Application for Employment

This form must be completed in full. Please do not substitute with a C.V.
Any apparent gaps in the form or the employment record may lead to the return of the form for completion.

Vacancy Details

Post applied for* DfE No. [if applicable] Where the position was advertised*

Personal Details

Title* Surname* Former surname [if applicable] Forename(s) - to include any middle names* Address (line 1)* Address (line 2) Town / City* Post Code* Home Tel. No Mobile No* E-mail address* Date of birth* Do you possess a current driving licence?* Do you have the use of a car?*

Education

	Secondary School / College/ University	From	To	Qualifications	Grade/Level/Class
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2
3
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7
8

Any Other Training

(Please give details of any specialised training courses attended that are relevant to your
application for this post.)

	Training Organisation	From	To	Course title and qualification obtained
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2
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5
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7
8

Membership of Professional/Technical Institutions

Present / Most Recent Employer

Employer’s Name* Employer’s Address* Post Held* Current/Last Salary* Date/s Employed* Period of notice required* Reason for wishing to leave* Please give a brief description of your duties and responsibilities.*

Previous Employment History

Previous Employment History (Most recent first)

	Previous Employer / Organisation (most recent first)	Position held and brief description of duties/responsibilities	From	To	Reason for Leaving
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2
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5

Voluntary / Unpaid Work

	Organisation	Position held and brief description of duties/responsibilities	Dates
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2
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4
5

Additional Information To Support Your Application

Please state briefly the reasons for your application and give details of your key achievements and the skills and experience you possess, which you consider to be relevant to your application. Hobbies and interests can be noted here.

Supporting Documents (e.g. CV, certificates etc.) No file chosen

Permission To Work In The Uk

Are there any restrictions to your residence in the UK that might affect your right to
take up employment in the UK?

Are there any restrictions to your residence in the UK that might affect your right to take up employment in the UK?* If you are successful in your application would you require permission to work in the UK?*

* If requested to attend interview, please bring the original permit along with you

Conviction/Disqualification

Protection of Children: Disclosure of Criminal Background

As the job for which you are applying involves substantial opportunity for access to children, it is important that you provide us with legally accurate answers.

Upfront disclosure of a criminal record may not debar you from appointment as we shall consider the nature of the offence, how long ago and at what age it was committed and any other relevant factors. Please submit information in confidence by attaching it to this application. It will be seen and then destroyed by the Director of Finance and Operations. If you would like to discuss this beforehand, please telephone in confidence the Director of Finance and Operations for advice.

Please disclose any unspent convictions, cautions, reprimands or warnings. Please note that the amendments to the Exceptions Order 1975 (2013) provide that certain spent convictions and cautions are 'protected' and are not subject to disclosure to employers, and cannot be taken into account. Guidance and criteria on the filtering of these cautions and convictions can be found on the Disclosure and Barring Service website.

You should be aware that the Trust will institute its own checks on successful applicants with the Disclosure and Barring Service.

If the findings of the DBS contradict the above disclosure or are unacceptable or if you fail to declare any convictions (that are not subject to DBS filtering) this may disqualify you from appointment or result in summary dismissal if the discrepancy comes to light subsequently.

Select as applicable:*

References

Please give the names and addresses of two professional referees whom we may contact. One should be your current or most recent employer (or course tutor, if you are currently in full-time education). Family members should not be named as referees. References will normally be taken up in advance of an interview for any post at the Trust’s schools unless a written request is made to the contrary at the time of application. In any event, confirmation of appointment cannot be made until satisfactory references have been received.

	Reference 1	Reference 2
Name
Position
Organisation
Address
Postcode
Tel:
e-mail:

Equal Opportunities

Leicester Grammar School Trust actively operates and promotes a policy of Equal Opportunities to our partners and employees. It is the Trust’s policy to employ the best qualified personnel and provide equal opportunity for the advancement of employees including promotion and training and not to discriminate against any person because of race, colour, ethnic origin, national origin, sex, sexual orientation, religion or belief, pregnancy, trans-gender status, marital or civil partnership status, age or disability.

Links With Leicester Grammar School

If you have any family or close relationship with any existing employee or Trustee of Leicester Grammar School Trust (comprising Leicester Grammar School, Leicester Grammar Junior School and Stoneygate School) please identify the relationship here and/or if you have a child/children at any of the Trust’s Schools please state:

Data Protection

All data will be held by Leicester Grammar School Trust, processed in accordance with the Data Protection Act 1998, used solely for administration and statistical purposes and will not be divulged to a third party.

Declaration

Declaration Agreement*Please tick this box to accept the declaration above.

Upload Electronic Signature* No file chosen

I certify that the above information is, to the best of my knowledge, true and complete and I understand that if any details are found to be false, any offer of employment may be withdrawn, or employment terminated. I further understand that canvassing Members of the Board or Senior Leaders either directly or indirectly will disqualify me from appointment. I authorise the Trust to obtain references to support this application once an offer has been made and accepted and release the organisation and referees from any liability caused by giving and receiving information.

In providing this information to the Trust I am agreeing to the information being processed by the Trust. For further information about how the Trust collects and uses personal data and ensures that it is acting in accordance with the GDPR and other data protection legislation, I will refer to the Trust's Privacy Statement, available in the Policies area of the website.

Leicester Grammar School Trust