Step 1 of 7 14% Post applied for:*National Insurance Number:*TitleMrMrsMissMsOtherFirst Names:*Surname:*Any Previous SurnamesDFES/DCSF Number:Do you have?QTSQTLSAddress* Street Address Address Line 2 City County Postcode Telephone No:Mobile No:*Email* Pendle Education Trust is committed to ensuring fairness and equal access to all employees and potential employees. The following questions are for monitoring the protected characteristics under the Equality Act 2010 and we ask you to respond positively as it will help us ensure we do not inadvertently discriminate. Are you:*MaleFemalePrefer not to sayDate of Birth: DD MM YYYY What is your religious belief?BuddistChristianHinduJewMuslimSikhNo religionPrefer not to sayDo you have any special requirements in terms of religious belief?What is your sexual orientation?BisexualGay manGay woman/lesbianHeterosexual/straightPrefer not to sayWhat is your marital status?DivorcedSeparatedMarriedSingleWidowCivil partnerPrefer not to sayDo you consider yourself to have a disability or have a long-term health condition?*YesNoPrefer not to sayWhat is the impact or impairment of your disability or health condition?This question is asked to ensure that individuals receive the opportunity of an interview if they meet the essential requirements for the post. If you have answered yes to the above question could you please give details below including any practical steps which we should take into account when arranging an interview. Ethnic originIndianPakistaniBangladeshiCaribbeanAfricanChineseWhite and Black CaribbeanWhite and Black AfricanWhite BritishWhite IrishPlease state your nationality:*The Asylum and Immigration Act 1996 In accordance with this Act, any offer of appointment would be subject to the successful candidate having the right to work in UK.Do you require a work permit to work within the UK?*YesNoIf Yes do you hold a current work permit?YesNoWhere did you hear about this vacancy?*Please choose one of the following options or complete the other boxPendle Education Trust Careers SiteTwitterLinkedInIndeedTES Education and Qualifications*Include in this section all relevant qualifications, i.e. secondary, further, higher and professional. Include subjects currently being studied for with an asterisk(*)Subject/QualificationPlace of StudyGrade/ResultsMonth/Year Obtained Non Qualification Courses (e.g. Health and Safety at Work)Provider of TrainingYear and Duration(e.g 2000, 6 weeks x 2hrs)Content of Training Current/Most Recent Employment:*Date FromDate ToName of employerPositionReason for leaving(if applicable)Present/last salaryState, whether full-time, part-timePrevious Employment:*Please give details of all previous positions (most recent first) held since full-time education. Please also explain any gaps in employment (continue on a separate sheet if necessary). Please note that Pendle Education Trust reserves the right to contact each previous employer for verification of details provided.Date FromDate ToName of employerPosition Student exam results for the past 3 years(to be completed by secondary school teaching staff only) DateQualificationBoardPass rateHigh GradesRetention%Added valueNumber of students Supporting StatementState how your experience and skills gained through study, training, employment, etc meet each of the criteria detailed in the person specification. Please do not attach a copy of your CV as it will not be considered. References Please give the names and addresses of two people who can provide an assessment of your suitability for this post. One referee must be your recent employer. If you are a student, give an academic referee. We are unable to accept personal references. Referee 1NameRelationship to you*Address Street Address Address Line 2 City County Postcode Telephone:Email: It is our policy to contact referees prior to a selection process. Please tick the box below to confirm you are happy for us to do this.* Consent to contact No consent to contact Referee 2NameRelationship to you*Address Street Address Address Line 2 City County Postcode Telephone:Email: It is our policy to contact referees prior to a selection process. Please tick the box below to confirm you are happy for us to do this. Consent to contact No consent to contact General Information The Rehabilitation of Ex Offenders Act 1974 Because of the nature of the work for which you are applying, this post is exempt from the provisions of Section 4 (2) of the Rehabilitation of Offenders Act 197 4, by virtue of the Rehabilitation of Offenders Act (Exemptions) Order 1975 as amended. Applicants are, therefore, not entitled to withhold information about convictions, cautions ur final warnings which for other purposes are "spent" under this Act. Any information given will be completely confidential and will be considered only in relation to an application for positions to which the Order applies. Certain posts, where the postholder may come into contact with under 18s and vulnerable adults, will be subject to checks by the Disclosure and Barring Service. Do you have any unspent conditional cautions or convictions under the Rehabilitation of Offenders Act 1974?*YesNoDo 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?YesNoAre you currently subject to any ongoing police enquiry?*YesNoThe amendments to the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (2013 and 2020) provides that when applying for certain jobs 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 whether a conviction or caution should be disclosed can be found on the Ministry of Justice website.Disclosure and Barring Service (DBS) Check All appointments are subject to satisfactory checks including those required under the provisions of the Protection of Children Act Part V of the Police Act 1997,' A criminal record will not necessarily bar you from employment. You will be required to complete a DBS application form. The DBS/Recruitment of Ex Offenders Policy is available by request from the Human Resources Section. Driving Details Do you have a current driving licence?*YesNoDo you have access to a car?*YesNoDeclaration I confirm that the information I have given on this form is correct and understand that ii selected, an enhanced disclosure will be sought from the DBS. Date Protection Act 1998 Your signature on this document gives the College the right under the Data Protection Act 1998 to process the information you have given, including data of sensitive nature, for processes relating to your application tor employment, whir,h have been notified to the ottices of the Information Commissioner. Any processing of the data by the College will be in accordance with the College's Data Protection Policy and the processing principles set out in the Act. Application forms of unsuccessful candidates will be destroyed after 6 months. Signature*Date* Date Format: DD slash MM slash YYYY
