THE EAST MIDLANDS EDUCATION TRUST TEACHING APPLICATION FORM (including

the east midlands education trust teaching application form (including headteachers and deputy headteachers) please c

THE EAST MIDLANDS
EDUCATION TRUST


TEACHING APPLICATION FORM
(including headteachers and deputy headteachers)
Please complete in black as this form may be photocopied.
1. APPLICATION FOR THE POST OF
2. SCHOOL NAME OR JOB LOCATION
3. PERSONAL DETAILS (BLOCK LETTERS PLEASE)
Surname:
First Name:
Email address:
Telephone number(s):
Home / work / mobile (please state)
GTC Reg No./DFE Ref Number/Teacher No.
4. EMPLOYMENT
Name and address of current employer:
Postcode:
Name and address of establishment where employed
(if different):
Present post:
Date appointed:
Current annual salary:
Point on pay spine: Additional responsibility points:
Age range of pupils:
Number on roll:

Brief description of duties:
Previous employment (most recent first and exact dates)
Employer
(if employed by an LEA, give LEA and school/college
Post
Grade Scale
Full or
Part-time
(give hrs)
Dates
Reason for
leaving
From
To
M
Y
M
Y
Continue on separate sheet if necessary.
5. EDUCATION AND TRAINING (Post 16 education and training (including
teacher training))
Dates
Full or
Part-time
Name of
Educational Establishment
Qualification
gained
Class of degree
e.g. Hons II (ii)
Date of
award
From
To
Details of Teacher Training
If qualified since 1999, please give date when Newly Qualified Teacher
status awarded: ___________________________
For newly qualified teachers only – please confirm current status of
Induction Period including dates/outcomes or reviews:
1st Review:
2nd Review:
3rd Review:
Primary / Secondary / Further Age range for which trained
_______________________
(please delete)
Main teaching subject:
­­­­­­­­­­­­________________________________________________________________
Subsidiary subject(s):
________________________________________________________________

Other recent courses and INSET in which you have been involved in the
past 3 years and which you consider relevant to this post. (Please
continue on separate sheet if necessary)
6. PERIODS OF UNREMUNERATED ACTIVITY
(After the age of 18 years. e.g. Raising family, unpaid voluntary
work, etc)
How time was spent
Dates
From
To
6. ADDITIONAL INFORMATION
You may wish to include additional information in support of your
application. This should be brief but in any case no more than two
sides of A4 size paper. This additional information should include
some indication of why you are interested in this particular post and
what experience, interests and skills you can offer in relation to the
job description/person specification.
7. REFERENCES
Please provide details of two referees below. One of the referees
should be your present or most recent employer and normally no offer
of employment will be made without reference to him/her. If you have
not previously been employed, then headteachers, college lecturers or
other persons who are able to comment authoritatively on your
educational background and/or personal qualities, are acceptable as
referees. References from family or friends will not be accepted. The
East Midlands Education Trust reserves the right to approach any
previous employer or manager.
Where references are taken up on short-listed candidates prior to
interview, an opportunity will be given to discuss the content of
references with the interviewing panel.
Name:
Name:
Status:
Status:
Organisation (if appropriate):
Organisation (if appropriate):
Address:
Address:
Postcode:
Postcode:
Telephone number:
Telephone number:
Email address:
Email address:
How long known?
How long known?
Do we have your permission to approach the above prior to interview?
YES / NO
If no, you may wish to give reason(s)
__________________________________________________________________
8. GENERAL
You are required to declare below any relationship with or to a
Trustee or member of staff within the East Midlands Education Trust.
Please state name, relationship and school (if relevant):
_________________________________________________________________________________________________
Have you ever been the subject of formal disciplinary proceedings?
YES/NO

If YES, please give brief details including dates:
9. DISCLOSURE OF CRIMINAL BACKGROUND
The amendments to the Rehabilitation of Offenders Act 1974
(Exceptions) Order 1975 (2013 and 2020) provides that when applying
for certain jobs and activities, certain convictions and cautions are
considered ‘protected’. This means that they do not need to be
disclosed to employers, and if they are disclosed, employers cannot
take them into account.
Guidance about whether a conviction or caution should be disclosed can
be found on the Ministry of Justice website.
https://www.gov.uk/government/publications/new-guidance-on-the-rehabilitation-of-offenders-act-1974.
10. HEALTH/MEDICAL DETAILS
Successful applicants will be required to complete a confidential
medical questionnaire and may be required to undergo a medical
examination.
11. ADDITIONAL INFORMATION
Is there any other information relevant to the recruitment process
that you would like to advise us of, or any dates that you are not
available for interview?
12. DATA PROTECTION PRIVACY STATEMENT
The personal data that you provide within your application will be
used for shortlisting and interviewing purposes and for contacting you
about the recruitment process. If you chose to complete the sections
on the final two pages of the application form, this data will be used
only for monitoring purposes and will be anonymised. Your application
will be stored securely and only used for purposes directly relevant
to the recruitment process.
If you are appointed, your application will be placed onto a secure
employment file. Details for unsuccessful candidates will be destroyed
six months after the recruitment process concludes.
We do not share information about you with any third party without
your consent unless the law allows us to do so.
The school is the ‘data controller’ for the purposes of data
protection law.
By ticking this box you are consenting for your data to be used as
described above. You may withdraw this consent at any time.
14. DECLARATION
If you return your application form to us by email and you are
subsequently invited to interview, you will be required to sign a
printed copy of your form.
I declare that, to the best of my knowledge and belief, the
information given on ALL parts of this form is correct. I understand
that, should my application be successful and it is discovered
subsequently that information has been falsified, then disciplinary
action may be taken which may include dismissal from the post.
I confirm that I have a legal right to work in the UK and if this
application is successful, I undertake to produce appropriate
documentary evidence to prove this, prior to commencing work with the
Trust.
The East Midlands Education Trust is committed to safeguarding and
promoting the welfare of children and young people and expects all
staff and volunteers to share this commitment
Signed ______________________________________________ Date
__________________________
Please return your completed form to arrive by the closing date to
[email protected] If you have not received a reply
within the next 6 weeks, you should assume that your application has
been unsuccessful.
All correspondence will be by email, so please check your inbox and
junk mail on a regular basis
Your application form should be submitted as a Microsoft Word
document, or equivalent, as this is required for business purposes.
EQUAL OPPORTUNITIES MONITORING FORM
This part of the application form will NOT be used to shortlist
candidates for interview and will NOT be viewed by the recruitment
panel.
In order to ensure that discrimination does not take place during the
recruitment process, the recruitment panel will not see the
information you provide on the following pages. However, your personal
details are needed to process your application and Sections One and
Two below must be completed for your application to be considered.
1.
PERSONAL DETAILS (PLEASE COMPLETE IN BLOCK LETTERS)
Surname:
Forenames:
Title by which you wish to be referred:
(Mr/Mrs/Miss/Ms/Other)
Date of Birth:
National insurance number:
Address for Correspondence:
2.
DISABILITY
The Equality Act 2010 defines disability as, “a physical or mental
impairment which has a substantial and long-term adverse effect on the
ability to carry out normal day-to-day activities.” The Act requires
an employer to make “Reasonable Adjustments” to working conditions, in
order to enable disabled applicants to have equal access to employment
opportunities. The information disclosed here will only be used to
enable a fair decision to be made and will not be used to discount
applicants.
Do you consider yourself to have a disability? YES / NO
If you have answered Yes to the above, please answer the following
question:
Is there any information that we need in order to offer you a fair
selection interview?
Equality in Employment Statement
This part of the application form will NOT be used to shortlist
candidates for interview and will NOT be viewed by the Recruitment
panel.
The East Midlands Education trust, together with the recognised Trade
Unions, is committed to the development of positive policies to
promote equal opportunities in employment and in the delivery of our
services, regardless of race, disability, gender, belief or religion,
age or sexual orientation. This commitment will apply to recruitment
and selection practices, training and promotion, in the application of
national and local agreements, in respect of pay and conditions of
services and in the provision of all services. One aim of this policy
is to make sure that applicants for jobs are not discriminated
against. The policy also aims to make sure that applicants are not
disadvantaged by job conditions or requirements that are not relevant.
In order to monitor and ensure the successful development of this
policy, all applicants for jobs are requested to complete the
Recruitment and Selection Monitoring information detailed below and
overleaf.
Please double click to check the box, as appropriate
Your gender – are you: Male Female Transsexual / Transgender
Non-Binary
Your age 16-25 26-35 36-45 46-55 56 & over
I would describe my ethnic origin as: (please note this question does
not refer to your nationality/country of origin)
White
English
Other British
Irish
Other white background (please describe)
Black or Black British:
African
Caribbean
Other Black background (please describe)
Asian or Asian British:
Indian
Pakistani
Bangladeshi
Chinese
Other Asian background (please describe)
Mixed (dual heritage):
Asian and White
Black African and White
Black Caribbean and White
Other mixed background (please describe)
Other ethnic group:
Arab
Gypsy
Irish Traveller
Romany
Other ethnic group (please describe)
What is your religion or belief?
No religion/belief Christian Buddhist Hindu Jewish Muslim Sikh
Other religion (please describe):
Other belief (please describe):
What is your sexual orientation?: Heterosexual Bisexual Gay man
Lesbian
If you consider yourself to be disabled, please specify:
Communication Hearing Learning Mental Health Mobility Physical Visual
Other
Please give further details below if you wish:
How did you find out about this vacancy?
East Midlands Education Trust Website
School Website
DfE Teaching Vacancies Website
National Press (please specify)
Other Website (please specify)
Word of Mouth
Other (please specify)
APPEALS PROCEDURE
The East Midlands Education Trust operates a recruitment appeals
procedure. If you consider that you have been discriminated against
during recruitment because of your race, disability, gender, belief or
religion, age or sexual orientation, send full details within 14 days
of the alleged act taking place (or within 14 days of the recruitment
procedure) to the HR Director, East Midlands Education Trust, c/o The
West Bridgford School, Loughborough Road, West Bridgford, Nottingham,
NG2 7FA. Please state the post title, school or job location and the
grounds on which it is considered that the discrimination has
occurred.
DECLARATION
I consent to the collection, storage and use of my race, disability,
gender, belief or religion, age or sexual orientation details. I
understand that these details will not be used as part of the
selection process. I understand that any use of these details will
only involve producing anonymous statistics to monitor the
effectiveness of the school’s Equal Opportunity policy.
Signed _____________________________________________ Date
______________________
Sept 2019