Application Form Deputy Domestic Services Manager [All relevant information to be put on Application Form, CVs are not acceptable] Please ensure that you fully complete all sections of the application, paying particular attention to the Employment History section and identifying any gaps . Section 1: Personal details PLEASE PROVIDE A COVERING LETTER WITH YOUR APPLICATION FORM Title: Forenames: Surname: National Insurance number: Former name(s): Preferred name: Teacher's DfE Dept Ref No (if applicable) Address Telephone number(s): Home: Work: Postcode Mobile: Resident at this address since: Do you hold a Valid UK driving licence YES NO Email address: Are you eligible for employment in the UK? Yes No If No, Please provide details. Please confirm if you have ever: Yes No Been or lived outside of the UK for a period of 3 months or more at any one time within the last 5 years? If yes please advise which country or countries and for what period of time Do you have Qualified Teacher status? Yes No If so, have you ever been subject to an investigation by the General Yes No Teaching Council or DfE? If yes, please provide details separately Have you ever been subject to a direction under section 142 of the Yes No Education Act 2002 or section 128 of the Education and Skills Act 2008 which prohibits, disqualifies or restricts you from teaching or being involved in the management of an independent school? IF Yes, please provide details by separate cover. Do you know or are you related to any member of Chetham’s staff, If Yes No yes - please provide information by separate cover Have you ever been barred from working with children? If yes, please Yes No provide details by separate cover. Have you ever been dismissed from a post? If yes, please provide Yes No details by separate cover.
Application Form Deputy Domestic Services Manager [All relevant information to be put on Application Form, CVs are not acceptable] Please ensure that you fully complete all sections of the application, paying particular attention to the Employment History section and identifying any gaps . Section 1: Personal details PLEASE PROVIDE A COVERING LETTER WITH YOUR APPLICATION FORM Title: Forenames: Surname: National Insurance number: Former name(s): Preferred name: Teacher's DfE Dept Ref No (if applicable) Address Postcode Resident at this address since: Do you hold a Valid UK driving licence YES NO Telephone number(s): Home: Work: Mobile: Email address: Are you eligible for employment in the UK? Yes No If No, Please provide details. Please confirm if you have ever: Been or lived outside of the UK for a period of 3 months or more at any one time within the last 5 years? If yes please advise which country or countries and for what period of time Yes No Do you have Qualified Teacher status? Yes No If so, have you ever been subject to an investigation by the General Teaching Council or DfE? If yes, please provide details separately Yes No Have you ever been subject to a direction under section 142 of the Education Act 2002 or section 128 of the Education and Skills Act 2008 which prohibits, disqualifies or restricts you from teaching or being involved in the management of an independent school? IF Yes, please provide details by separate cover. Yes No Do you know or are you related to any member of Chetham’s staff, If yes - please provide information by separate cover Yes No Have you ever been barred from working with children? If yes, please provide details by separate cover. Yes No Have you ever been dismissed from a post? If yes, please provide details by separate cover. Yes No
18.06-Deputy-DSM-application.docx