Support Staff Application Form 2022

Thomas Telford School .
Application Form for Support Staff

Please complete in full – CVs will not be accepted
Post Title:
Closing Date:
1. Personal Details
Title: Mr Mrs Ms Miss Other
First Name(s):
Surname/Last Name:
Address:
Post Code: National Insurance N°:

Tel N° (Home): Tel N° (Work):
Tel N° (Mobile): Email:
Are you in receipt of an Occupational Pension? Yes No
2. Educational/Technical/Professional Qualifications
Please name any institute or professional body in full, rather than using initials.
Subjects/Qualifications Where attained Year From Year to Grade

3. Details of Relevant Training Courses
Course Subject and Provider Length of Course Year
4. Employment History
Please give details of ALL jobs held including part-time and unpaid work, starting with your present/last employer.
Salary/
Employer
Job Held From To Reason for Leaving
(Name & Full Address) Grade
5. Relevant Knowledge, Experience & Skills
Please tell us how your knowledge, experience and skills meet the job requirements
6. References
Please give the name, address and status of two persons who can support your application and who have agreed to their names
being used. Unless there are good reasons to the contrary, one of the referees should represent your present employer. Please
note that character references cannot be accepted.
Reference 1
Name: Position:
Address:
Post Code:
Telephone N°: Email:
Reference 2
Name: Position:
Address:
Post Code:
Telephone N°: Email:
I declare that the information I have given on this form is correct and give consent for references to be
requested from the above named people.
Signed
Date
Applicants can normally expect to be invited for an interview within three weeks of the closing date. Otherwise, they may assume that, on
this occasion, their application has been unsuccessful. However, career opportunities may emerge in the future at Thomas Telford School, or
in one of our other family of schools: Madeley Academy, Sandwell Academy, Thomas Telford UTC and Walsall Academy. If you are
unsuccessful, please indicate if you wish us to hold your form on file to be considered for future or similar vacancies.
If you are unsuccessful, please indicate if you wish us to hold your form on file to be considered for future/similar Yes No
vacancies at Thomas Telford School
If you are unsuccessful, please indicate if you wish to be considered for future/similar vacancies at any of the other Yes No
schools within our family of schools
Safeguarding Declaration
The job for which you are applying involves substantial opportunity for access to children. It is therefore exempt from the
Rehabilitation of Offenders Act 1974 and under the GDPR the School has a lawful basis in which to request access relating to
criminal convictions through the means of an enhanced Disclosure and Barring Service (DBS) check.
An enhanced disclosure request will be made to the Disclosure and Barring Service (DBS) at the point when an offer of a position
is made to ascertain whether the records reveal any criminal convictions (including spent ones) relating to you. All information
given will be treated in the strictest confidence and will be used for this job application only.
The disclosure of a criminal record will not debar you from appointment unless the selection panel considers that the conviction
renders you unsuitable for appointment. In making this decision, the panel will consider the nature of the offence, how long ago
and what age you were when it was committed, and any other factors which may be relevant.
Thomas Telford School is committed to promoting the welfare of children and young people and expects all staff and volunteers
to share this commitment.
I confirm I have read the above statement and understand that failure to agree to an enhanced DBS check will disqualify me
from appointment: (Please tick box)
Please note, as part of the recruitment process the School will carry out a background check on all shortlisted applicants, in line
with the Keeping Children Safe in Education Guidance 2022.
Optional Equal Opportunities Monitoring
To help us check that we are employing people fairly, please mark the appropriate sections below
Please note that the information provided in this section will not be passed to the shortlisting panel, and will have no
bearing on the appointment decision
Please complete in BLOCK CAPITALS
Post:
Full Name (including Title):
Date of Birth:
Age – please tick as appropriate

16-18 19-35 36-49 50-59 60-65 Over 65
Ethnic Origin
Do you consider your ethnic origin to be:
White Mixed Black Asian

British White & Black African Black British Asian British
Irish White & Asian Caribbean Indian
Any other white background White & Black Caribbean African Pakistani
Any other mixed background Any other black background Bangladeshi
Any other Asian background
Any other ethnic group (please specify)
Do you consider yourself to have a disability? Yes No

If yes, please state nature of disability:
The Disability Discrimination Act defines disability as:

“A physical or mental impairment which has a substantial and long-term effect on the person’s ability to carry out normal day-to-day activities”
Where did you see or hear of this job?
___________________________________________________________________________
Please return completed Application and Monitoring Form to:
Sir Kevin Satchwell, Headmaster, Thomas Telford School, Old Park, Telford, Shropshire, TF3 4NW
Email: [email protected]

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Thomas Telford School .

Application Form for Support Staff

Title: Mr Mrs Ms Miss Other

Post Code: National Insurance N°:

Tel N° (Mobile): Email:

Are you in receipt of an Occupational Pension? Yes No

Subjects/Qualifications Where attained Year From Year to Grade

Course Subject and Provider Length of Course Year

Telephone N°: Email:

Telephone N°: Email:

Full Name (including Title):

Age – please tick as appropriate

White Mixed Black Asian

Any other ethnic group (please specify)

Do you consider yourself to have a disability? Yes No

The Disability Discrimination Act defines disability as:

Where did you see or hear of this job?

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