A. White British Irish Any other White Background B. White and Black Caribbean White and Black African White and Black Asian Any other Mixed Background C. or Asian British Indian Pakistani Bangladeshi Any other Asian Background D. Black or Black British Caribbean African Any other black background E. Chinese or other Ethnic Group Chinese Any other Background 3. Do you consider that you have a disability as defined by the Equality Act 2010? This means long term illness, health problem or disability that limits your daily activities or the work you can do. Yes No 4. Date of Birth (d/m/y): __/__/_____ Where did you see this post advertised? Declaration of Offences Before completing this form, please read the following carefully. Rehabilitation of Offenders Act 1974 This post is exempt from the above act, as the nature of the job falls within the type of work excluded from the Act by the 1975 and 2001 Exceptions Amendment. This means you must declare on this form all offences, convictions, cautions, bind overs or any court cases you may have pending. Convictions will not necessarily be a bar to employment with the council. As this post involves working with or has access to children or vulnerable adults and/or their records, the successful candidate will require an Enhanced Disclosure from the Disclosure & Barring Service in accordance with the Rehabilitation of Offenders Act 1974, the Police Act 1997 as amended by the Safeguarding Vulnerable Groups Act 2006 and the Protection of Freedoms Act 2012. Have you ever been cautioned or convicted of a criminal Yes No offence?
A. White British Irish Any other White Background B. White and Black Caribbean White and Black African White and Black Asian Any other Mixed Background C. or Asian British Indian Pakistani Bangladeshi Any other Asian Background D. Black or Black British Caribbean African Any other black background E. Chinese or other Ethnic Group Chinese Any other Background 3. Do you consider that you have a disability as defined by the Equality Act 2010? This means long term illness, health problem or disability that limits your daily activities or the work you can do. Yes No 4. Date of Birth (d/m/y): __/__/_____ Where did you see this post advertised? Declaration of Offences Before completing this form, please read the following carefully. Rehabilitation of Offenders Act 1974 This post is exempt from the above act, as the nature of the job falls within the type of work excluded from the Act by the 1975 and 2001 Exceptions Amendment. This means you must declare on this form all offences, convictions, cautions, bind overs or any court cases you may have pending. Convictions will not necessarily be a bar to employment with the council. As this post involves working with or has access to children or vulnerable adults and/or their records, the successful candidate will require an Enhanced Disclosure from the Disclosure & Barring Service in accordance with the Rehabilitation of Offenders Act 1974, the Police Act 1997 as amended by the Safeguarding Vulnerable Groups Act 2006 and the Protection of Freedoms Act 2012. Have you ever been cautioned or convicted of a criminal offence? Yes No
NNA-Application-Form-Class-Teacher.docx