Please complete the form and provide your written evidence as to how you meet the requirements of the job either on the questionnaire if one has been provided or on separate sheets of paper.

If you are related to any employee of The Bridge SEN School or a member of The Bridge SEN School governing body, please give details. If yes, please tick the box
Name:
Job Title:
Relationship to you: AuntBrotherPartneretc
If the job requires you to have a driving license, please tick which type of license you hold: FullHGVPSVNone
References– remember to ask your referees for permission before you give their names. One Reference must be from your current employer or your most recent employer.
Name:
Address:
Postcode:
Email:
Telephone:
Relationaship:

Name:
Address:
Postcode:
Email:
Telephone:
Relationaship:

References will be requested as part of the recruitment process and they will form part of the decision-making process. As part of the Keeping Children Safe in Education guidance, it is advised that Schools request references prior to the interview.
Your Referees must be able to answer questions concerning your employment history and suitability for the post which includes any details of any investigations and/or disciplinary action – this forms part of the requirements under “Safeguarding & Safer Recruitment in Education”. Please do not give the names of friends or family.
After a conditional offer has been made your referee will be asked for information regarding your sickness absence record during the past 24 months.
If you are applying for a Headship your Local Authority will be required to provide representation.

Work History

Present Employment (or last job for applicants currently unemployed)
Job Title:
Date Employment Started: Date Employment Ended:
Reason for leaving/looking for other employment:
Notice required?:
Name of Employer/School:
Name of Local Authority/Agency:
Address:
Postcode:
Current Salary:
Briefly describe your duties:

Previous Employments:
This section deals with your previous employment. Start with the most recent and please include any part-time, casual, or voluntary work. We need details of previous employment (paid or unpaid), and also periods of non-employment e.g. child care, unemployment, etc. If you use additional sheets, please remember to put your name and the post applied for on each extra page and number it.
Job Title: Name and Address of Employer / School:
Main Duties: Start Date: End Date:

Job Title: Name and Address of Employer / School:
Main Duties: Start Date: End Date:

Job Title: Name and Address of Employer / School:
Main Duties: Start Date: End Date:

Job Title: Name and Address of Employer / School:
Main Duties: Start Date: End Date:

Job Title: Name and Address of Employer / School:
Main Duties: Start Date: End Date:

Job Title: Name and Address of Employer / School:
Main Duties: Start Date: End Date:

Education and Qualifications
This section deals with school education/further. Please include the dates when you started and finished each level of education. (Sight of original certificates would be required if you are successful).

Name of Schools/ College/ University Attended: Please indicate Full TimePart Time
Degrees or certificates obtained (Details/subject/grades)
From: To: Dates of Awards:

Name of Schools/ College/ University Attended: Please indicate Full TimePart Time
Degrees or certificates obtained (Details/subject/grades)
From: To: Dates of Awards:

Name of Schools/ College/ University Attended: Please indicate Full TimePart Time
Degrees or certificates obtained (Details/subject/grades)
From: To: Dates of Awards:

Name of Schools/ College/ University Attended: Please indicate Full TimePart Time
Degrees or certificates obtained (Details/subject/grades)
From: To: Dates of Awards:

Breaks / Gaps in Employment / Education
Please explain any breaks in your educational attainment and/or employment history in the following space.

Have you have lived or worked abroad in the past 5 years for a period of 6 months or more? If Yes, please ensure that you detail below the dates and countries where you resided/worked:

For individuals who have lived or worked outside of the UK in the past 5 years for a period of more than 6 months, Schools are required to carry out any additional checks that they think appropriate so that any events that have occurred outside of the UK can be considered.

These further checks should include a check for information about any Teacher sanction or restriction that an EEA professional regulating authority has imposed, using the NCTL Teachers’ system. In addition to this, the Home Office has published guidance on criminal record checks for overseas applicants. For more information please Click here

Relevant Information

Please read this section carefully as this is the most important part of your application
Using this page and if needed additional paper, demonstrate your ability to meet the requirements of the job by giving clear, concise examples of each criterion in the Employee Specification in the following order or by completing the questionnaire if attached:
Relevant Experience, Education and Training Attainments, General and Special Knowledge, Skills and Abilities, Additional Factors including continual Professional Development.

Additional Information
1.**If you are in receipt of a pension payable under the Teachers’ Pension Regulations following early retirement, please indicate the grounds on which you were retired:
**Please note – this clarification is required as a result of the Teacher’s Pensions regulations, it will not be used for any other purpose when considering your application.
Interest of efficiencyRedundancyIll health
Date of retirement

2. If you have received a redundancy payment in respect of previous employment with a local authority please give details.
**Please be aware that if you have recently received a redundancy payment from your previous employer (and your employer was one that is listed under ‘The Redundancy Modification Order’) a relevant break in service must occur before you re-commence any period of re-employment,
Name of Authority: Date of Redundancy:

Criminal Convictions

The Rehabilitation of Offenders Act 1974 provides that certain criminal convictions become ‘spent’ after the passage of time, that is the law will treat them for the most purposes as if they have never happened and it is not necessary to disclose them on Application Forms. The Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 contains certain classes of employment where a person can be asked to disclose spent convictions. The job for which you are now applying falls within that order.

However, the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (as amended in 2013) provides that certain spent convictions and cautions are ‘protected’ and are not subject to disclosure to employers and cannot be taken into account.

For details of what criminal convictions must be declared please refer to the following guidance:
https://www.gov.uk/government/news/disclosure-and-barring-service-filtering It is your responsibility to read this information in full and complete the application form accurately.

If you fail to disclose that you have been convicted of a criminal offense or received a caution, reprimand or warning this may lead to dismissal or disciplinary action by the authority. Any information given will be treated in the strictest confidence and will be considered only in relation to an application for which the order applies.

For jobs that are subject to disclosure, please note that a criminal record will not necessarily bar you from employment. This will depend on the nature of the position you are applying for and the circumstances and background of the offense.

Do you have any convictions, cautions, reprimands, or final warnings that are not "protected" as defined by the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (as amended in 2013) by SI 2013 1198? Please give details below:
Date: Details of conviction, caution, reprimand or warning: Penalty:
Are there any matters pending? YesNo
If ‘Yes’ please give details:

I declare that the particulars given are correct and I have not withheld any facts which might unfavorably affect my application. I am aware that withholding or falsifying information could result in dismissal or disciplinary action.
Lastname: First Name: Date:

N.B. If you fail to complete this section of the application form you may not be shortlisted or invited to attend an interview. We will treat all information provided on this form in the strictest confidence - you may provide additional information in writing and in confidence or indicate that you wish discuss in more detail if invited for an interview.

Important Notice to Applicants
The Bridge SEN School takes its duty of care to the people who receive services from us very seriously.

To ensure all reasonable care is taken, references will always be taken from your current employer and we reserve the right to take up references from any previous employers, or places where you have carried out voluntary work.

It is important, therefore, that you give exact names and current addresses of previous employers/voluntary work areas. Please also advise us of any change to your name relevant to previous employment, ie known by your maiden name. Failure to provide this information may result in any offer of appointment being delayed.

You may be offered the job subject to satisfactory pre-employment checks which can include obtaining an Enhanced DBS disclosure certificate. Some schools will not allow newly appointed candidates to commence employment until an individual is in receipt of a cleared and valid DBS disclosure certificate.
This intensive procedure can take some time; however, I am certain you will appreciate the reasons why such stringent checks are made and ask you to bear with us whilst they are completed.

GDPR (General Data Protection Regulations) apply. We will treat all information relating to your application in confidence. If you are unsuccessful, your form will be destroyed 6 months after the closing date although the Council reserves the right to add your details to our database of suitable candidates for other similar jobs. We may also contact job seekers for recruitment research.

I have not canvassed (either directly or indirectly) any employee of The Bridge SEN School and will not do so.
I declare that the information I have given on this form is complete and accurate and that I am not barred or disqualified from working with children and/or vulnerable adults nor subject to any sanctions or conditions on my employment imposed by a regulatory body or the Disclosure and Barring Service. I understand that to knowingly give false information, or to omit information, could result in the withdrawal of any offer of appointment, or my dismissal at any time in the future.

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