Application Form

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We are committed to safeguarding and promoting the welfare of children and young people and expect all staff and volunteers to share this commitment.

Please ensure that you complete all sections of the application. Please note that providing false information will result in the application being rejected, withdrawal of any offer of employment, 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. CVs are not accepted.

Vacancy Job Title* Where did you see this vacancy?* If answered other, please state below

Personal Information

Title* Surname or Family Name* Forenames* Previous/Former names Current Address* Postcode* Home Telephone Number Mobile Telephone Number* Email Address* National Insurance Number* DfE Reference Number (if applicable) Do you have a current full clean driving licence?* Do you require sponsorship (previously a work permit)?* Have you lived/worked in any country outside of the UK for a period of 12 months or more , in the last 10 years/since the age of 18?* You are required to declare below any relationship with or to an employee of the school/trust. If applicable, please state name and position below:

Current/Most recent Employment

Job Title* Name, and address of employer* Current Salary Date appointed to this post* Date available to start*

Employment History

Please provide a full history in date order, most recent first, 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.

Please scroll to the right on the below table to view the full row of columns, we require at least one row to be fully completed before submission.

Please fill in the following*

	Job Title	Name and address of job	Company name	Date from	Date to	Reason for leaving

Education

Please provide details of qualifications below, beginning with your highest. Include GCSE/O Levels, A Level (or equivalent), NVQs, work-based courses and any further education.

Please fill in the following*

	Name of School/University	From	To	Qualifications/Grades

Professional Courses

Please fill in the following

	Subject	Organising Body	Date(s)	Duration

Other Skills and Interests

In the box below, please tell us about any pastimes you have. Please include language skills, technological interests, public duties and/or community and voluntary work you do. If necessary, please complete your answers on a separate sheet.

References

In accordance with our statutory obligations under Keeping Children Safe in Education we are required to obtain references.

Please provide details of two referees below that we can contact for a reference. Friends and relatives are NOT acceptable referees. One of the referees must be your present/or most recent employer, and normally, no offer of employment will be made without reference to them. If you have not previously been employed, then Head Teachers, College Lecturers, or other persons who are able to comment authoritatively on your educational background and/or personal qualities, are acceptable as referees.

Please ensure the reference are from a relevant employer from the last time the applicant worked with children.

The School/Trust reserves the right to approach any previous employer or manager.

Please consent to us contacting your previous employer/s for a reference, it is normal practice to take up references on shortlisted candidates prior to interview.

Online Checks

In accordance with our statutory obligations under Keeping Children Safe in Education the School/Trust is required to conduct an online search as part of our due diligence on shortlisted candidates. This may help identify any incidents or issues that have happened, and are publicly available online, which the School/Trust might want to explore with you at interview.

We carry out these searches manually. If you would like to inform us of anything that might come to light when we perform this search, please outline the details below:

Reasonable adjustments for a disability

If you are disabled and believe that you may require adjustments to this application process, please give details below of how we can ensure that you are offered a fair selection and interview process or if you would prefer, please contact the School/Trust to discuss any requirements. Please note that if you believe adjustments would only be required for a later stage of the process (such as at interview stage), you are not required to provide information in this form.

First Referee

Title and Name* Address and Postcode* Telephone Number* Email Address* Job Title* Relationship to Applicant*

I consent to this reference being requested before interview*YesNo

Second Referee

Title and Name* Address and Postcode* Telephone Number* Email Address* Job Title* Relationship to Applicant*

I consent to this reference being requested before interview*YesNo

Reference Declaration

In compliance with the General Data Protection Regulation (GDPR), we would like to ensure that you are aware of the data we will collect and process when requesting your references.

Reference requests sent to your referees will ask the referee to confirm as a minimum:

• The referee’s relationship with the candidate.
• Details of the applicant’s current post and salary.
• Performance history.
• All formal time-limited capability warnings which have not passed the expiration date.
• All formal time-limited disciplinary warnings were not related to safeguarding concerns which have not passed the expiration date.
• All disciplinary action where the penalty is “time expired” and relate to safeguarding concerns.
• Details of any child protection concerns, and if so, the outcome of any enquiry
• Whether the referee has any reservations as to the candidate’s suitability to work with children. If so, the school will ask for specific details of the concerns and the reasons why the referee believes the candidate may be unsuitable to work with children.

By signing the below I consent to my named referees being contacted in accordance with the above.

Sign* Print* Date*

You have the right to withdraw your consent at any time.

Declaration

Protection of Children

‘The School/Trust is required under law and guidance to check the criminal background of all employees. Decisions to appoint will be subject to consideration of enhanced disclosure, including a Barred List check, from the Disclosure and Barring Service. Because of the nature of the work for which you are applying, this post is exempt from the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (as amended in 2013 and 2020).

The amendments to the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (2013 and 2020) provide 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, which can be accessed here:

New Guidance on the Rehabilitation of Offenders Act 1974

If shortlisted for an interview you will be required to disclose to us information about any:
• adult cautions (simple or conditional);
• unspent conditional cautions;
• unspent convictions in a Court of Law; and
• spent convictions that are not protected as defined by the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (Amendment) (England and Wales) Order 2020

So that a police check can be carried out if you are offered an appointment.
If you are shortlisted for an interview, in line with Keeping Children Safe in Education we will also ask you to complete a self-declaration form prior to interview to provide any relevant information which may make you unsuitable to work with children. For example, whether you are included on the barred list, prohibited from teaching, prohibited from taking part in the management of an independent school, known to the police and children’s social care or disqualified from providing childcare and any relevant overseas information.

If you are subsequently employed by the School/Trust and it is found that you failed to disclose any relevant previous convictions, cautions or other relevant information as defined above, this could result in dismissal, or disciplinary action being taken by the School/Trust. During the course of your employment with the School/Trust, should you be arrested by the police you are obliged to notify the Headteacher/Senior Leadership Team of this immediately (even if de-arrested or all charges dropped). Failure to do so could result in disciplinary action being taken which could result in dismissal. All information will be treated in confidence and will only be considered in relation to any application for posts for which the exemption order applies.

It is an offence for anyone to apply for a role if they are barred from engaging in regulated activity relevant to children.
We are committed to safeguarding and promoting the welfare of children, young people and vulnerable adults and we expect all staff and volunteers to share this commitment. Successful applicants will receive the Safeguarding Policy that outlines the duties and responsibilities of the employer and all employees.’

Data Protection- Data Protection Act 2018 and General Data Protection Regulation 2018 (GDPR)

In compliance with the Data Protection Act 2018 and GDPR, we would like to inform you of the purpose for which we are processing the data we have asked you to provide on this application form. Further information is available in our Privacy Notice and Data Protection Policy which can be found on our website.

The person responsible for Data Protection in our organisation is Alex Finch and you can contact them with any questions relating to our handling of your data. You can contact them by email at FINCHA@sgsce.co.uk.

The information you have provided on this form will be retained in accordance with our data retention policy.

To read about your individual rights and/or to complain about how we have collected and processed the information you have provided on this form, you can contact our Data Protection Officer. If you are unhappy with how your query has been handled, you can contact the Information Commissioners Office via their website.

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.

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.
(d) This organisation is under a duty to protect the public funds it administers, and to this end may use the information you may provide as part of the recruitment process for the prevention and detection of fraud. It may also share this information with statutory bodies responsible for auditing or administering public funds for these purposes.

Declaration

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 School/Trust.

I also confirm that I am not barred from engaging in a regulated activity relevant to children.

Sign* Print* Date*

Aletheia Academies Trust

Application Form

Personal Information

Current/Most recent Employment

Employment History

Education

Professional Courses

Other Skills and Interests

Personal Statement

References

First Referee

Second Referee

Reference Declaration

Declaration