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 National Insurance Number Do you have a current full Yes No driving licence? Have you ever been subject to a Yes No child protection investigation by If YES please state separately under confidential cover the your employer or the General circumstances and the outcome including any orders or Teaching Council or Independent conditions. This will not be opened unless you are invited to Safeguarding Authority? interview. Do you require sponsorship Yes No (previously a work permit)? If YES please provide details separately 16. Are you related to or have a close Yes No personal relationship with any If YES give details separately under confidential cover. This will pupil, employee, or governor? not be opened unless you are invited to interview. 17. Are there any special Yes No arrangements which we can make If Yes please specify, (e.g. ground floor venue, sign language, for you if you are called for an interpreter, audiotape etc). interview and/or work based assessment? 11. DATA PROTECTION ACT 1998 The information collected on this form will be used in compliance with the Data Protection Act 1998. By supplying information, you are giving your consent to the information being processed for all employment purposes as defined in the Data Protection Act 1998. The information may be disclosed, as appropriate, to the governors, to Occupational Health, to the Teachers Pensions Agency, to the Department for Education, to ,
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 National Insurance Number Do you have a current full driving licence? Yes No Have you ever been subject to a child protection investigation by your employer or the General Teaching Council or Independent Safeguarding Authority? 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 invited to interview. Do you require sponsorship (previously a work permit)? Yes No If YES please provide details separately 16. 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 invited to interview. 17. Are there any special arrangements which we can make for you if you are called for an interview and/or work based assessment? Yes No If Yes please specify, (e.g. ground floor venue, sign language, interpreter, audiotape etc). 11. DATA PROTECTION ACT 1998 The information collected on this form will be used in compliance with the Data Protection Act 1998. By supplying information, you are giving your consent to the information being processed for all employment purposes as defined in the Data Protection Act 1998. The information may be disclosed, as appropriate, to the governors, to Occupational Health, to the Teachers Pensions Agency, to the Department for Education, to ,
Support-App.docx