USI Application Form For Teachers and TAs v2

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Application Form for a Teaching Position at United School International

Please complete the application form electronically in full. You might need to scan the signature page
once signed. This application form is an essential part of our selection process and the information you
give will help us to select candidates for interview.

Please note we do not accept CVs unless accompanied by a completed application form.
For unsuccessful candidates, the application form including all details will be safely disposed of after the
recruitment period is completed.

Please send a letter with your application form, along with other requested documents, addressed to HR
at United School International.

We recommend that this should be no more than two pages long, should relate directly to the specific
role applied for and cover:
● your motivation for working in education
● what attracts you to the position
● how you feel your experience, skills and personal qualities qualify you to take on the role
● any other information you would like the selection panel to know

Please email your completed application form and cover letter to [email protected]

Post Applied For

Where did you see the


vacancy?

Personal Details
Title: Surname:
All forenames All former Name(s)
previously known by:
Preferred name: Date of Birth:
Address* DfES / Teacher Ref
Number
QTS Completed Yes / No

Date Completed
Email Telephone Number
Nationality: Other nationalities
Place of Birth: held
Preferred
Ethnicity
(Optional)

Religion
(Optional)

*If you have been at this address for less than 5 years, please provide details of previous addresses
covering below

Previous address 1 From Until Reason for move

Previous address 2 From Until Reason for move

Previous address 3 From Until Reason for move

Previous address 4 From Until Reason for move

Please indicate whether you have any family or close relationships with existing employees at United School
International or children attending the School
Yes/No

Name of Person:
Relationship:

Academic & Professional Qualifications

Name & Addresses of Schools/Colleges From To Qualifications Obtained –


(Mth/Yr) (Mth/Yr) please include A Level grades and class
of degree and date of award

Membership of professional Associations Please state whether you are a member of any technical or
professional associations, and if so, which:
Recent Professional Learning
Have you attended any training courses/seminars to develop your skills? If yes, please list. Extend the boxes if
needed.

From To
Course Title (Mth/Yr) (Mth/Yr) Details of Course

Employment history (please clearly explain any gaps in your employment history – It is important that all gaps
between any periods of employment are clearly explained and we will require this detail to be able to progress
your application)

Include all other employment after leaving higher education and details of roles carried out during any period
of self-employment

Current Job Start date:


Title:
Address: Main responsibilities:

Remuneration
package
(include currency)
Responsible to: Reason for Leaving

Previous Employment (in reverse date order – please continue on separate sheet if necessary)
Start date End date
Job Title:

Address: Main responsibilities:

Responsible to: Reason for Leaving

Start date End date


Job Title:

Address: Main responsibilities:


Responsible to:

Reason for Leaving

Start date End date


Job Title:

Address: Main responsibilities:

Responsible to: Reason for Leaving

Start date End date


Job Title:

Address: Main responsibilities:

Responsible to: Reason for Leaving

Do you have any gaps in your employment history? (You must disclose here any gaps between your historic
employment where you have not worked, even if this is only for a short period of weeks)

Yes / No
Please select as appropriate. If you answer yes you will need to explain any gaps in the box below and detail what
you were doing during the time periods

Explanation of any gaps in employment

Leisure Interests, Membership of Organisations, Voluntary Work

Health Declaration
By signing this application form, I declare that I know of no reasons, on grounds of mental or physical health, why I
should not be able to discharge the responsibilities required by the post for which I am applying.
Please note, the school reserves the right to request that the successful applicant complete a medical
questionnaire / examination and/or a psychological evaluation prior to appointment.

Professional References
Please provide details of three individuals who we can contact to obtain a reference. One should be your current
or most recent employer and all must be former Line Managers (One must be the Principal or equivalent). Where
you are not currently working with children but have done so in the past one referee must be from the employer
by whom you were most recently employed in work
with children. Please note that references will not be
accepted from relatives or from referees
writing solely in the capacity of friends. We do not
accept open testimonials.

For NQTs or teachers who have had only one Teaching post, please list a referee from the College / University
you graduated.

Do you agree to references being taken up if you are short-listed for the appointment? Yes/No
If “No”, you will be contacted, if needed, prior to references being taken up
Referee 1
Name: Position:
School
Address: Email:
Phone
Number:
Relationship to you:
Referee 2
Name: Position:
School
Address: Email:
Phone
Number:
Relationship to you:
Referee 3
Name: Position:
School Email:
Address: Phone
Number:

Relationship to you:

Equal opportunities
United School International is an equal opportunity employer. Its policy is to ensure that no job
applicant or employee receives less favourable treatment because of personal characteristics. Selection
criteria and procedures are
frequently reviewed to ensure that individuals
are selected on the basis of their individual
and relevant merits and abilities. All
employees are given equal opportunities and, where appropriate, special training to progress within the
School.

Safer recruitment and the requirement for Enhanced Disclosure and Barring checks
As part of any employment offer being made, United School International will require a recent enhanced
DBS check from the Disclosure and Barring Service (formerly Criminal Records Bureau) or the
International Child Protection Certificate www.acro.police.uk/icpc/ for anybody who has ever lived
and / or worked in the UK. Alternatively, if you are registered with the DBS Update Service, you will need
to provide your reference number and permission to undertake a search. This will also apply to former
members of staff who re-join unless less than three months have passed between their leaving and their
re-employment date. A Prohibition Order check will also be carried out using the NCTL and GTCE
databases in England

If you have lived or worked abroad for a period of three months or more you will also need to provide
appropriate paperwork, such as a police certificate of good conduct, from the countries you have lived
in, which is less than six months old.

If available, please provide these as a single PDF file. A minimum of last country of
employment will be required before any appointment can be made

Please explain here if you cannot provide for all countries in which you have lived .

Prior to any appointment, you will also need to provide at interview proof of address both in
your last country of employment and your home country.
Additional identification information

National Insurance Number (UK Citizens):


(Equivalent for non-UK citizens)

Do you hold a valid current driving licence? Y / N

Current Passport Number: Country issuing passport:

Date of expiry: Place issued:

Do you hold any other passports? Y/N. If Yes, please give details

Passport Number: Country issuing passport:

Date of expiry: Place issued:

Disclosure and barring checks Yes / No – please delete as


appropriate or give details if necessary

Do you have any convictions, cautions, reprimands or final warnings that are not Y/N
“protected” as defined by the Rehabilitation of Offenders Act 1974 (Exceptions)
Order 1975 (as amended in 2013)

Is there any reason why you may not be suitable to work with children or Y/N
vulnerable adults? If yes, please explain:

Have there been any Child Protection concerns/investigations about you in the Y/N
past? If yes, please explain:

Have you ever been the subject of a Prohibition Order, failed a Probation or Y/N
Induction period or been subject to sanctions by the GTCE regarding working with
children? If Yes, please explain.
Travel information

Have you ever been deported from any country? Y / N.


If Yes, please give details
From which country (ies)?
When?
Reasons given by authorities

Are you subject to any immigration controls which would prevent your ability to travel or to be employed in the
country where you are seeking to be employed or restrict other travel overseas? Y / N
If Yes, please give details below.

Declaration

I am aware that the post for which I am applying is exempt from the Rehabilitation of Offenders Act 1974 and
therefore all convictions, cautions and bind-overs, including those regarded as ‘spent’ must be declared. I have
not been disqualified from working with children, am not named on any register of people not permitted to
work with children including the Register of the Health and Care Professions Council (HCPC), am not subject to
any sanctions imposed by any other regulatory body Please tick either A or B below

“STATEMENT A”

I HAVE NO CONVICTIONS, CAUTIONS, BIND-OVERS OR APPEAR AS DISQUALIFIED ON ANY RELEVANT REGISTER


IN EITHER MY CURRENT OR PREVIOUS NAME

OR

“STATEMENT B”

* HAVE ATTACHED DETAILS OF ANY CONVICTIONS, CAUTIONS, BIND-OVERS OR RELEVANT INFORMATION


FROM REGULATORY BODIES REGARDING WORKING WITH CHILDREN AND VULNERABLE ADULTS IN A SEALED
ENVELOPE MARKED CONFIDENTIAL TO BE SENT BY COURIER OR REGISTERED MAIL TO THE PRINCIPAL OF THE
SCHOOL

I confirm Statement A is correct

I confirm Statement B is correct and will supply relevant information


I understand that the successful applicant will be
required to provide a recent enhanced disclosure
from the DBS or similar law enforcement agency if not already available prior to any appointment being made.

To meet our obligations under Data Protection Legislation all candidates accept that by signing their application
form, all or part of the information provided on this form may be used and processed by United School
International for recruitment and personnel administration and for equality monitoring. Such use will be subject
to the provisions of the Data Protection Act 1998 (UK).

Candidates should be aware that the School will search social media sites during the selection process in order
to discover what might be on your profile in the public domain.

I confirm the information given in this form is correct and understand that it will be used in the selection
process. I also understand that misleading and/or inaccurate statements may be sufficient grounds for
cancelling any agreements made. Where appropriate, this may include consideration of disciplinary action and
potential termination of employment on the grounds of gross misconduct

Signed Date

Print Name

The school would like to express thanks in respect of ensuring that all sections of this form
are completed to the best of your ability and is signed before sending.
Please ensure the following accompany this application: Scans of academic qualifications;
Police Reports / Current DBS; Passport; proof of address in country currently employed; proof
of address in home country.

Please attach your letter of no more than two sides of A4 font size no smaller than size 11

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