NAME:
Application for the Position of
HANDWORK ASSISTANT
(Part Time, Fixed Term)
Closing Date:
12 noon, 12th February 2016
Interviews:
Week commencing 22nd February 2016
Please read the job description before completing the application form.
This form with a completed medical questionnaire should be returned by post to:
Maurice Dobie, School Administrator, York Steiner School, Danesmeand, Fulford Cross, York YO10 4PB.
Or by email to: maurice@yorksteinerschool.org
York Steiner School is committed to safeguarding and promoting the welfare of children and young people and expects all staff and volunteers to share this commitment.
PERSONAL DETAILS
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Last Name
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First Name
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Former Names and Date of change.
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Address
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Telephone
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Email
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Date of Birth
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National Insurance Number:
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Do you need permission to work in the UK? Yes / No
Teacher Reference Number (TRN) (if applicable) ____________________
Date of QTS (if applicable) ____________________
Are you registered with the GTC? Yes / No
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PRESENT OR LAST EMPLOYMENT IF NOT CURRENTLY EMPLOYED
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Job Title
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Name and Address of Employer
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Date of Appointment
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Date of Leaving (if not currently employed)
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Period of Notice Required
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PLEASE DETAIL THE MAIN DUTIES OF THE POST
[Please continue on a separate piece of paper if necessary]
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PREVIOUS EMPLOYMENT (most recent first)
(most recent first giving reasons for any gaps in employment)
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From To
| Job Title
| Employer (Name and Address) |
Brief details of duties
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Reason for leaving
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VOLUNTARY / UNPAID ACTIVITIES
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From To
| Job Title
| Employer |
Brief details of duties
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Reason for leaving
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EDUCATION
(Candidates will be requested to provide proof of education) |
Dates
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Details
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| Please continue on a separate piece of paper if necessary |
PROFESSIONAL QUALIFICATIONS
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Date of Examination / Award
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Qualification Gained
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Membership / Registration with Professional Bodies
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Professional Body
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Membership Status
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Registration Number
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Renewal Date
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TRAINING AND COURSES
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Please give details of recent training courses attended
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ABILITIES, SKILLS, KNOWLEDGE & EXPERIENCE
Please read the job description carefully and give your reasons for making this application, what you can bring with you to the job and how your skills, abilities and experience fit you for the post.
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Please continue on a separate piece of paper if necessary
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REFERENCES
Please give the contact details of two referees - one should be your current / most recent employer. If you are not currently working with children but have done so in the past, one referee must be from the employer with whom you most recently worked with children. Note that references will not be accepted from relatives or from referees writing solely in the capacity of friends.
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Name
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Name
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Address
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Address
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Telephone No.
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Telephone No.
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Email
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Email
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Job Title
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Job Title
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Relationship
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Relationship
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May the school approach the above prior to interview?
Yes / No
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May the school approach the above prior to interview?
Yes / No
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EQUAL OPPORTUNITIES
In accordance with our belief in Equality in Employment, disabled candidates will be treated fairly and on the basis of merit only. We are therefore asking:
Is there any provision you require if invited for interview?
Please continue on a separate piece of paper if necessary
| PROOF OF IDENTITY & QUALIFICATIONS
If you are called for interview you should bring with you:
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Proof of identity e.g. passport or driving licence
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Proof of change of name (if relevant)
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Proof of qualifications: usually degree certificates, proof of QTS or NQT status (if relevant)
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Proof of current address: this should be an official letter, e.g. bank statement, store card statement, driving licence
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Proof of national insurance number
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DECLARATIONS |
Please provide name(s) below if you are related to, or have a personal relationship with any Trustee or member of staff
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Name(s):
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Relationship:
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Have you ever been dismissed from a post because of misconduct or resigned whilst disciplinary action has been taken against you?
YES / NO
If yes, please give further details on a separate sheet of paper.
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I am aware that this post is exempt from the provisions of the Rehabilitation of Offenders Act 1974 and therefore all convictions, cautions and bind-overs, including those regarded as ‘spent’ must be declared.
I have not been disqualified from working with children, am not named on the DfES List 99 or Protection of Children Act and am not subject to any sanctions imposed by a regulatory body e.g General Teaching Council and either (please delete as appropriate):
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I have no convictions, cautions or bind-overs
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I have attached details of any convictions, cautions or bind-overs in a sealed envelope marked confidential.
I do not live in the same household as another person who is disqualified nor do I live in the same household where a disqualified person is employed.
I understand that the post is also subject to a satisfactory enhanced DBS Disclosure
I declare that the information given on this application is to the best of my knowledge true and complete with nothing omitted.
Signed............................................................... Date ………………………………………
Providing false information is an offence and could result in the application being rejected and possible referral to the police.
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