Part 2 Internal Ref. No. This section will be separated from Part 1 on receipt. Relevant responses may be verified prior to shortlisting and/or used for administration purposes but will not then be used for selection purposes. If you are called to interview you may be asked about the answers you have given to questions 14 to 19 if relevant to the job. Personal Information Surname or family name All previous surnames All forenames Title Current address Postcode Resident at this address since Home telephone number Mobile telephone number Date of birth Email address DfE reference number National Insurance Number Do you have a current full driving licence? Yes No Did you qualify as a teacher after May 1999? Yes No If Yes, in which school was induction completed? Have you ever been subject to a child protection Yes No investigation by your employer or any other If YES please state separately under confidential cover the organisation? circumstances and the outcome including any orders or conditions. This will not be opened unless you are called to interview. Do you require sponsorship (previously a work Yes No permit)? If YES please provide details under separate cover. Are you related to or have a close personal Yes No relationship with any pupil, employee, or If YES give details separately under confidential cover. This governor? will not be opened unless you are called to interview.
Part 2 Internal Ref. No. This section will be separated from Part 1 on receipt. Relevant responses may be verified prior to shortlisting and/or used for administration purposes but will not then be used for selection purposes. If you are called to interview you may be asked about the answers you have given to questions 14 to 19 if relevant to the job. Personal Information Surname or family name All previous surnames All forenames Title Current address Postcode Resident at this address since Home telephone number Mobile telephone number Date of birth Email address DfE reference number National Insurance Number Do you have a current full driving licence? Yes No Did you qualify as a teacher after May 1999? Yes No If Yes, in which school was induction completed? Have you ever been subject to a child protection investigation by your employer or any other organisation? Yes No If YES please state separately under confidential cover the circumstances and the outcome including any orders or conditions. This will not be opened unless you are called to interview. Do you require sponsorship (previously a work permit)? Yes No If YES please provide details under separate cover. Are you related to or have a close personal relationship with any pupil, employee, or governor? Yes No If YES give details separately under confidential cover. This will not be opened unless you are called to interview.
EP-Teacher-Application-Form-January-2017.docx