Print Name: If you do have any criminal convictions, cautions, warnings, reprimands or bind-overs, or are barred, disqualified from working with children, please enclose full details in a sealed envelope marked and ‘Private Confidential’ and tick this box. Having a criminal conviction will not necessarily bar you from employment. 11. OTHER EMPLOYMENT If offered this position will you continue to work in any capacity? Yes No   If please give details ‘yes’ ……………………………………………………………………………………………………………………… ……………………………………………………………………………………………………………………… 12. REFERENCES Please give names, addresses and positions of two persons, including present or most recent employer, to whom confidential reference may be made. 1. Name 2. Name Address Address Postcode Postcode e.mail address: e-mail address: Daytime telephone no. Daytime telephone no. Status Status It is the Governors’ policy to employ the best qualified personnel and 13. RECRUITMENT POLICY – provide equal opportunity for the advancement of employees including promotion and training and not to discriminate against any person of race, colour, sexual orientation, age, religion or belief, marital status or disability. 14. DATA PROTECTION ACT 1998 Consent and Certification of Details – The information collected on this form and other information which constitutes your personnel record will be used in compliance with the Data Protection Act 1998. The information is being collected for the purpose of administering the employment and training of employees. The information may be disclosed, as appropriate, to governors of the school, to Occupational Health, Law Enforcement Authorities, the West Midlands Metropolitan Authorities Pension Fund, pension providers and relevant statutory bodies. You should also note that because we have a duty to protect the public funds we handle, we might need to use the information you have provided on this form to prevent and detect fraud. We may also share this information for the same purposes with other organisations, which handle public funds. I, (print name)
Print Name: If you do have any criminal convictions, cautions, warnings, reprimands or bind-overs, or are barred, disqualified from working with children, please enclose full details in a sealed envelope marked ‘Private and Confidential’ and tick this box. Having a criminal conviction will not necessarily bar you from employment. 11. OTHER EMPLOYMENT If offered this position will you continue to work in any capacity? Yes  No  If ‘yes’ please give details ……………………………………………………………………………………………………………………… ……………………………………………………………………………………………………………………… 12. REFERENCES Please give names, addresses and positions of two persons, including present or most recent employer, to whom confidential reference may be made. 1. Name 2. Name Address Postcode e.mail address: Daytime telephone no. Address Postcode e-mail address: Daytime telephone no. Status Status 13. RECRUITMENT POLICY – It is the Governors’ policy to employ the best qualified personnel and provide equal opportunity for the advancement of employees including promotion and training and not to discriminate against any person of race, colour, sexual orientation, age, religion or belief, marital status or disability. 14. DATA PROTECTION ACT 1998 – Consent and Certification of Details The information collected on this form and other information which constitutes your personnel record will be used in compliance with the Data Protection Act 1998. The information is being collected for the purpose of administering the employment and training of employees. The information may be disclosed, as appropriate, to governors of the school, to Occupational Health, Law Enforcement Authorities, the West Midlands Metropolitan Authorities Pension Fund, pension providers and relevant statutory bodies. You should also note that because we have a duty to protect the public funds we handle, we might need to use the information you have provided on this form to prevent and detect fraud. We may also share this information for the same purposes with other organisations, which handle public funds. I, (print name)