Application Form
Application Form
Please ensure you return this form on or before the date and time stated in the advertisement.
Please note that to minimise the impact of unconscious bias in the recruitment process, in some cases personal details may
only be viewed after the screening and/or first stage relevant to the school or setting’s recruitment process.
Personal Details
First Name(s) Muzhda
Email [email protected]
Yes ☒ No ☐
If there are any restrictions on your right to work in the UK, please provide details here:
Please note: permission to work with a previous employer or in a previous post is not transferable
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Details of degrees/diplomas and any other qualification obtained or in progress
Name of college, Inclusive dates, Type of degree Grade / class Main subject
university or other month & year / course title (or state if still
institution, location in progress)
From To
Details of any relevant short courses attended in the past five years
Date Course Title Provider
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Employment History
Details of current or most recent employment
Name and address of employer Position held Full/part time Inclusive dates, month Reason for leaving (if
& year applicable)
From To
Early years Early years educator Part July 2018 August COVID
educator time 2020
Busy bee nursery
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© 2021 Herts for 4
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Previous employment, voluntary work or other activities (cont.)
Please complete with most recent employment/other activities first, detailing gaps between employment / other activities e.g., bringing up family, travelling,
periods of unemployment etc. Please include any voluntary work or school based work experience. Please account for any periods since leaving school/university
to ensure a chronological order of employment/other activity.
Employer/ Nature of Position held Full/ part Inclusive dates, month & Reason(s) for
organisation business time year leaving
Clothes shop Shop manager and Full time January August Moved countries
sales assistant 2007 2011
FZ mode clothes
shop
School Primary school teacher Full time 1999 2003 Moved countries
Leisure activities
Please state briefly what your main leisure interests are, particularly where these are relevant to the work for which you are
applying.
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Personal Statement in support of application
In this section, you are asked to detail how your knowledge, skills and experience, or any other factors, relate to the criteria listed
on the person specification and job description.
To avoid unconscious bias within recruitment processes, we encourage you not to include information such as your name, age, name of
academic institutions, etc. within your supporting statement.
I have been working as a teacher assistant for 5 years now and have worked in
an SEN setting for almost 3 years now. During this time, I have worked both one
to one, as well as in a class setting. I have worked with children who have
development disorders such as children with autism, as well as physical
disabilities such as children who have difficulty walking independently. Overall
my experiences and education have led to me to develop skills and abilities that
make me fit to work in an SEN environment. My goal as a teacher assistant is to
provide a safe and nurturing environment for students, that promotes
independence and helps them achieve their potential in all aspects of life. These
include academic development, social and emotional wellbeing, life skills and
more.
Another skill I was able to develop from experience was adaptability. Children
vary greatly in ability so its important that teacher assistants can take the
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initiative to adapt an activity so that it strikes a balance between the student’s
skill level and task difficulty. For advance learners I try to give clear instructions
and occasionally use symbols, and then let them carry out an activity
themselves. If I sense that they are having difficulty I would assist them by
providing step by step instructions or breaking things down for them one by one.
When working with less able children we often work together on things one at a
time. I may provide examples for them, use a lot more gestures and symbols and
hand over hand if needed.
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a child. This is the most important quality that any member of the educational
team must have. Pairing this alongside my experience has given me the ability to
identify risk factors and the necessary course of actions.
Referees
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Please list referees who can comment on your skills and abilities to carry out the duties of the post for
which you are applying. One of these must be your current line manager/ last employer. If your
employer is/was a school, the referee provided must be the Headteacher. Our normal practice is to
take up references prior to interview.
Email [email protected]
Emplyer
Referee 2
Name Northway primary school Name of employer Danielle Barker
Email [email protected]
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Declaration of criminal offences
The school is required to give you the opportunity to voluntarily declare convictions, cautions, reprimands or
final warnings that are not ‘protected’ as defined by the Rehabilitation of Offenders Act 1974 (Exceptions) Order
1975 (as amended in 2013 and 2020). You will be provided with a criminal self-declaration form by the school if
you are shortlisted for the post. All posts in schools are exempt from the Rehabilitation of Offenders Act 1974.
If you are appointed you will be required to have an up to date Disclosure and Barring Service (DBS) Certificate.
The existence of a criminal background does not automatically mean that you cannot be appointed but it may do
so.
The DBS now offers an update service, which keeps DBS certificates up to date and allows employers to make an
online check with an applicant’s consent. This applies where the type and level of check are identical and in the
same workforce area (e.g. schools).
Declaration
Do you have a close relationship with, and/or are you related to, anyone in school or a school governor?
I confirm that I am not barred, either totally or to a limited extent, from work involving regular contact with
children, young persons or other vulnerable people, nor subject to any prohibitions, sanctions, conditions,
restrictions or disqualifications in relation to my employment/work imposed by the Secretary of State or a
regulatory body.
In accordance with the Data Protection Act 1998, I agree that information I have provided may be held and
used for personnel reasons.
I understand that an offer of appointment will be subject to satisfactory references, DBS clearance, proof of
identity and right to live and work in UK, medical checks and relevant qualifications.
I understand that failure to disclose any relevant information, or the provision of false information, could
result in the withdrawal of any offer of appointment, or my dismissal without notice at any time in the
future, and possible criminal prosecution.
I hereby declare that information given on this form is complete and accurate.
Date 08/07/2024
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Childcare (Disqualification) Regulations 2009
The Department for Education (DfE) has revised its Statutory Guidance "Keeping Children Safe in
Education".
This update requires schools which provide care for pupils under the age of 8, to ensure that staff and
volunteers working in these settings are not disqualified from doing so under the Childcare
(Disqualification) Regulations 2009.
Upon appointment an education setting may, therefore, require you to sign a declaration confirming
that you are not disqualified under those Regulations from working in schools.
Additional information
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