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CONFIDENTIAL APPLICATION FORM

SCHOOL SUPPORT STAFF

PLEASE COMPLETE APPLICATION FORM AND RETURN BY


POST TO:

CLOSING DATE

POST DETAILS
Post applied for Scale

If the post you are applying for is Part-time or Job Share please indicate the period/times of day you would prefer

PERSONAL DETAILS
Surname Forenames Preferred title (delete)
Mr/Mrs/Miss/Ms/ Other _______
Address Telephone Number

E-mail

Vehicle Owner Yes or No

Postcode
Date of Birth National Insurance Number Full current
driving licence Yes or No
Do you require a work permit? (If you are appointed, you will be asked to provide documentary evidence of your
eligibility to work in the UK under the Asylum & Immigration Act 1996)
Yes or No
Do you have a disability?
Yes or No
As an employer, we are keen to support the careers of disabled people. Please let us know of any adaptations or
special conditions that you would require at interview.

EMPLOYMENT HISTORY – Current/ Most Recent


Name and address of present or most recent Date started Date of leaving (if applicable)
employer (including postcode)
Day Month Year Day Month Year

Position Present Amount of notice required


Held basic salary
(exclude any Number of sick days in last 12
bonus) months
EMPLOYMENT HISTORY - Current/ Most Recent (cont’d)
Write a brief description of your present duties/responsibilities stating to whom you report i.e. their position and, if
appropriate, who reports to you. (You may attach a simple diagram of your position in the organisation to illustrate
this).

EMPLOYMENT HISTORY - PREVIOUS EMPLOYMENT


Please list all previous employers showing the most recent first, accounting for any breaks in employment. Continue
on a separate sheet if necessary
Date from Date to Name and address of
Job title and salary Reason for leaving
Day Month Year Day Month Year employer

QUALIFICATIONS
Please state all qualifications gained, grades and dates obtained. You will be required to provide evidence if a
qualification is essential to this job and we reserve the right to contact the relevant institution for verification.

OTHER RELEVANT TRAINING


Please give details (e.g. short courses, relevant
specialist training), including courses currently being
Course Title Date Attended
undertaken, continuing on a separate sheet if
necessary.

MEMBERSHIP OF PROFESSIONAL OR TECHNICAL ASSOCIATIONS (where appropriate)


Name of Professional or Entry date to
Status Membership number
Technical Association Membership
SUPPORTING STATEMENT
Please demonstrate below your suitability by relating your application to any skills, qualifications, training and experience (both
through paid employment or otherwise) you have which are relevant to the job for which you are applying.
Shortlisting for interview will be made on the basis of how well you meet the requirements of the person specification.
NB: Please continue on separate sheets if necessary and attach securely.

Please give dates on which you would be UNAVAILABLE for interview.


REFERENCES
Please complete both boxes below and supply the names and addresses of two referees, who should not be related to
you, from whom references may be obtained. One should be your present, or most recent, employer (or teacher/tutor
in the case of a college/school leaver) and the other, preferably, a previous employer.
NB – references for shortlisted candidates may be taken up prior to an interview unless you wish otherwise (see
below)
Please indicate if you are known to your referees by another name.

We reserve the right to contact any of your previous employers.


Name Name
Address Address

Telephone No. Telephone No.

Fax No/E-mail Fax No/E-mail.

Occupation Occupation
Capacity in which known to you Capacity in which known to you
May references be taken up prior to interview Yes/ No May references to taken up prior to interview Yes/No

DECLARATION

I understand that canvassing of school governors or senior school staff directly or indirectly, for any appointment shall
disqualify my application. I hereby declare that the information provided on this form is correct to the best of my
knowledge.

The job for which you are applying is exempt from the Rehabilitation of Offenders Act 1974 and you are required to
declare all unspent and spent cautions and criminal offences, including any pending convictions. Since this post
provides substantial unsupervised access to children you will be asked to disclose details in the event that your
application is successful.

I understand that if the information I have supplied is false or misleading in any way it will automatically disqualify me
from appointment or in the event of employment result in disciplinary action or dismissal by Enfield Council.

In accordance with the 1998 Data Protection Act, I agree that the information I have provided on this form may be held
and used for personnel reasons and the enable the organisation to keep in touch with me.

Signature of Applicant___________________________________ Date ____________________________________

If you have not been contacted within 6 weeks of the closing date, please assume that your application on this occasion has been
unsuccessful.

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