Other History (Please ensure that you provide a complete chronological history by listing below any periods not covered above in your employment history, e.g. travel, unemployment, sabbatical, carer responsibilities etc.) From To Reason Declaration by Applicant The Working Time Regulations 1998 The working time Regulations were introduced on and working in the are now governed by statute. Employment which you intend to continue if successfully appointed to the post applied for please details below or state none: Pension Have you opted out of the Teacher Pension Yes No scheme? If please state your opting-out date: ‘YES’, Are you in receipt of a pension awarded through Yes No the teachers’ ill health retirement arrangement? If give details (including the date pension arrangements took effect) ‘YES’, (Please note that if you were awarded an ill-health pension on or after 01 April 1997, you are not eligible for future employment as a teacher) Safety and Welfare of children Have you ever been the subject of any allegations Yes No in relation to the safety and welfare of children, either substantiated or unsubstantiated? If you have answered to the above question, you must supply details on a ‘YES’ separate sheet of paper, place it in a sealed envelope marked confidential and attach it to your application form. I have attached details as requested. Yes No Disciplinary Record Are you (or have you ever been) dismissed from a teaching post for alleged misconduct or Yes No incompetence or resigned in the face of such allegations?
Other History (Please ensure that you provide a complete chronological history by listing below any periods not covered above in your employment history, e.g. travel, unemployment, sabbatical, carer responsibilities etc.) From To Reason Declaration by Applicant The Working Time Regulations 1998 The working time Regulations were introduced on and working in the are now governed by statute. Employment which you intend to continue if successfully appointed to the post applied for please details below or state none: Pension Have you opted out of the Teacher Pension scheme? Yes No If ‘YES’, please state your opting-out date: Are you in receipt of a pension awarded through the teachers’ ill health retirement arrangement? Yes No If ‘YES’, give details (including the date pension arrangements took effect) (Please note that if you were awarded an ill-health pension on or after 01 April 1997, you are not eligible for future employment as a teacher) Safety and Welfare of children Have you ever been the subject of any allegations in relation to the safety and welfare of children, either substantiated or unsubstantiated? Yes No If you have answered ‘YES’ to the above question, you must supply details on a separate sheet of paper, place it in a sealed envelope marked confidential and attach it to your application form. I have attached details as requested. Yes No Disciplinary Record Are you (or have you ever been) dismissed from a teaching post for alleged misconduct or incompetence or resigned in the face of such allegations? Yes No
Application-Form-for-Teacher-of-Computer-Science.docx