Application Form - Barfield Prep School

Please select the position you are applying for:

Name(Required)

Title First Last

Nationality(Required)

Address(Required)

Street Address Address Line 2 City County Postcode Country

Phone(Required)

Email(Required)

Teacher Reference Number

Do you have QTS?

Do you hold a valid and current British Driver's Licence?

Are you currently employed?

Name of current or most recent Employer:

Current Salary:(Required)

Date

Employment From Date:

Date

Employment To Date:

Summary of Duties:

Reason for Leaving:

EMPLOYMENT HISTORY: Name of Employer & Location:

Please give a full history, in chronolgoical order, starting with your most recent occupation and ending with your first occupation since leaving secondary education. Include periods of post-secondary education/training, part-time or voluntary work. If you have had periods of time not in employment or education/training, please record details providing an explanation (e.g. looking for employment, travelling, taking time out for family reasons etc). Provide start and end dates for all occupations. If you have further periods please email sgrantham@barfieldprep.org.uk.

Date

Employment From Date:

Date

Employment To Date:

Position held and brief summary of duties:

Reason for Leaving:

Name of Employer & Location:

Date

Employment From Date:

Date

Employment To Date:

Position held and brief summary of duties:

Reason for Leaving:

Name of Employer & Location:

Date

Employment From Date:

Date

Employment To Date:

Position held and brief summary of duties:

Reason for Leaving:

Name of Employer & Location:

Date

Employment From Date:

Date

Employment To Date:

Position held and brief summary of duties:

Reason for Leaving:

FORMAL EDUCATION & QUALIFICATIONS: Name and Location of School/College/University

Please list most recent first.

Date From Attendance:

Date To Attendance:

Study/Qualification(s) gained e.g. Degree, NVQ, A Levels, GCSE

Please list the grades next to each qualification.

Name and Location of School/College/University

Date From Attendance:

Date To Attendance:

Study/Qualification(s) gained e.g. Degree, NVQ, A Levels, GCSE

Please list the grades next to each qualification.

Name and Location of School/College/University

Date From Attendance:

Date To Attendance:

Study/Qualification(s) gained e.g. Degree, NVQ, A Levels, GCSE

Please list the grades next to each qualification.

Name and Location of School/College/University

Date From Attendance:

Date To Attendance:

Study/Qualification(s) gained e.g. Degree, NVQ, A Levels, GCSE

Please list the grades next to each qualification.

First Referee's Name:(Required)

Please give details of two work-related referees. One of these must be your current employer and the other should be a previous employer. If you are not currently employed, please supply details of your most recent employer. School or College leavers should provide details of a lecturer or course tutor. If shortlisted, please note as per KCSIE Safer Recruitment guidance, we will attempt to obtain references before the interview. (NB: If permission is withheld without a valid reason, your invite to interview will be withdrawn)

Title First Last

First Referee's Address:(Required)

Street Address Address Line 2 City County Postcode Country

First Referee's Phone:(Required)

First Referee's Email:(Required)

Relationship to you:(Required)

May we contact the above person before the interview?(Required)

Second Referee's Name:(Required)

Title First Last

Second Referee's Address:(Required)

Street Address Address Line 2 City County Postcode Country

Second Referee's Phone:(Required)

Second Referee's Email:(Required)

Relationship to you:(Required)

May we contact the above person before the interview?(Required)

Do you have any unspent convictions, cautions, reprimands or warnings?(Required)

Are you currently, or have you ever been subject of an investigation or enquiry by the police, or a statuary agency or any other body, into abuse or neglect of a child or vulnerable adult, or other inappropriate behaviour?(Required)

Do you have any cases pending against you?(Required)

Are there any reasons why you would be considered unsuitable to work with children?(Required)

If so, please give details. Please note that if you are successful in your application, an offer of employment will be conditional upon an enhanced criminal records check being obtained.

Declaration:(Required)

I am aware that the post for which I am applying is exempt from the Rehabilitation of Offenders Act 1974 and therefore that all convictions, cautions and bind-overs, including those regarded as ‘spent’ must be declared. I have not been disqualified from working with children, am not names on the Disclosure & Barring Service, Children’s Barred List or the Protection of Children Act List, and I am not subject to any sanctions imposed by a regulatory body (e.g the Teaching Agency), and either (please select the below option):

Name(Required)

I declare that the information given herein is to the best of my knowledge correct. I also declare that should there be any changes in the above or should I receive formal notice of serious misconduct at work between submitting this application form and the employment start date it is my responsibility to declare the same. Failure to do so could lead to me being removed from the recruitment process or in the event of a successful appointment may lead to my dismissal. I understand that any deliberate mis-statement or concealment may disqualify me from being considered for this job, or lead to my dismissal if discovered after my engagement.

First Last

Signature:(Required)

Date(Required)

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