Moor House Application Form

This form is also available in alternative formats.

This is your opportunity to tell us as much as possible about yourself and will help us to make a fair decision in the selection process. Please refer carefully to the information with which you have been provided for this post.

Please complete ALL sections of the application form.

Your application will be treated in the strictest confidence.

Name* Post applied for* Where did you see the advert?* If other please state Address* Postcode* Telephone number* Mobile number Email address* National Insurance Number (you can obtain this information from the Department of Social Security)*

Documentary proof of your National Insurance number will be required before interview, if you are selected.

Suitable documents are a recent payslip, P60 or P45. If you do not possess any of the above documents, the School may require production of alternative forms of documentation.

N.B. The above information is required to fulfil the School's responsibilities under Section 8 of the Asylum and Immigration Act 1996.

General

Do you contribute to the Teachers' Pension Scheme?* If you contribute to another scheme, please provide details: Have you elected to pay pension contributions for part-time teaching? Do you have any affiliation to existing employees of Moor House School & College, including Governors and Trustees?* If yes please provide details: Date of acquisition of Full Driving Licence (if any) Details of Endorsements on Driving Licence (if any)

References

Please indicate below two employers for reference purposes.

References will only be sought for shortlisted candidates. It is our policy to obtain references prior to interview. If you have concerns regarding this, please contact us.

The first referee provided must be your present or most recent employer, unless you have not been in employment before. If you are not currently working with children but have done so in the past, your second referee must be that employer.

If any of your references relate to your employment at a school or college your referee must be the Headteacher or Principal.

If you are currently working with children, your present employer will be asked about any disciplinary offences relating to children (whether current or time expired), whether you have been subject of any substantiated child protection concerns and, if so, the outcome of these investigations. If you are not currently working with children but have done so previously, these issues will be raised with your former employer.

Please do not name relatives or people acting solely in their capacity as friends as referees.

Other previous employers may also be approached for information, prior to interview, to verify details on your application form, such as particular experience or qualifications.

1. Name* Job Title* Address* Postcode* Telephone number* Email address* Nature of organisation:* 2. Name* Job Title* Address* Postcode* Telephone number* Email address* Nature of organisation*

Further Qualifications

Name of institution Dates (from/to) Degree/Diploma Title Hons or pass grade Date awarded Additional institutions and qualifications (if applicable)

Secondary Education

Name of school (s) and area Dates (From/To) Qualifications gained (give subjects, grades, dates achieved)

Training & Development

Please give details, including dates, of relevant courses and training undertaken in the last 5 years

For Teaching Roles

If you are not applying for a teaching role please skip to Therapy or Employment History as applicable

Name of Teacher Training institution DfES No: Teacher GTCE full registration Dates (from/to) Qualifications obtained and date achieved Subjects Age range / key stage Other special interests

For Therapy roles

If you are not applying for a Therapy role please skip to Employment History

Name of Training Institution(s) HCPC Number RCSLT / RCOT ref: Dates (From/To) Undergraduate Qualifications and date achieved Postgraduate Qualifications and date achieved Thesis Topic and date submitted Other special clinical interests

Employment History

Please give details of all jobs held since leaving school, including education, employment, unpaid and voluntary work including reasons for any gaps in employment. Starting with your current or most recent employer- leaving no gaps.

When giving details of school employment, please include the age range, approximate school roll number and school type (i.e. maintained, independent, foundation).

Please upload details if there is not enough space in the box below.

For each role please include:
Employer name and address
Dates (From/To)
Salary upon leaving (and any allowances)
Full or Part-Time
Reason for leaving
Job Title
Job Responsibilities

Enter employment details including dates From/To* Upload employment details No file chosen

Other skills and interests

Please include languages (spoken/written), knowledge of computer/word processing systems etc. Please provide details of any community or voluntary work experience

Personal Statement

Using the person specification included in the application pack, please demonstrate using examples your suitability for the position that you are applying for. Please include your reasons for applying and interest in this position.

Please upload your statement if there is not enough space in the box.

Enter statement Upload Personal Statment No file chosen Have you ever been the subject of any disciplinary proceedings?* If yes please give details

Protection of Children

Safeguarding Children at Moor House School & College.

This school is committed to safeguarding and promoting the welfare of children and expects all staff and volunteers to share this committment.

Disclosure Barring Service (DBS)

Do you or have you ever had a DBS check performed in any of your previous employment?*

Disclosure of criminal background is required.

You are required to give details, as the post for which you are applying is exempt from the provisions of Section 4(2) of the Rehabilitation of Offenders Act 1974 by the virtue of the Rehabilitation of Offenders Act 1974 (Exceptions) (Amendment) order 1986. A subsequent offer of appointment will be dependent upon the completion of a satisfactory Disclosure Barring Service check.

Are there any restrictions to your residence in the UK which might affect your right to take up employment in the UK?* If yes please provide details If you are successful in your application, would you require a work permit prior to taking up employment?

Data Protection Statement

Please select*I hereby give my consent for Moor House School & College to process and retain on file information (including ethnic data) contained on this form and in accompanying documents. This is required for recruitment purposes, the payment of staff and the prevention and detection of fraud. All information will be dealt with in accordance with data protection legislation.

Declaration

Please select*I declare that the information I have given in this application is accurate and true. I understand that providing misleading or false information will disqualify me from appointment, or, if appointed, may result in my dismissal.