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Support Staff Application Form

Title School First name* Last name* Any other last names Title Address Postcode Day time contact no. Evening / Mobile no Email address*

Education and qualifications

Secondary / further education
	Establishment (Name & town)	Dates	Qualification / Grade / Date awarded
1
2
3
4
5
6
7
8

Job related training
	Institute / courses studied	Dates	Standard or level achieved and date awarded
1
2
3
4
5

Current employer

Employer’s name Address Postcode Post held Date appointed Salary Grade Other allowances Notice period

Previous experience

(most recent employer first)

Please include details of gaps in employment here
	Employer’s name and type of business	Post held	Date from (MM/YY)	Date to (MM/YY)	Reason for leaving

Reasons for applying for this post

Statement in support of application
Please provide details of how your experience, skills and abilities are relevant to your suitability for the post advertised and how you meet the requirements of the post and the person specification.

In addition, to the relevant experience, skills and abilities in your current and/or past work experience, this could also include any additional relevant voluntary work or unpaid duties you have performance, particularly any positions of responsibility held, e.g. governor, playgroup leader, committee member of a club or organisation, VSO volunteer, CAB volunteer etc. If you have had a break from paid work, it is important to include details of any voluntary work you undertook during this time. Attach a continuation sheet if necessary.

References

Please give details below of two people who can provide information that will confirm your suitability for this post. Where appropriate one person should be your current or most recent employer; the other should be someone who has known you in a professional capacity. References will be sought on short listed candidates and previous employers may be contacted to verify particular experience or qualifications before interview. Current or previous employers will be asked about disciplinary offences relating to children including penalties that are “time expired” and any child protection concerns.

Present employer

Name
Position
Address
Tel No (inc. STD code)
Fax No
Email address
Occupation

Previous employer

Name
Position
Address
Tel No (inc. STD code)
Fax No
Email address
Occupation

Rehabilitation of Offenders Act 1974 (Exemptions) Order 1975

This post is covered by the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 because it is a post which involves working directly with children or young people. If shortlisted for interview you are therefore required to declare whether you have any criminal convictions (or cautions or bind-overs) including those which are “spent”. The amendments to the Exceptions Order 1975 (2013) provide that certain spent convictions and cautions are 'protected' and are not subject to disclosure to employers , and cannot be taken into account. Guidance and criteria on the filtering of these cautions and convictions can be found on the Disclosure and Barring Service website :

https://www.gov.uk/government/collections/dbs-filtering-guidance

Further information

If your application is successful, prior to taking up your post, you will be required to undergo a Formal Disclosure process through the Disclosure and Barring Service. This will require you to complete a separate DBS application form and to provide a range of more than one piece of documentary evidence of your identity unless other restrictions are in place through the Children’s Barred List, DBS or Teacher Regulation Agency.

Although a criminal record involving offences against children is likely to debar you from appointment of this type of post, the existence of other criminal convictions will not necessarily be a bar to employment.

Page 5 of 7 School support staff application form, Version June 2019

Any criminal record information arising out of the disclosure process will be discussed with you before any final decision is made about your employment.

It is a criminal offence to apply for or accept a position (paid or unpaid) working with children if you are excluded from such work by virtue of a court order or exclusion by the DBS.

A copy of the Criminal History (DBS) and Non-Police Personnel Vetting Checks Policy is available on request.

Criminal record certificates will only be issued directly to the applicant. The Local Authority/your employer will request that you show them your certificate and will record the Disclosure number and issue date and retain this on your personnel record and on its computerised personnel record system in accordance with the General Data Protection Regulation 2016 and Data Protection Act 2018 (the Data Protection Legislation). The school and Local Authority abide by the DBS Code of Practice and Keeping Children Safe in Education which state that a copy of the DBS Disclosure Certificate may only be retained with the permission of the applicant and shall not be retained for longer than 6 months, in order to comply with the requirements of the Data Protection Legislation.

Please state whether, to the best of your knowledge, you are related to a governor or senior employee of Thornden School.YesNo

*
	Yes	No
Please state whether, to the best of your knowledge, you are related to a governor or senior employee of Thornden School.

Where did you see the advertisement for this post?

*
	Yes	No
Do you hold a UK driving licence (circle applicable)
Do you have the use of a car for work
Would you require sponsorship (previously a work permit) to take up this post

National insurance number

I hereby confirm that the information I have given above is true.
I understand that, should any of the particulars I provide in this application be found to be false within my knowledge, or should there be any wilful omission of material fact, this may be reported to the Police as well as leading to my application being rejected or the contract being null and void if I have already been appointed.

Signature of Candidate Date

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