Darrick Wood School

Teaching Application Form

You are applying for the position of: Physics Teacher.

Personal Details

Title:

First Names:

Surname:

Address:

Email:

Home Tel:

Work Tel:

Mobile:

National Insurance no:

Work permit details, if appropriate:

QUALIFIED TEACHER INFORMATION

Date of gaining Qualified Teacher Status:

DfE Reference Number:

If you qualified after 7th May 1999: date of passing skills tests:

Numeracy:

Literacy:

TEACHING APPOINTMENTS

Please list your most recent position first.

Name of Establishment:

Date Started:

Address:

Type of Establishment:

Date Ended:

Approx No. on Roll:

LA:

Reason for leaving:

Salary:

Appointment held:

Scale inc. allowances:

Notice period:

Name of Establishment:

Date Started:

Address:

Type of Establishment:

Date Ended:

Approx No. on Roll:

LA:

Reason for leaving:

Salary:

Appointment held:

Scale inc. allowances:

Notice period:

Name of Establishment:

Date Started:

Address:

Type of Establishment:

Date Ended:

Approx No. on Roll:

LA:

Reason for leaving:

Salary:

Appointment held:

Scale inc. allowances:

Notice period:

Name of Establishment:

Date Started:

Address:

Type of Establishment:

Date Ended:

Approx No. on Roll:

LA:

Reason for leaving:

Salary:

Appointment held:

Scale inc. allowances:

Notice period:

Name of Establishment:

Date Started:

Address:

Type of Establishment:

Date Ended:

Approx No. on Roll:

LA:

Reason for leaving:

Salary:

Appointment held:

Scale inc. allowances:

Notice period:

Name of Establishment:

Date Started:

Address:

Type of Establishment:

Date Ended:

Approx No. on Roll:

LA:

Reason for leaving:

Salary:

Appointment held:

Scale inc. allowances:

Notice period:

Name of Establishment:

Date Started:

Address:

Type of Establishment:

Date Ended:

Approx No. on Roll:

LA:

Reason for leaving:

Salary:

Appointment held:

Scale inc. allowances:

Notice period:

Name of Establishment:

Date Started:

Address:

Type of Establishment:

Date Ended:

Approx No. on Roll:

LA:

Reason for leaving:

Salary:

Appointment held:

Scale inc. allowances:

Notice period:

Name of Establishment:

Date Started:

Address:

Type of Establishment:

Date Ended:

Approx No. on Roll:

LA:

Reason for leaving:

Salary:

Appointment held:

Scale inc. allowances:

Notice period:

Name of Establishment:

Date Started:

Address:

Type of Establishment:

Date Ended:

Approx No. on Roll:

LA:

Reason for leaving:

Salary:

Appointment held:

Scale inc. allowances:

Notice period:

Name of Establishment:

Date Started:

Address:

Type of Establishment:

Date Ended:

Approx No. on Roll:

LA:

Reason for leaving:

Salary:

Appointment held:

Scale inc. allowances:

Notice period:

Name of Establishment:

Date Started:

Address:

Type of Establishment:

Date Ended:

Approx No. on Roll:

LA:

Reason for leaving:

Salary:

Appointment held:

Scale inc. allowances:

Notice period:

Name of Establishment:

Date Started:

Address:

Type of Establishment:

Date Ended:

Approx No. on Roll:

LA:

Reason for leaving:

Salary:

Appointment held:

Scale inc. allowances:

Notice period:

Name of Establishment:

Date Started:

Address:

Type of Establishment:

Date Ended:

Approx No. on Roll:

LA:

Reason for leaving:

Salary:

Appointment held:

Scale inc. allowances:

Notice period:

Name of Establishment:

Date Started:

Address:

Type of Establishment:

Date Ended:

Approx No. on Roll:

LA:

Reason for leaving:

Salary:

Appointment held:

Scale inc. allowances:

Notice period:

Name of Establishment:

Date Started:

Address:

Type of Establishment:

Date Ended:

Approx No. on Roll:

LA:

Reason for leaving:

Salary:

Appointment held:

Scale inc. allowances:

Notice period:

OTHER EMPLOYMENT

Employer:

Nature of business:

Post held:

Salary on leaving:

From:

To:

Employer:

Nature of business:

Post held:

Salary on leaving:

From:

To:

Employer:

Nature of business:

Post held:

Salary on leaving:

From:

To:

Employer:

Nature of business:

Post held:

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Nature of business:

Post held:

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Education

Please list your most recent educational history first, please also ensure that you include the grades you obtained for each course.

School:

From:

To:

Qualifications:

School:

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School:

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School:

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School:

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Please list qualifications including grades.

Higher or Further Ed:

From:

To:

Full/Part Time:

Qualifications:

Higher or Further Ed:

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Qualifications:

Higher or Further Ed:

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Qualifications:

Higher or Further Ed:

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Full/Part Time:

Qualifications:

Higher or Further Ed:

From:

To:

Full/Part Time:

Qualifications:

Please list courses including grades.

Additonal Courses:

From:

To:

Full/Part Time:

Qualifications:

Additonal Courses:

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Full/Part Time:

Qualifications:

Additonal Courses:

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Additonal Courses:

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Qualifications:

Additonal Courses:

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Qualifications:

Additonal Courses:

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Qualifications:

Give details of qualifications, achievements and experience (clubs run etc) in athletics and sport, art, drama, music, design & technology, special needs teaching and counselling.

Other interests and activities:

Please give the names and contact details of two referees. They should have knowledge of your professional capacity and should include your present Head Teacher, Principal or Employer. References will not be accepted from friends.

Referee 1

Name:

Position:

In what capacity do you know this person?:

Address:

Tel No:

Email address:

Reference Contact Approval

I am happy for this reference to be contacted before any potential interview.

Yes No

Referee 2

Name:

Position:

In what capacity do you know this person?:

Address:

Tel No:

Email address:

Reference Contact Approval

I am happy for this reference to be contacted before any potential interview.

Yes No

Declarations

FORMAL STATEMENT IN SUPPORT OF YOUR APPLICATION

Further information or remarks in support of your application.

ASYLUM AND IMMIGRATION ACT 1996

In accordance with this Act, the successful applicant will be required to provide original documentary evidence that they are legally entitled to live and work in the United Kingdom. Please confirm whether or not you can provide this information:

YesNo

DISCLOSURE OF CRIMINAL CONVICTION(S) AND CHILD PROTECTION

Darrick Wood School is committed to safeguarding and promoting the welfare of children and we expect all staff to share this commitment. This post is exempt from the Rehabilitation of Offenders Act 1974; pre-employment checks will be carried out; references will be sought, and successful candidates will be subject to an enhanced DBS check and other relevant checks with statutory bodies.

We comply with the Disclosure & Barring Service (DBS) code of practice and have a written policy on the recruitment of ex-offenders, both of which are available on request. If you are shortlisted, you will be required to declare any relevant convictions, adult cautions or other matters which may affect your suitability to work with children. As a result of amendments to the Rehabilitation of Offenders Act 1974 (exceptions order 1975) in 2013 and 2020, some minor offences are now protected (filtered) and should not be disclosed to potential employers, and employers cannot take these offences into account.

EQUAL OPPORTUNITIES

The School is committed to ensuring equal opportunities in employment. The completion of this form will greatly assist us in monitoring the effectiveness of our Equal Opportunities in Employment Policy.

The School has a statutory duty to monitor the racial diversity of those applying for employment with the organisation. Completion of this form is therefore a requirement and you should complete it and return it with your application form.

The information requested below is for statistical purposes only and will not be made available to those responsible for selection. This information is covered by the Data Protection legislation, and therefore we can only legally use the information for the purpose stated, i.e. as statistical information for monitoring purposes.

Thank you for your co-operation.

Ethnicity:

If other, please specify:

Do not wish to disclose

DECLARATION

I confirm that all the information given by me on this form and attachments is true and correct and that there are not material omissions or concealments. I understand that providing information which is untrue and/or omitting information relevant to the application will disqualify me. I understand that if it is ascertained after appointment that any information is found to be false and/or omissions or concealments have been made, I will be liable to dismissal without notice. I have read and understood the School privacy notice for staff applicants which can be found here.

WHERE DID YOU FIND US?

Please use the dropdown below to let us know where you heard about this job opportunity.

If other please enter details below:

DATA PROTECTION

The School privacy notice for staff applicants can be found here.