Do you have a disability? Yes No WHITE MIXED ASIAN or ASIAN CHINESE or BLACK or BLACK British BRITISH OTHER BRITISH White & Black Caribbean Irish Indian Chinese Caribbean White & Black African Greek Pakistani African White & Asian Greek Cypriot Bangladeshi Turkish East African Asian Turkish Cypriot Any other Mixed bac background Any other Asian Kurdish Any other Ethnic Any other Black (please type below) bac background Albanian background bac background (please type below) (please type below) (please type below) Any other White ba background (please type below) The Disability Discrimination Act defines a disability as follows: a person has a disability if he/she has a physical or mental impairment which has a substantial and long-term adverse effect on his/her ability to carry out normal day-to-day activities. Do you have any specific requirements in relation to attending an interview or to assist you at work? Yes No If Yes, please give details: Please complete the Children and Young People’s Service Declaration of Criminal Record form below which must be completed and returned with your application. Please indicate where you found out about the position: Children & Young Peoples Service - Declaration of Criminal Record Please read the below notes carefully before completing sections A to C of this form It is Haringey policy to safeguard Children, Young People and Vulnerable Adults and it is Schools’ our aim to require successful applicants to disclose certain information regarding any previous criminal records they may hold. This does not mean that possession of a criminal record will automatically prevent you from working for a school. All information declared will only be considered in the light of to the post for which you are applying. In most cases a it’s relevance particular conviction will be of no relevance and can be disregarded for the purpose of your application. In order to assess your suitability for the post the Council on behalf of schools complies with the Code of Practice, which is recommended by the Criminal Records Bureau. You must clearly state on this form any convictions, cautions, bind overs, reprimands or final warnings you have or any pending prosecutions.
WHITE British Irish Greek Greek Cypriot Turkish Turkish Cypriot Kurdish Albanian Any other White ba background (please type below) MIXED White & Black Caribbean White & Black African White & Asian Any other Mixed bac background (please type below) BLACK or BLACK BRITISH Caribbean African Any other Black bac background (please type below) CHINESE or OTHER Chinese Any other Ethnic background (please type below) ASIAN or ASIAN BRITISH Indian Pakistani Bangladeshi East African Asian Any other Asian bac background (please type below) Do you have a disability? Yes No The Disability Discrimination Act defines a disability as follows: a person has a disability if he/she has a physical or mental impairment which has a substantial and long-term adverse effect on his/her ability to carry out normal day-to-day activities. Do you have any specific requirements in relation to attending an interview or to assist you at work? Yes No If Yes, please give details: Please complete the Children and Young People’s Service Declaration of Criminal Record form below which must be completed and returned with your application. Please indicate where you found out about the position: Children & Young Peoples Service - Declaration of Criminal Record Please read the below notes carefully before completing sections A to C of this form It is Haringey Schools’ policy to safeguard Children, Young People and Vulnerable Adults and it is our aim to require successful applicants to disclose certain information regarding any previous criminal records they may hold. This does not mean that possession of a criminal record will automatically prevent you from working for a school. All information declared will only be considered in the light of it’s relevance to the post for which you are applying. In most cases a particular conviction will be of no relevance and can be disregarded for the purpose of your application. In order to assess your suitability for the post the Council on behalf of schools complies with the Code of Practice, which is recommended by the Criminal Records Bureau. You must clearly state on this form any convictions, cautions, bind overs, reprimands or final warnings you have or any pending prosecutions.
a-staff-app-form-jan-2017_12.docx