Support Staff Application Form

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 Part 1 and Part 2 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. Please complete the form in black ink or type. CVs are not accepted. Where a role involves engaging in regulated activity relevant to children, please note that it is an offence to apply for the role if the applicant is barred from engaging in regulated activity relevant to children.

Vacancy Job Title* Where did you hear about this advert?*

Part 1: Information for Shortlisting and Interviewing

Initial(s)* Surname or Family Name* Email address*

1. Letter of Application

Please enclose a letter of application. Please refer to the applicant information pack which may include instructions on how to complete the letter of application.

Please attach your letter of application* No file chosen

2. Current/Most Recent Employment:

Name and address of employer: Job Title: Please attach your current job description if possible No file chosen Date appointed to current post (please enter date without . or / e.g. 21102021) Current salary: Date available to begin new job (please enter date without . or / e.g. 21102021)

3. Full Chronological 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.

	Job title/position	Name and address of school, other employer, or description of activity	Number on roll and type of school, if applicable	Full or part-time	Date from and to (DD/MM/YY)	Reason for leaving
(Most recent)

If you do not have enough space please complete on a seperate sheet and email to hr@guilsborough.northants.sch.uk

4. Secondary Education and Qualifications

	Name of school/college	From	To	Examination passed (i.e. GCSE/A level), subject, grade

5. Further or Higher Education

Please provide details of any recognised qualifications or courses attended which are relevant to the job application.

Please provide details here

	Name of FE college, university or awarding body	Dates from and to	Full or part-time	Qualifications obtained

6. Other Relevant Experience, Interests and Skills

This space is provided for you to comment on any other relevant experience, interests and skills

9. Referees

Please provide details of two people to whom reference may be made. The first referee should normally be your present or most recent Headteacher or equivalent person. If you are not currently working with children please provide a referee from your most recent employment involving children. Referees will be asked about all disciplinary offences which may include those where the penalty is “time expired” if related to children. Referees will also be asked whether you have been the subject of any child protection concerns, and if so, the outcome of any enquiry. References will not be accepted from relatives or from people writing solely in the capacity of friends.

It is normal practice to take up references on shortlisted candidates prior to interview. This is in line with the most recent version of Keeping Children Safe in Education statutory guidance.

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

Part 2

This section will be separated from Part 1 on receipt. Relevant responses may be verified prior to shortlisting and/or used for administration purposes but will not then be used for selection purposes.

8. Personal Information

1. Surname or family name: 2. All forenames: 3. Title: 4. Current Address: 5: Postcode: 6. Home telephone number: 7. Mobile telephone number: 8. Email address: 9. National Insurance Number: 10. Date of birth:

11. Do you have a current full clean driving licence? (Only applicable to posts that require driving)YesNo

12. Do you require sponsorship (previously a work permit)? If yes, please provide details under separate cover.YesNo

9. Compulsory Declaration of any Convictions, Cautions or Reprimands, Warnings or Bind-overs

It is the School’s policy to require all applicants for employment to disclose any previous ‘unspent’ criminal convictions and any cautions which have not expired, or any pending prosecutions. In addition, the job you are applying for is exempt from the provisions of the Rehabilitation of Offenders Act 1974 (exceptions order 1975) which requires you to disclose all spent convictions and cautions except those which are ‘protected’ under Police Act 1997 – Part V and the amendments to the Exceptions Order 1975 (2013) and are not subject to disclosure to employers on DBS certificates and cannot be taken into account. Guidance on the filtering of “protected” cautions and convictions which do not need to be disclosed by a job applicant can be found on the Disclosure and Barring Service website.

If you are invited to interview you will be required to complete a “Disclosure of Criminal Record” form and bring the completed form to interview. If the job involves contact with children up to age 8 you will also be required to make a Disqualification Declaration. The information you give will be treated as strictly confidential. Disclosure of a conviction, caution, bind-over order, warning or reprimand will not automatically disqualify you from consideration. Any offence will only be taken into consideration if it is one which would make you unsuitable for the type of work you are applying for. However, offences relating to children may make you unsuitable since this is a “regulated position” under the Criminal Justice & Courts Services Act 2000.

10. Data Protection

The information collected on this form will be used in compliance with Data Protection regulations. By supplying information, you are giving your consent, if appointed, to the information being processed for all employment purposes as defined by statute. The information may be disclosed, as appropriate, to the governors, to Occupational Health, to the Teachers Pensions Agency, to the Department for Education, to pension, payroll and personnel providers and relevant statutory bodies. 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. When the recruitment process is completed, your form will be stored securely for a maximum of six months then securely destroyed, unless you are employed as a result of this recruitment process in which case this application form will be retained as part of your personnel record.

11. 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.

12. Declaration

I certify that, to the best of my knowledge and belief, all particulars included in my application are correct. I understand and accept that providing false information will result in my application being rejected or withdrawal of any offer of employment, or summary dismissal if I am in post, and possible referral to the police. I understand and accept that the information I have provided may be used in accordance with paragraph 10 above, and in particular that checks may be carried out to verify the contents of my application form.

Signature of Applicant: Print name: Date:

Part 3: Equality and Diversity Monitoring

This section will be separated from part 1 and part 2. Collection of equality information is solely for monitoring purposes to ensure that our policies and procedures are effective. We also collect this data in accordance with the general and specific public sector equality duties under the Equality Act 2010. Any data you enter onto this monitoring form will only be used for monitoring purposes and will not be used in assessing and or scoring your application or during the interview process. This information is kept fully confidential and access is strictly limited in accordance with the Data Protection Act.

Ethnicity Sexual Orientation Gender Personal Relationship Religion or belief Disability - Do you consider that you have a disability? My disability is: (if you answered yes to above question)