Employment Application Form | Senior School Wokingham

Position Applying For *

PERSONAL DETAILS

Full Name *

First

Middle

Last

Previous Name

First

Middle

Last

National Insurance Number *

Qualified to work in the UK *

Yes
No

Applying as a job sharer *

Yes
No

CONTACT DETAILS

Phone *

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Email *

CURRENT EMPLOYMENT

Job Title *

Organisation *

Dates of Employment *

Brief Description of Duties

Reason for Leaving

PREVIOUS EMPLOYMENT

Job Title

Organisation

Dates of Employment

Brief Description of Duties

Reason for Leaving

OTHER EMPLOYMENT - Chronological list of other previous employment with dates, brief description of duties and reason for leaving

EDUCATION

HIGHER EDUCATION

Degree/Course

University/College

Years Attended

SCHOOLS ATTENDED

School *

Dates Attended *

a levels or equivalent

Subjects, Exams and Grades

GCSES or equivalent

Subjects, Exams and Grades *

ADDITIONAL QUALIFICATIONS OR SKILLS

Details of any other relevant skills, training or qualifications

SUPPORTING STATEMENT *

Do you have a full current Driving Licence? *

Yes
No

REFEREES

CURRENT OR MOST RECENT EMPLOYER

May be contacted prior to interview *

Yes
No

Name *

First

Last

Position Held *

Organisation *

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Email *

Phone *

SECOND REFEREE

May be contacted prior to interview *

Yes
No

Name *

First

Last

Position Held *

Organisation *

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Email *

Phone *

DECLARATIONS

Do you have any convictions, cautions, reprimands or final warnings, whether in the UK or in another country? These should exclude those defined as "protected" by the rehabilitation of offenders Act 1974 (exceptions) order 1975 (as amended in 2013)? *

Yes
No

Are you included in any list of people barred from working with children by the DBS or the NCTL? *

Yes
No

Do you have any restrictions on being employed in the UK? *

Yes
No

If yes, please give details

Have you lived outside of the UK for more than three months in the past five years? *

Yes
No

If yes, please give details

DBS Update Service Registration Number

JOB-SPECIFIC QUESTIONS

Details of relations to any current employees, pupils or governors

CONFIRMED DATA TO BE ACCURATE

I certify to the best of my knowledge and belief the information given in this application is true and accurate. I understand that if the information is false or misleading it will disqualify me from my appointment or after appointment could lead to a disciplinary action or dismissal. I acknowledge that where this form is submitted electronically and without a signature, electronic receipt of this form by the employer will be deemed equivalent to submission of a signed version and will constitute confirmation of the declaration.

Tick to confirm *

Choice 3

Application Form for Employment at Luckley House School

PERSONAL DETAILS

CONTACT DETAILS

CURRENT EMPLOYMENT

PREVIOUS EMPLOYMENT

EDUCATION

HIGHER EDUCATION

SCHOOLS ATTENDED

a levels or equivalent

GCSES or equivalent

ADDITIONAL QUALIFICATIONS OR SKILLS

REFEREES

CURRENT OR MOST RECENT EMPLOYER

SECOND REFEREE

DECLARATIONS

JOB-SPECIFIC QUESTIONS

CONFIRMED DATA TO BE ACCURATE