FBA Application Form – Teaching Staff Click here to view the notes for guidance Personal DetailsMost Recent EmployerExperience & CoursesEducation & EmploymentReferees & DeclarationPosition applied for Closing date (leave blank if unknown) School Interview date (leave blank if unknown) Prefered title (e.g. Mr, Miss, Mrs, Ms) First Name Last Name Address (inc. postcode) Address Line 1Address Line 2CityState / Province / RegionZip / Postal CodeDaytime telephone number (inc. area code) Evening/weekend/mobile telephone number (inc. area code) (copy) Date of birth Email DfE no. Date of qualification National Insurance Number Date Statutory Induction Period (if qualified since August 1999) Started Completed Are you legally entitled to work in the UK? YesNoAre you required to hold a work permit? YesNoThe Asylum and Immigration Act 1996 requires us to seek proof of your right to work in the UK. If you are invited for an interview and are successful you will need to provide the relevant documentation.NextName of school & type Name of Local Authority School address Address Line 1Address Line 2CityState / Province / RegionZip / Postal CodeDate of appointment at present school Date of appointment in present post Number on roll School age range Please detail any allowance held (e.g. TLR/ SEN/ Recruitment or Retention) Position Held Boys, girls or mixed MixedBoysGirlsAges taught Pay spine and point (e.g. MPS 4) Reason for leaving Details of present/most recent post, including main duties, responsibilities and subjects taught (Heads and Deputies should state the group number of the school) PreviousNextPlease note: all candidates called for interview must bring proof of qualifications including Degree Certificates, Threshold certificates, QTS certificatesPrevious teaching experience (in chronological order)Name and type of school (including LA) Subjects taught Date from Reason for Leaving Post and grade Ages taught Date to Add a second work experience Add another work experienceName and type of school (including LA) Subjects taught Date from Reason for Leaving Post and grade Ages taught Date to Add a third work experience Add another work experienceName and type of school (including LA) Subjects taught Date from Reason for Leaving Post and grade Ages taught Date to Add a fourth work experience Add another work experienceName and type of school (including LA) Subjects taught Date from Reason for Leaving Post and grade Ages taught Date to Add more Experience Paragraph Add more work experienceAdd more relevant experience in the box below PreviousNextHigher education (including teacher training)Name of institution Main Subjects Full/Part time Full timePart timeDates (From - To) Subsidiary subjects Qualification gained (including class) Add more Add MoreName of institution Main Subjects Full/Part time Full timePart timeDates (From - To) Subsidiary subjects Qualification gained (including class) Add more 2 Add MoreName of institution Main Subjects Full/Part time Full timePart timeDates (From - To) Subsidiary subjects Qualification gained (including class) Secondary & Further EducationName of school / FE college Level Dates (From - To) Subjects and grades Add More secondary Add MoreName of school / FE college Level Dates (From - To) Subjects and grades Add more secondary 2 Add MoreName of school / FE college Level Dates (From - To) Subjects and grades Non-teaching employmentName of employer Dates (From - To) Exact details and nature of work Reason for leaving Add more employers Add MoreName of employer Dates (From - To) Exact details and nature of work Reason for leaving Please give details of any gaps in employment and reasons why Please read 'Completing your Application Form' before completing the section below.Relevant Experience and Skills Please give details of all courses attended in the past 5 years PreviousNextPlease provide the name, position, address, telephone number and e-mail address of your two most recent employers (if applicable). If you are unable to do this, please clearly outline who your referees are. Referee 1Name Telephone Address Address Line 1Address Line 2CityState / Province / RegionZip / Postal CodePosition Email Referee 2Name Telephone Address Address Line 1Address Line 2CityState / Province / RegionZip / Postal CodePosition Email Close Personal Relationships If you are the parent, grandparent, partner, child, stepchild, brother, sister, uncle, aunt, nephew or niece of any employee or Governor of the Academy, or the partner of such persons, please state the name(s) of the person(s) and relationship. If you are appointed and have any business, financial and/or political interests which might conflict with the duties or responsibilities of this post please give detailsParagraph Text Data Protection ActI hereby give my consent for the Recruitment Monitoring Information provided on this form to be held on computer or other relevant filing systems and to be shared with other accredited organisations or agencies in accordance with the Data Protection Act 1998.Signed: Date DeclarationPlease confirm the following statements are true by signing below Declaration I certify that, to the best of my belief, the information I have provided is true and I understand that any false information will result, in the event of employment, in a disciplinary investigation by the Academy and is likely to result in dismissal. Disclosure of Criminal Convictions Short listed candidates will be asked to complete a Self Disclosure Form (SD2) and, where appropriate, a disclosure/status check will be sought from the Disclosure and Barring Service in the event of a successful application. A conviction/caution/reprimand will not necessarily be a bar to obtaining employment. Safer Recruitment I certify that I am not disqualified from working with children or subject to sanctions imposed by a regulatory body which would restrict me from applying for this post. Shortlisted candidates applying for a relevant post in a school setting covered by the Childcare (Disqualification) Regulations 2009 (“the Regulations”) will be asked to complete a Disqualification Declaration Form. A disqualified person may only be employed in a relevant post if they obtain a waiver from Ofsted. By signing this application form you acknowledge and consent to complete the Disqualification Declaration Form if you are shortlisted for a relevant post in a setting covered by the Regulations. Data Protection Act 1998 I hereby give my consent for personal information (including Recruitment Monitoring data) provided as part of this application to be held on computer or other relevant filing systems and to be shared with other accredited organisations or agencies in accordance with the Data Protection Act 1998. Correspondence Thank you for applying for this post. Your interest in working for us is very much appreciated. It is not our practice to acknowledge receipt of postal applications. However, if you would like to be informed of the outcome of your application once the selection process has been completed, then please enclose a stamped addressed envelope.Signature Date PreviousEmailSubmit Share this:TwitterLike this:Like Loading...
