Statement to be signed by the applicant The Trust is committed to an anti-fraud culture and participates in statutory anti-fraud initiatives. I acknowledge that the and its Academies are under a duty to protect the public funds it administers and to this end I agree they may use information provided on this form for the prevention and detection of crime and may share this information with other bodies solely for these purposes. I have read, and, if appointed, am prepared to accept the conditions set out in the conditions of employment and the job description. I hereby give consent to the collection, storage and processing of my personal data. Are you either on the Children Barred List (previously list 99 PoCA list), have ever been disqualified from working with children or been subject to any sanctions imposed by a regulatory body? Yes No Please note it is a criminal offence for barred individuals to seek or undertake work with children. If you have answered yes to the above you will be required to provide details. Please note: If you are returning this form by e-mail, you will be asked to sign your application upon being called for interview. I confirm that to the best of my knowledge, the information given in this application form is true and correct and gives a fair representation of my skills and work experience. I understand that giving false or misleading statements or withholding information may result in disciplinary action including dismissal from the Trust or withdrawal of an offer of employment. Signed: Date:
Statement to be signed by the applicant The Trust is committed to an anti-fraud culture and participates in statutory anti-fraud initiatives. I acknowledge that the and its Academies are under a duty to protect the public funds it administers and to this end I agree they may use information provided on this form for the prevention and detection of crime and may share this information with other bodies solely for these purposes. I have read, and, if appointed, am prepared to accept the conditions set out in the conditions of employment and the job description. I hereby give consent to the collection, storage and processing of my personal data. Are you either on the Children Barred List (previously list 99 PoCA list), have ever been disqualified from working with children or been subject to any sanctions imposed by a regulatory body? Yes No Please note it is a criminal offence for barred individuals to seek or undertake work with children. If you have answered yes to the above you will be required to provide details. Please note: If you are returning this form by e-mail, you will be asked to sign your application upon being called for interview. I confirm that to the best of my knowledge, the information given in this application form is true and correct and gives a fair representation of my skills and work experience. I understand that giving false or misleading statements or withholding information may result in disciplinary action including dismissal from the Trust or withdrawal of an offer of employment. Signed: Date:
PE-Teacher-Application-Form-May18.docx