The Folkestone School for Girls Coolinge Lane Folkestone Kent CT20 3RB Tel: 01303 251125 Fax:

01303 248651

CONFIDENTIAL Application for Employment

Applicants Details
Please complete using black ink or type.

Job Applied for: Closing Date: Where Did You See This Post Advertised: Title: Surname: First Name:
SOME GUIDELINES TO HELP YOU This School is committed to safeguarding and promoting the welfare of children and young people and expects all staff and volunteers to share this commitment. Our staff play a vital role in providing excellent services to the school community. To help achieve this we will train you to do your job and encourage you to look for every opportunity to use your skills and abilities. This is your opportunity to tell us as much as possible about yourself and will help us make a fair decision in the selection process. Please read the job description/person specification carefully before completing this form. Please ensure that you complete ALL sections. Your application will be treated in the strictest confidence.

General Information About You

Home Address Address for communications (if different)

Home Tel No: May we contact you here? Yes Email Address: No

Alternative Tel No: May we contact you here? Yes No

Do you have a current UK driving license (if applicable)?

Yes

No

Do you have any current endorsements? If yes, please give details

Yes

No

If you are successful, when could you start this job?

Are you related to any member of staff or Governor of FSG? Yes No If yes please give brief details.

Are you aware of any matter, which might call into question your integrity as an employee or bring you/or FSG into disrepute. Yes No If yes please give brief details.

Employment
Present or most recent employment details . (Any employer, current or previous, will be asked about disciplinary
offences relating to children, including any in which the penalty is time expired and whether the applicant has been the subject of any child protection concerns, and if so, the outcome of any enquiry or disciplinary procedure).

Name and Address of Employer:

Job Title: Date started: Main duties and responsibilities:

Salary: Date of leaving: (if applicable)

Qualifications Achieved from Secondary, Higher and/or Further Education

School/College/University attended Qualifications Grade & Year taken

(include GCSE/O levels, A levels or equivalent, NVQs, work based courses and any further education)

(if any)

Previous Employment:
You must explain any gaps in your job history. Please use a separate page if necessary. Please give details of all employment. Name and full address of Employer Dates Job Held

Membership of Professional Organisations and Institutions

Name Date achieved Membership status By examination (Yes/No)

Other Skills and Interests including languages (spoken/written), computers, etc.

(Please include details of any public duties, community or voluntary work experience)

National Insurance Number/Work Permit

(You can obtain this information from the Department of Social Security)

If appointed, you will be required to produce documentary evidence of your National Insurance number before you take up the post. If you do not have this, you will be asked for alternative documentation to show that you are allowed to work in the UK. Are there any restrictions to your residence in the UK which might affect your right to take up employment in the UK? Yes No (If yes please provide details)

If you were successful in your application, would you require a work permit prior to taking up employment? Yes No (If yes please provide details)

DfES Number (Teachers Only)

DfES Number Do you have Qualified Teacher Status? Yes No Yes No

Are you registered with the General Teaching Council for England?

Referees
Give details of two people to whom you are not related, or people writing in the capacity of friends, to whom a request for a reference can be made; one should be your current employer, or if you are currently unemployed, your last employer. In the case of school / college / university leavers, your tutor. In certain circumstances a reference may be requested from any of your previous employers after obtaining your consent. Reference 1 Name: Relationship to you Address: Reference 2 Name: Relationship to you: Address:

Tel. No: E-Mail address May we contact prior to interview? Yes No

Tel. No: E-Mail address May we contact prior to interview? Yes No

Criminal Offences

If the post you have applied for is exempt from the Rehabilitation of Offenders Act (ROA) 1974 (refer to job description), you must disclose details of any spent or unspent cautions or convictions. Appointment to posts exempt from the ROA will be subject to the successful candidate obtaining an enhanced disclosure from the Criminal Records Bureau to KCCs satisfaction. For all other posts, only unspent cautions or convictions need to be disclosed. Confirm you are not on List 99, disqualified from work with children or subject to sanctions imposed by a regulatory body (e.g. General Teaching Council for Teachers)or attach details of your record in a sealed envelope marked confidential Providing false information is an offence and could result in the application being rejected, or summary dismissal if the applicant has been selected and possible referral to the police.

Details of any relevant cautions or convictions:

Reason for Application

Please say why you would like this job. Using the job description and person specification as a guide, please give details of any experience or skills which you feel demonstrate your suitability for this post. Please use a continuation sheet if you require.

I understand that any employment, if offered, will be subject to the information on this form being correct. I can confirm that no valid information has been willfully withheld. I understand that providing misleading or false information will disqualify me from appointment OR if appointed may result in my dismissal without notice if the information on this form is later proved to be inaccurate. I declare that the information I have given in this application is accurate and true. Signed: Date:

If you are returning this application form by post, please sign and date. If returning by email you will be asked to sign a copy of this document before any offer of employment is made. Protecting your personal information I hereby give my consent for FSG to keep on file information (including equalities data) from this form and any attached documents. This is required for recruitment and equal opportunities monitoring purposes, the payment of staff and the prevention and detection of fraud. All information will be dealt with in accordance with data protection legislation. Signed: Date:
Please ensure you complete the Equalities Monitoring Form

Jan2011

CONFIDENTIAL
Equalities Monitoring Form I would describe myself as (please tick one of the boxes below) ETHNIC GROUP White: British Irish Any other White background (please specify) Mixed: White and Black Caribbean White and Black African White and Asian Any other Mixed background (please specify) Asian or Asian British: Indian Pakistani Bangladeshi Any other Asian background (please specify) Black or Black British: Caribbean African Any other Black background (please specify) Chinese/other Ethnic Group: Chinese Any other Ethnic background

The Folkestone School for Girls values diversity in its workforce and aims to recruit and value a workforce that reflects the diverse make-up of the community. As part of our recruitment process you are required to complete this monitoring form. This page will be detached and will not form part of the selection process. We expect all our employees and prospective employees to support our aim to build a diverse and representative workforce

(please specify) If you wish you may disclose Religion: information about yourself in this section about your: Sexual Orientation:
Male Date of Birth: Age Range: 16-19 20-45 46-65

Female ... / ... / ...

Thank you for providing this information. Please return this form with your application. NOTE: This section is removed before shortlisting, destroyed after monitoring and will be treated in the strictest confidence.

CONFIDENTIAL
Disability Statement
The Folkestone School for Girls aims to be a fair employer and is committed to equality of opportunity for disabled people. Applications from disabled people are welcome. All disabled applicants who meet the essential criteria will be guaranteed an interview. At interview, we have a policy of providing appropriate access and equipment to ensure that disabled people are considered on an equal basis. If you would like any further assistance or advice about this application we will try to help. In order to help us fulfill our aims, please answer the following questions: 1. Do you consider yourself to be disabled? Please tick box Yes No

If yes, do you consider yourself to be disabled under the terms of the Disability Discrimination Act? The Disability Discrimination Act 1995 defines disability as a physical or mental impairment which has a substantial and long-term adverse affect on an individuals ability to carry out normal day-today activities. Please tick box 2. Yes No

Is there anything you would particularly like to tell us about your disability?

3.

If you wish us to arrange for any of the following to be available, if you are called for an interview, please tick. Induction loop or other hearing enhancement Keyboard for written tests Assistance in and out of vehicle Wheelchair access Other assistance (please specify) Sign language interpreter (please state type) Someone with you at the interview (e.g. advocate or facilitator) Accessible car parking Accessible toilet

This section will be used by the recruitment team to support the recruitment and interview process. It will be treated as confidential.
Thank you for providing this information. Please return this form with your application.