Application form for GAPS

Position Details

Position Applying For

Application date

Personal details

Title

Name

First

Middle

Last

Previous name

Date of Birth

Ethnicity

Employment details

National insurance number

Qualified to work in the UK

Yes
No

Restrictions on being resident or being employed in the UK

Yes
No

Lived outside the UK for more than three months in the past ten years * (copy)

Yes
No

Contact details

Email

Phone

Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Education

School

From

To

GCSE O-Levels grades

GSE A-Levels/grades - if applicable (actual or predicted):

Further Education - if applicable (You will need to provide original copies of all qualification certificates at interview)

Qualification

From

To

3. CURRENT & PREVIOUS EMPLOYMENT/POSITION OF RESPONSIBILTY - IF APPLICABLE

Current employer/supervisor’s name

Address

Name & position of person to whom you are directly responsible:

Role Title

From

Email

Telephone

To

Previous employer/supervisor’s name

Address

Name & position of person to whom you are directly responsible:

Role Title

From

Email

Telephone

To

Previous employer/supervisor’s name

Address

Name & position of person to whom you are directly responsible:

Role Title

From

Email

Telephone

To

Please tell us about any hobbies or interests that you may have.

Please tell us why you think you are the right person for this role.

Referees

Name 1

Position held

Phone

Address

Can we contact this referee before interview?

Organisation

Relationship to you

Email

Post code

Name 2

Position held

Phone

Address

Can we contact this referee before interview?

Organisation

Relationship to you

Email

Post code

Name 3

Position held

Phone

Address

Can we contact this referee before interview?

Organisation

Relationship to you

Email

Post code

GAP ASSISTANT AVAILABILITY

If you are seeking a Gap Assistant role, please confirm which terms you are able to work:

Autumn
Spring
Summer

Please give the academic year:

Is there anything you wish to add regarding availability?

Disclosure and Barring Checks

Do you have a criminal history? Any criminal history will be discussed at interview. *

Yes
No

Are you on the Children’s Barred List or otherwise disqualified from working with children? It is unlawful for a school to employ anyone to work with children if they are barred from doing so, and it is a criminal offence for a person to apply to work with children if they are barred from doing so

Yes
No

Are you prohibited from carrying out ‘teaching work’? Do not answer ‘yes’ to this question if the role for which you are applying does not involve ‘teaching work’.

Yes
No

Are you prohibited from being involved in the management of an independent school? Do not answer ‘yes’ to this question if the role for which you are applying does not involve a management role.

Yes
No

Are you disqualified from working in or managing early years provision or later years provision with children under the age of eight? Do not answer ‘yes’ to this question if the role for which you are applying does not involve the provision of ‘childcare’ or the management of the provision.

Yes
No

Have you committed any criminal offences in any country in line with the law as applicable in England and Wales, not the law in their country of origin or where they were convicted?

Yes
No

Are you known to the police and children’s local authority social care?

Yes
No

Have you lived outside the UK for a period of three months or longer within the last ten years. If yes, please give dates and country/ies and be aware that you will need to provide a Police Certificate of Good Conduct from the country/ies

Yes
No

Child Safeguarding

We are required to ensure that staff are not employed who pose a threat to children. All members of staff are required to have an enhanced DBS (Disclosure and Barring Scheme) check. We cannot employ anyone who is on the Children's Barred List (it is an offence to apply for the role if you are barred from engaging in regulated activity relevant to children). Individuals who are disqualified under the Childcare (Disqualification) Regulations 2009 are not permitted to work in early or later years provision or be directly concerned in the management of that provision. I confirm that the information I have provided is correct to the best of my knowledge and that I believe I am capable of undertaking the role I applied should it be offered to me. In addition, I consent to an online search of my publicly available data, and will comply with other role-appropriate vetting, in accordance with KCSIE.

I confirm that

I agree to inform the Head or Director of HR immediately of any change to my own situation. The information provided above and in the rest of this application form is accurate and true to the best of my knowledge. In addition, if I am short-listed, I consent to an online search of my publicly available data, and will comply with other role-appropriate vetting, in accordance with KCSIE.

Do you have a DBS?

Yes
No

Is your DBS in the update service?

Yes
No

DBS Update Service registration number

DBS Update Service registration date

GDPR Agreement

I consent to having this website store my submitted information so they can respond to my inquiry.

Signature

Clear Signature

Date

Application form for GAPS

Position Details

Personal details

Employment details

Contact details

Education

3. CURRENT & PREVIOUS EMPLOYMENT/POSITION OF RESPONSIBILTY - IF APPLICABLE

Referees

GAP ASSISTANT AVAILABILITY

Disclosure and Barring Checks

Child Safeguarding

I confirm that

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