Section 4: All Previous Employment
Please supply a full history in chronological order (with start and end dates) of all employment, self-employment and any periods of unemployment since leaving secondary education. You must provide, where appropriate explanations for any periods not in employment, self-employment or further education/training and in each case reasons for leaving employment.
Section 8: Referees
Please provide the details of two or three referees.
Referee 1 should be your current or most recent employer. Two references will be taken up prior to interview.
If you do not want us to contact your current or most recent employer prior to interview, please specify a third referee.
Section 11: Declaration
The personal information collected on this form will be used for the purpose of recruitment and the selection for the role you have applied for, or other roles you may be suitable for within the school. If appointed, this form will become part of your employment record. The information will not be used for any other purpose, nor will it be disclosed to any third party. Please confirm by checking the boxes below that you give consent for your information to be used for the school’s recruitment purposes.
Anyone appointed to a post involving regular contact with children must be medically fit (see the Education (Health Standards [England]) Regulations 2003. It is the statutory responsibility of employers to satisfy themselves that individuals have the appropriate level of physical and mental fitness before an appointment offer is confirmed. These questions are also asked to ensure that the School is able to support candidates in the recruitment and selection process and make reasonable adjustments (working with our Occupational Health team) where necessary.
Greenfield School is committed to safeguarding and promoting the welfare of its children.
As this post involves contact with children for whom the school is responsible, extra checks are made on the background of the staff and volunteers concerned. Anyone offered employment will be subject to a check of police records as well as checks of professional standing.
Applicants are therefore required to declare the following:
• Have you been disqualified from providing childcare under the Childcare (Disqualification) Regulations 2018?
• Do you have any unspent conditional cautions or convictions under the Rehabilitation of Offenders Act 1974?
• Do you have any adult cautions (simple or conditional) or spent convictions that are not protected as defined by the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (Amendment) (England and Wales) Order 2020?
• Have you ever been involved in any professional disciplinary offences in the UK or overseas?
The amendments to the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (2013 and 2020) provides that when applying for certain job and activities, certain convictions and cautions are considered “protected”. This means that they do not need to be disclosed to employers, and if they are disclosed, employers cannot take them into account. Guidance about where a conviction or caution should be disclosed can be found on the Ministry of Justice website.
If you have selected option (B), please ensure your e-mail contains either:
i) Details of any order, determination, conviction, or other ground for disqualification
from registration under the Childcare (Disqualification) Regulations 2018, the Rehabilitation of Offenders Act 1974 or the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (Amendment) (England and Wales) Order 2020 including:
a. The date of the order, determination or conviction, or the date when the other
ground for disqualification arose;
b. Information about the body or court which made the order, determination or conviction,
and the sentence (if any) imposed;
c. A certified copy of the relevant order (in relation to an order or conviction)
ii) Information regarding any involvement in any professional disciplinary offences (whether in the UK or overseas).