Do Talk Right Application Form

Please complete ALL sections. Application form WILL be used to shortlist candidates.
POST APPLIED FOR:
1. PERSONAL DETAILS (please complete in block letters)
Surname: Forenames:
Title by which you wish to be Date of Birth:

referred: (Mr/Mrs/Miss/Ms/Other)
Any other names known by:
Address for Correspondence:
Postcode:
Addresses last five years:
Home telephone no: Mobile telephone no:
Work telephone no: Email address:

Extension (if applicable):
National Insurance No:
Teacher Reference/DFE no:

(if applicable)
Portable DBS No & name on

certificate (applicable only if you
pay an annual fee to DBS
Update Service)
2. PRESENT OR LAST EMPLOYER
Name and address of employer:

Postcode:
Nature of business:
Present annual salary or weekly

wage (gross):
Hours/sessions worked per

week:
Date appointed:
Reason for leaving or for seeking

other employment:
Brief description of duties: .
3. PREVIOUS EMPLOYMENT (from leaving school)
Start with the most recent first. Please continue on a separate sheet if necessary. Please explain any gaps in
employment.
Employer name & Job title/post Grade & Full or part-time Dates Reason for leaving
address salary/wage (if part-time, (month/year)
give hours or
sessions)
4.EDUCATION, QUALIFICATIONS & RELEVANT TRAINING

Including GCSE’s and above
Secondary Dates Qualifications gained Grade/class of Date

School/College/University (state level) degree
From To
5. INFORMATION TO SUPPORT YOUR APPLICATION
Please give details of any relevant experience, skills or knowledge to support your application.
NOTE; Your response to this section is extremely important and will be the basis of the short-listing
panel's decision to invite you for interview.
6. REFEREES
Please provide details of two referees below. Friends and relatives are NOT acceptable referees. One of the
referees must be your present/or most recent employer and normally no offer of employment will be made without
reference to him/her. If you have not previously been employed, then Head Teachers, College Lecturers, or other
persons who are able to comment authoritatively on your educational background and/or personal qualities, are
acceptable as referees. Do Talk Write Ltd reserves the right to approach any previous employer or manager.
Where references are taken up on shortlisted candidates prior to interview, an opportunity will be given to discuss
the content of references with the interviewing panel.
Status
Name (Referee 1):
Organisation
Address
Postcode
Telephone
Email address: How long known:
Name (Referee 2): Status:
Organisation
Address
Postcode
Telephone
Email address: How long known:
Do you give consent to us contacting your present employer

prior to interview?
7. DISCLOSURE OF CRIMINAL BACKGROUND
DTW Ltd is required under the Police Act 1997, the Protection of Children Act 1999 and the Criminal Justice &
Court Services Act 2000 to check the criminal background of those employees whose jobs give them access to
children or other vulnerable members of society. Decisions to appoint will be subject to consideration of a
disclosure from the Disclosure and Barring Service. It is an offence to apply for this role if you are barred from
engaging in regulated activity relevant to children.
If the post for which you are applying requires a Disclosure and Barring Service check, you must provide
information about ALL convictions, as the post is automatically exempt from the Rehabilitation of Offenders Act
1974 and rules relating to 'spent' convictions do not apply.
Please answer the following questions.
Have you ever been convicted of a criminal offence?
Have you ever been cautioned for a criminal charge?
Are you at present the subject of a criminal charge?
If YES to any of the above questions, please give brief details including dates.
DTW Ltd is committed to safeguarding and promoting the welfare of children, young people and vulnerable adults
and we expect all staff to share this commitment Successful applicants will receive DTW Ltd’s Safeguarding Policy
that outlines the duties and responsibilities of the employer and all employees.
8. GENERAL
Do you hold a current full driving licence?
Do you have regular use of a vehicle?
Are you PC literate?
Have you ever been the subject of formal disciplinary

proceedings?
Are you on the DBS Update Service? If yes, what is your DBS number?
Have you lived or worked outside the UK? If yes, please provide details.
This information is required, including that related to warnings regarded as "spent" in order for the DTW Ltd to
ensure safe recruitment and meet its obligations, for relevant appointments, to safeguard vulnerable users of the
services. You are also required to include information if you were subject to a disciplinary process but resigned
before it was completed.
9. EQUALITY ACT 2010
The Equalities Act 2010 states a person has a disability if they have a physical or mental impairment which has a
long-term and substantial adverse effect on their ability to carry out normal day-to-day activities. The Act requires
an employer to make reasonable adjustments to working conditions in order to enable disabled applicants to have
equal access to employment opportunities. DTW Ltd is committed to the development of positive practices to
promote equality in employment. If you would like to declare your disability, please tick the appropriate box below.
Do you consider yourself to be disabled? YES NO (Delete as applicable).
10. DATA PROTECTION ACT
The personal information collected on this form will be processed on computer. If successful, your personal
information will be retained whilst you are an employee and used for payroll, and personnel administration. This
information will be only disclosed when there is a statutory reason for doing so.
11. DECLARATION
If you return your application form to us by email and you are subsequently invited to interview, you will be
required to sign a printed copy of your form.
I declare that, to the best of my knowledge and belief, the information given on ALL parts of this form is correct. I
understand that, should my application be successful and it is discovered subsequently that information has been
falsified, then disciplinary action may be taken which may include dismissal from the post.
I confirm that I have a legal right to work in the UK and if this application is successful, I undertake to produce
appropriate documentary evidence to prove this, prior to commencing work with DTW Ltd.
applicants must be willing to undergo child protection screening appropriate to the post, including checks
with past employers and the Disclosure and Barring Service
Signed: Date:
Please return your completed form by email to [email protected]
Please use this sheet for any additional information that you wish to include;

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Please complete ALL sections. Application form WILL be used to shortlist candidates.

POST APPLIED FOR:

1. PERSONAL DETAILS (please complete in block letters)

Title by which you wish to be Date of Birth:

Any other names known by:

Address for Correspondence:

Addresses last five years:

Home telephone no: Mobile telephone no:

Work telephone no: Email address:

National Insurance No:

Teacher Reference/DFE no:

Portable DBS No & name on

2. PRESENT OR LAST EMPLOYER

Name and address of employer:

Present annual salary or weekly

Hours/sessions worked per

Reason for leaving or for seeking

Brief description of duties: .

3. PREVIOUS EMPLOYMENT (from leaving school)

4.EDUCATION, QUALIFICATIONS & RELEVANT TRAINING

Secondary Dates Qualifications gained Grade/class of Date

5. INFORMATION TO SUPPORT YOUR APPLICATION

Email address: How long known:

Name (Referee 2): Status:

Email address: How long known:

Do you give consent to us contacting your present employer

7. DISCLOSURE OF CRIMINAL BACKGROUND

Please answer the following questions.

Have you ever been convicted of a criminal offence?

Have you ever been cautioned for a criminal charge?

Are you at present the subject of a criminal charge?

Do you hold a current full driving licence?

Do you have regular use of a vehicle?

Are you PC literate?

Have you ever been the subject of formal disciplinary

10. DATA PROTECTION ACT

Please return your completed form by email to [email protected]

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