Address: Telephone: Email: 2) Position: Name: Address: Telephone: Email: If you are known to the referees by another name (e.g. previous name) please inform them of your present name and advise that we may be in contact. Please state if you have ever lived abroad for a period of more than Yes/No six months (Those living abroad for more than six months as an adult may have to provide a Criminal Record check from the country in which they lived): Are you a relative or partner of any employee or governor of the Yes/No School? If yes, please give details: …………………………………………………………... Has someone else completed this form on your behalf? Yes/No If yes, please provide the name and an explanation: person’s ADDITIONAL INFORMATION National Insurance No: Teacher Reference no(DfE) (mandatory field)
Address: Telephone: Email: 2) Name: Position: Address: Telephone: Email: If you are known to the referees by another name (e.g. previous name) please inform them of your present name and advise that we may be in contact. Please state if you have ever lived abroad for a period of more than six months (Those living abroad for more than six months as an adult may have to provide a Criminal Record check from the country in which they lived): Yes/No Are you a relative or partner of any employee or governor of the School? Yes/No If yes, please give details: …………………………………………………………... Has someone else completed this form on your behalf? Yes/No If yes, please provide the person’s name and an explanation: ADDITIONAL INFORMATION National Insurance No: Teacher Reference no(DfE) (mandatory field)