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CONFIDENTIAL
SCHOOL SUPPORT STAFF APPLICATION FORM FOR A POST IN A
CATHOLIC SCHOOL
(Before completing this form please read Notes to Applicants)
NAME OF CANDIDATE:
TO BE USED FOR THE FOLLOWING SUPPORT STAFF POSITIONS ONLY:-
Teaching Assistants at Levels 1 4 inclusive
Temporary Welfare Assistant/Classroom Assistant
Support Staff Member (Not Teaching Assistants)
Nursery Employee
Please use the latest version of this application form which can be downloaded from the
Catholic Education Service website: www.catholiceducation.org.uk
BEFORE YOU BEGIN PLEASE CHECK THAT YOU HAVE THE FOLLOWING:-
1. Correct Application Form for the post being applied for
2. Notes to Applicants
3. Recruitment Monitoring Form
4. Rehabilitation of Offenders Act 1974 Disclosure Form
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PLEASE DO NOT RETURN ANY COMPLETED APPLICATION FORMS AND/OR SUPPLEMENTARY
DOCUMENTS TO THE CATHOLIC EDUCATION SERVICE. PLEASE RETURN ALL COMPLETED
APPLICATION FORMS AND/OR SUPPLEMENTARY DOCUMENTS TO THE SCHOOL/COLLEGE WHERE
THE POSITION APPLIED FOR IS BASED, OR AS INSTRUCTED IN THE DETAILS OF THE POST.
DETAILS OF ROLE APPLIED FOR
Application for the position of:
Full Time: Part Time: Job Share:
At: VA School / Voluntary Academy
At which the Governing Body / Academy Trust Company is the employer of staff
In the Local Authority of:
In the Archdiocese/Diocese of:
Please state where (or how) you first learned of this vacancy:
1. APPLICANTS PERSONAL DETAILS
1.1
1.1.1 Title:
1.1.2 Surname: 1.1.3 First Name(s):
1.1.4 Known as (if applicable):
1.1.5 Any former name(s):
1.1.6 Religious Denomination/Faith:
1.1.7 Address:
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1.1.8 If you have lived at this address for less than 5 years, please list all other addresses at
which you have lived during this period with dates:
Address Dates
1.1.9 Telephone numbers:
Home: Mobile: Work:
1.1.10 Email Address:
1.2 How do you prefer to be contacted?:
1.3 National Insurance No.:
1.4 DBS No.:
1.5 DBS Check Date:
2. DETAILS OF APPLICANTS PRESENT EMPLOYMENT
2.1 Are you presently employed? Yes: No:
If no, please proceed to the next section.
2.2 Name and address of Employer:
2.2.1 Post title:
2.2.2 Local Authority (if applicable):
2.2.3 Permanent: Temporary:
2.2.4 Full time: Part time: Job share:
2.2.5 Date of Appointment:
2.2.6 Notice Required/date Notice due to expire:
2.2.7 Reason for leaving (if applicable):
2.2.8 Gross annual salary:
2.2.9 Description of key duties/responsibilities:
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3. APPLICANTS EMPLOYMENT HISTORY AND WORK EXPERIENCE
3.1 Please complete in chronological order, starting with the most recent:
Employers Name, Address and Full or Job Title and brief Dates Reason
nature of business Part description of duties and employed for Leaving
Time responsibilities Month/
Year
From
-
To
-
-
-
-
-
-
3.2 If there are any periods of time that have not been accounted for in your application, for instance,
periods spent raising a family or of extended travel, please give details of them here with dates. The
information provided in this form must provide a complete chronology from the age of 16 please
ensure that there are no gaps in the history of your education, employment and other experience.
Failure to provide a full account may lead to your application being rejected.
Dates (from to) Activity
-
-
-
-
-
3.3 Please confirm whether you have ever been ordained and/or been a member of a religious community.
Yes: No:
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If yes, please provide details:-
4. POST-11 EDUCATION AND TRAINING
Please complete in chronological order, starting with the most recent
Full name and address of establishment Full time or Qualifications, date Award made Dates
part time and Awarding Body Attended
Month/
Year
From
-
To
-
-
-
-
-
-
-
Date of most recent safeguarding training, if relevant:
5. INTERESTS AND HOBBIES
Please list your interests and hobbies outside of work:
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6. SUPPORTING STATEMENT
Please provide a written statement of no more than 1,300 words detailing why you believe your experience, skills,
personal qualities, training and/or education are relevant to your suitability for the post advertised and how you
meet the person specification applicable to the post. You should pay particular attention to the national standards
for the position for which you are applying.
7. REFERENCES
7.1
A referee who is a current or former employer must have full access to the applicants personnel records.
Schools/Colleges of a Religious Character (in England only) are permitted, where recruiting for Support Staff
posts, to give preference to applicants who are practising Catholics where it is a proportionate means of
achieving a legitimate aim (commonly known as a genuine occupational requirement). Therefore, it is
recommended that one referee should be your Parish Priest/the Priest of the Parish where you regularly worship,
if applicable. It is the responsibility of the Applicant to ensure that all named referees, including Parish Priests,
where applicable, have consented to providing a reference. You are advised to read the relevant section of the
Notes to Applicants before completing this section.
Present School/Employer:
Name:
Address:
Role:
Telephone:
Email:
Other Professional:
Name:
Address:
Role (if applicable):
Telephone:
Email:
Relationship:
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Parish Priest/Priest of the Parish where you regularly worship (or Additional Professional (if applicable)):
Name:
Address:
Telephone:
Email:
Notes: (i) We reserve the right to take up references with any previous employer. Please
advise if you do not want us to do so at this stage and provide reasons.
(ii) If any of your referees knew you by another name, please specify that name(s)
here:
7.2 Are you (or your spouse/civil partner/partner) related by marriage, blood or as a co-habitee to any member
of the Governing Body / Academy Trust Company or any current employees of the Governing Body /
Academy Trust Company?
Yes: No:
If yes, please complete the following:
Name of Governing Body / Academy Trust Relationship to you
Company member/employee
8. DISCLOSURE OF CRIMINAL AND CHIILD PROTECTION MATTERS AND
DISCLOSURE AND BARRING SERVICE CHECKS
8.1 The Governing Body / Academy Trust Company is obliged by law to operate a checking
procedure for employees who have access to children and young people.
Please confirm whether you have ever been the subject of any child protection concern either in
your work or personal life, or been the subject of, or involved in, any disciplinary action in relation
thereto, including any which is time expired.
Yes: No:
If yes, please provide details:-
8.2 By checking the box below I hereby confirm that I am not disqualified from working with
children and/or have information held about me under section 142 Education Act 2002
(formerly known as inclusion on the DfE List 99):
8.3 In the event of a successful application an offer of employment may be made to you which is
conditional upon receipt of satisfactory Disclosure and Barring Service Checks (DBS Checks)
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(formerly CRB Check and ISA Check) in relation to criminal and child protection matters.
Please note that a conviction will not necessarily be a bar to obtaining employment.
By checking the box below you hereby consent to a DBS Check being made to the Disclosure
and Barring Service (DBS):
9. REHABILITATION OF OFFENDERS ACT 1974
If you have been convicted of a disclosable criminal offence the details must be disclosed on the
separate document entitled Rehabilitation of Offenders Act 1974 Disclosure Form together with
any cautions or bind-overs, pending criminal convictions, criminal actions and/or court hearings
against you. The Rehabilitation of Offenders Act 1974 Disclosure Form must be enclosed with your
application in a sealed envelope marked confidential. If you do not have any disclosable
convictions, please complete the relevant section in the Disclosure Form.
10. DATA PROTECTION ACT 1998
By checking the box below I hereby give my consent for personal information (any information which
may be considered Personal Data and/or Sensitive Data within the meaning of the Data Protection
Act 1998, which includes recruitment monitoring data) provided as part of this application to be held
on computer or other relevant filing systems and to be shared with other accredited organisations or
agencies in accordance with the Data Protection Act 1998.
11. IMMIGRATION, ASYLUM AND NATIONALITY ACT 2006
The Governing Body / Academy Trust Company will require you to provide documentary evidence of
your entitlement to undertake the position applied for and/or of your ongoing entitlement to live
and work in the United Kingdom in accordance with the Immigration, Asylum and Nationality Act
2006. More information can be found in paragraph 17 of the Notes to Applicants. By checking the
box you are hereby confirming that you are legally entitled to work in the United Kingdom and that
you will promptly provide documentary evidence of such entitlement when requested:
12. DECLARATION
If you know that any of the information that you have given in this application form is false or if you
have knowingly omitted or concealed any relevant fact about your eligibility for employment which
comes to our attention then your application may be withdrawn from the recruitment process.
Providing false information is an offence and may result in this application being rejected. If such a
discovery is made after you have been appointed then you may be liable to be dismissed summarily.
You may also be reported to the National College for Teaching and Leadership (NCTL) (England only)
and/or Education Workforce Council (Wales only) and/or the Police, if appropriate.
By signing below I hereby certify that all the information given by me both on this form and in any
supplementary pages and/or the supporting evidence provided, is correct to the best of my
knowledge and belief, that all the questions relating to me have been accurately and fully answered
and that I possess all the qualifications that I claim to hold.
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I acknowledge that it is my responsibility as the applicant, if invited for interview, to disclose
information to the panel which may affect my suitability and/or eligibility to work with children
and/or vulnerable adults
Signature:
Date:
The post will be subject to the terms and conditions of the appropriate Catholic Education Service
model contract, a copy of which will be provided to you before interview if you are shortlisted).
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Additional Pages
Name:
Position applied for:
Model Application Form Support Staff version 12 Sept 2013 updated Sept 2017
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