Are you, to your knowledge, related to any member of the Governing Body, or any holder of senior office in the Academy? If yes, please state: A candidate failing to disclose such a relationship or seeking to improperly influence the recruitment and selection process shall be disqualified from appointment, or if appointed, shall be liable to dismissal without notice: Sign: Date: DECLARATION I understand that the terms of the Asylum and Immigration Act 1996 should I be shortlisted for the post for which I am applying, I am required to supply for the Governing Body, as employer, an original document showing my entitlement to work in this country. I understand that appointment to this post is subject to a satisfactory Enhanced Disclosure & Barring Service (DBS) certificate. I also understand that, under the terms of the Rehabilitation of Offenders Act 1974 (Exemptions) Order 1975 (amended 2013) I am required to disclose any record I may have of criminal convictions, and to ‘protected’ attach details of such convictions. I declare that I am not on the DBS Children’s Barred list or subject to any sanctions or prohibition imposed by a regulatory body (such as the NCTL). I certify that all information by me on this form and in supporting documents is correct to the best of my knowledge, that all questions have been fully and accurately answered, and that I possess all qualifications which I claim to hold. I understand that my name will be withdrawn from the list of candidates if, prior to appointment, I am found knowingly to have omitted or concealed any relevant fact about my eligibility for the post, and I acknowledge that such discovery subsequent to appointment is likely to lead to my dismissal without notice. To the best of my knowledge and belief the information supplied by me on each section of this form is correct. I hereby consent to the processing of sensitive personal data, as defined in the Data Protection Act 1998, involved in the consideration of this application. Sign: Date: NOTES TO APPLICANTS Before signing this form please check that every section has been completed. This form and letter should be returned as instructed in the details of the post Enclose a stamped addressed envelope if you wish us to acknowledge your application You are reminded that this is an application for a post in a Church of England Academy Trust in which the Academies Trust is the employer. If you are appointed, the Contract you will be asked to sign includes the first paragraph of the following clause and may include parts of the second paragraph:-
Are you, to your knowledge, related to any member of the Governing Body, or any holder of senior office in the Academy? If yes, please state: A candidate failing to disclose such a relationship or seeking to improperly influence the recruitment and selection process shall be disqualified from appointment, or if appointed, shall be liable to dismissal without notice: Sign: Date: DECLARATION I understand that the terms of the Asylum and Immigration Act 1996 should I be shortlisted for the post for which I am applying, I am required to supply for the Governing Body, as employer, an original document showing my entitlement to work in this country. I understand that appointment to this post is subject to a satisfactory Enhanced Disclosure & Barring Service (DBS) certificate. I also understand that, under the terms of the Rehabilitation of Offenders Act 1974 (Exemptions) Order 1975 (amended 2013) I am required to disclose any record I may have of ‘protected’ criminal convictions, and to attach details of such convictions. I declare that I am not on the DBS Children’s Barred list or subject to any sanctions or prohibition imposed by a regulatory body (such as the NCTL). I certify that all information by me on this form and in supporting documents is correct to the best of my knowledge, that all questions have been fully and accurately answered, and that I possess all qualifications which I claim to hold. I understand that my name will be withdrawn from the list of candidates if, prior to appointment, I am found knowingly to have omitted or concealed any relevant fact about my eligibility for the post, and I acknowledge that such discovery subsequent to appointment is likely to lead to my dismissal without notice. To the best of my knowledge and belief the information supplied by me on each section of this form is correct. I hereby consent to the processing of sensitive personal data, as defined in the Data Protection Act 1998, involved in the consideration of this application. Sign: Date: NOTES TO APPLICANTS Before signing this form please check that every section has been completed. This form and letter should be returned as instructed in the details of the post Enclose a stamped addressed envelope if you wish us to acknowledge your application You are reminded that this is an application for a post in a Church of England Academy Trust in which the Academies Trust is the employer. If you are appointed, the Contract you will be asked to sign includes the first paragraph of the following clause and may include parts of the second paragraph:-
Application-Form-Dales-2.docx