CEG will use the information you have provided on this application form, together with other information we may obtain about you e.g. from your referees and from carrying out DBS checks (when such checks are relevant to the post), to assess your suitability for employment with us, for administration and management purposes and for statistical analysis. We may disclose your information to our service providers and agents for these purposes and by submitting this application form you are consenting to our processing this for the purposes above. The information on your application form will also form the basis of the confidential personnel record of the successful candidate. In the case of unsuccessful candidates the information will be destroyed after six months. Signed: Date: Cambridge Education Group (CEG) is committed to safeguarding and promoting the welfare of children and young people and expects all staff and volunteers to share this commitment. EQUAL OPPORTUNITIES MONITORING FORM Cambridge Education Group are committed to ensuring that all job applicants and members of staff are treated equally, without discrimination because of race, colour, nationality, ethnic or national origin, religion or belief, gender, gender reassignment, sexual orientation, marital status or civil partner status, disability or age. This form is intended to help us maintain equal opportunities best practice and identify barriers to workforce equality and diversity. Please complete this form and return it with your application. The form will be separated from your application on receipt. The information on this form will be used for monitoring purposes only and will play no part in the recruitment process. All questions are optional. You are not obliged to answer any of these questions but the more information you supply, the more effective our monitoring will be. All information supplied will be treated in the strictest confidence. It will not be placed on your personnel file. Thank you for your assistance. Post applied for: Name: Gender (please tick): Male Female Prefer not to say (If you are undergoing gender reassignment, please use the gender identity you intend to acquire). Age (please tick): 16-17 18-21 Prefer not to say 22-30 31-40 41-50 51-60 61-70 71+ Please describe your religion or other strongly held belief Prefer not to disclose Which of the following describes your sexual orientation (please tick)? Bi-sexual Gay man Heterosexual Gay woman/Lesbian Prefer not to disclose Disability The Equality Act 210 defines a disability as a physical or mental impairment which has a substantial and long term adverse effect on a person’s ability to carry out normal day to day activities. An effect is long term if it has lasted, or is likely to last more than 12 months. Do you consider that you have a disability under the Equality act? Yes No Cambridge Education Group (CEG) is committed to safeguarding and promoting the welfare of children and young people and expects all staff and volunteers to share this commitment. How would you describe your ethnic origin? White Black or black British British Caribbean Irish African Any other white background Any other black background Please specify Please specify Mixed Asian or Asian British White and black Caribbean Indian White and black African Pakistani White and Asian Bangladeshi Other mixed background Any other Asian background Please specify Chinese and other ethnic groups Chinese Other ethnic group Prefer not to disclose Please specify