Support Staff Application Form – Moor Park High School & Sixth Form in Preston, Lancashire

Position You are applying For

Position you are applying for(Required)

Your personal information

Your name(Required)

Prefix First Last

Previous names

Last

Address(Required)

Street Address City County Post Code

Home telephone

Mobile telephone(Required)

Work telephone

Preferred contact number(Required)

Home

Mobile

Work

Your email address(Required)

Enter Email Confirm Email

National insurance number(Required)

Qualified to work in the UK(Required)

Yes

No

Present position

Present post/job title(Required)

Name of employer(Required)

Address(Required)

Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country

Date appointed(Required)

Brief description of current duties(Required)

Actual salary

Notice period(Required)

Previous employment

Your previous employers(Required)

Employer

Date From (DD-MM-YYYY)

Date To (DD-MM-YYYY)

Post/Job Title

Reason for Leaving

Has gaps in employment history(Required)

Yes

No

Gaps in employment history

Please give exact dates and indicate the reasons for any gaps in employment records.

Date From

Date To

Reason

Education

Higher education

Details of Secondary Schools, Colleges, Universities and Professional Education.

Degree/Course

University/College

Level

Qualification

Years Attended

Schools attended

School

Dates attended

A-Levels or equivalent (e.g. IB, AP)

Subject

Exam

Grade

GCSEs or equivalent

Subject

Exam

Grade

Current course of study

(If any) and the date you expect to complete it, or details of any other specialised training or qualifications not covered in previous sections (e.g. short courses, on-the-job training, etc).

Name of course/job training

Expected date of completion

Other training or qualifications

Name of course/job training

Date (DD-MM-YYY)

Additional skills

Experience and Achievements

please ensure you address all the essential criteria in your supporting statement

Supporting statement(Required)

Referees

Please give the names of at least two people who are able and willing to comment on your suitability for this post. One must be your present Headteacher. We reserve the right to seek any further references deemed appropriate and to contact any employer or educational establishment to verify details given. References will be taken up prior to interview.

If you are not currently working with children but have done so in the past, one reference must be obtained from the employer who most recently employed you to work with children.

NB References will not be accepted from relatives or from people writing solely in the capacity of friends.

We are required to obtain your consent to contact your referees. Please tick the box below to consent to this.
I give my consent to contact my referees

Current or most recent employer

Name(Required)
Prefix First Last

Position(Required)

Name of Establishment(Required)

Address(Required)
Street Address Address Line 2 City County Postcode

Email(Required)

Telephone(Required)

Capacity(Required)

Second Referee

Name(Required)
Prefix First Last

Position(Required)

Name of Establishment(Required)

Address(Required)
Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country

Email(Required)

Telephone(Required)

Capacity(Required)

Declarations

Details of relations to any current employees, pupils or governors

DBS update service registration number

DBS update service registration date
Month
Day
Year

Do you hold a current full driving licence for a car (or other relevant vehicle)? (Click/tick as appropriate)

Yes

No

Lived outside the UK for more than three months in the past five years

Yes

No

If yes, please give details.

I certify to the best of my knowledge the information given in this application is true and accurate. I agree that the information provided may be processed for the purposes of recruitment and I understand that an offer of employment may be withdrawn, or disciplinary action may be taken if I do not disclose information that subsequently comes to the school’s attention. I understand that as an applicant it is a criminal offence to apply for or accept a position working with children if I have been barred from/listed as unsuitable to engage in regulated activity/work with children. I understand as part of the application process I will be asked to complete a self-disclosure form relevant to this role by the school.
I acknowledge that where this form is submitted electronically and without a signature, electronic receipt of this form by the school will be deemed equivalent to submission of a signed version and will constitute confirmation of the declaration.

Signature

Date
Month
Day
Year

Application Form

For all Support Staff Posts

Position You are applying For

Your personal information

Present position

Previous employment

Education

Experience and Achievements

Referees

Current or most recent employer

Second Referee

Declarations