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GUIDELINES: All applicants are advised to read these guidelines prior to
completing the application form.
Only this completed application form will be considered. Any additional information or C.V. will
be disregarded. You may, however, use continuation sheets where necessary. Please
complete all sections of this application using black ink or typescript.
All applications must be submitted with a letter of application. The letter should be no longer
than 2 sides of A4. Please detail the reasons you are interested in the position, how you fit the
requirements of the person specification for the post (indicating experience and where
appropriate citing supporting examples) and what particular skills you bring with you.
Applications must be legible and in capital letters.
It is the responsibility of all applicants to clearly demonstrate – by the information which they
give in their application form – exactly how they meet the essential (and desirable if applicable)
criteria for the post as stated. Failure to do so may result in not being short-listed.
Answers must be provided for all questions on the application form – e.g. “as above” will not be
accepted as an answer to questions.
Where a high volume of applications is received, desirable criteria may be relied upon during
shortlisting
All information provided by an applicant on an application form must be true and accurate. Any
application forms containing information that is discovered to be untrue or inaccurate will not be
accepted. If an appointment has already been made, it may result in disqualification from
appointment or dismissal.
Applications submitted by email will require a handwritten signature at interview.
Applications must be received by the designated deadline (time and date). Those applications
received after the designated deadline will not be accepted.
Completed applications should be emailed to HR@diamondlearningtrust.com OR by post to
the HR Department, The Diamond Learning Partnership Trust, c/o Winhills Primary Academy,
Off Duck Lane, Eynesbury, St Neots, Cambridgeshire, PE19 2DX.
Please note that it is our policy to communicate with applicants primarily by email so we ask
that you check your email account regularly to avoid missing any emails.
In line with equal opportunities, Part 2 of the application form will be detached from the rest of
the application form prior to short-listing. All applications received will be treated in the strictest
confidence.
Please note to comply with our Safe Recruitment guidelines, references will normally be sought
prior to interview for certain posts.
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Employment Application Form
The DLPT is committed to safeguarding and promoting the welfare of children
and young people and expects all staff and volunteers to share this commitment.
Please ensure that you complete all sections of Part 1 and Part 2 of the application.
Vacancy Job Title
Where did you hear about the vacancy
Part 1. INFORMATION FOR SHORTLISTING AND INTERVIEWING
1. INITIALS __________________ SURNAME OR FAMILY NAME ___________________________________
2. LETTER OF APPLICATION Please enclose a letter of application. Please refer to the applicant information pack
which may include instructions on completion of the letter of application.
3. CURRENT / LAST EMPLOYMENT
Name and address of employer
Job title Please enclose a copy of the job
description, if possible
Date appointed to current post
Current salary
Date available to begin new job
4. FULL CHRONOLOGICAL HISTORY Please provide a full history in date order, most recent first, since leaving
secondary education, including periods of any post-secondary education/training, and part-time and voluntary work as
well as full time employment. Give start and end dates, explanations for periods not in employment or education/training,
and reasons for leaving employment.
Job Title
Name and address of
Dates
Reason
or Position
employer, or description of activity
From
To
for
leaving
Month
Year
Month
Year
4.1
4.2
Internal use only
Ref. No._________________
Date Received ___________
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4. FULL CHRONOLOGICAL HISTORY (Cont’d)
Job Title
Name and address of
Dates
Reason
or Position
employer, or description of activity
From
To
for
leaving
Month
Year
Month
Year
4.3
4.4
4.5
4.6
4.7
Please enclose a continuation sheet if necessary
5. SECONDARY EDUCATION & QUALIFICATIONS (e.g. GCSE)
Name of School/College
From
To
Qualifications Gained
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6. FURTHER OR HIGHER EDUCATION Any recognised qualifications or courses attended which are relevant
to the job application
Name of FE College or University or Awarding Body
Dates
From To
Full or Part-time
Qualifications
Obtained
7. OTHER RELEVANT EXPERIENCE, INTERESTS AND SKILLS
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8 REFEREES
Give here details of two people to whom reference may be made. The first referee should normally be your present or
most recent headteacher or equivalent person. If you are not currently working with children please provide a referee
from your most recent employment involving children. Referees will be asked about disciplinary offences relating to
children, which may include any in which the penalty is “time expired” and whether you have been the subject of any child
protection concerns, and if so, the outcome of any enquiry or disciplinary procedure. References will not be accepted
from relatives or from people writing solely in the capacity of friends.
First referee
Title and Name
Address and post code
Telephone number
Email address
Job Title
Relationship to applicant
Second referee
Title and Name
Address and post code
Telephone number
Email address
Job Title
Relationship to applicant
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Part 2 Internal Ref. No._______
This section will be separated from Part 1 on receipt. Relevant contents may be verified prior to shortlisting but will not
then be used for selection purposes.
9. PERSONAL INFORMATION
1. Surname or family name
2. All previous surnames
3. All forenames
4. Title
5. Current Address
6. Postcode
7. Resident at this address since
8. Home telephone number
9. Mobile telephone number
10. Date of Birth
11. Email address
12. National Insurance Number
13. Have you ever been barred or
restricted from working with
children or been subject to a
child protection investigation?
Yes No
If YES give details separately under confidential cover
14. Do you have a current full
driving licence?
Yes No
15. Are you subject to any legal
restrictions in respect of your
employment in the UK?
Yes No
If YES please provide details separately
16. Do you require a work permit?
Yes No
If YES please provide details separately
17. Are you related to or have a
close personal relationship
with any pupil, employee, or
governor?
Yes No
If YES give details separately under confidential cover
18. Are there any special
arrangements which we can
make for you if you are called
for an interview and/or work
based assessment?
Yes No
If Yes please specify, (e.g. ground floor venue, sign language, interpreter,
audiotape etc).
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. COMPULSORY DECLARATION OF ANY CONVICTIONS, CAUTIONS OR REPRIMANDS, WARNINGS OR
BIND-OVERS
Jobs in schools are exempt from the provisions of Section 4(2) of the Rehabilitation of Offenders Act 1974. You must
therefore declare, whether spent or not, any convictions, cautions or reprimands, warnings or bind-overs which you have
ever had and give details of the offences. The fact that you have a criminal record will not necessarily debar you for
consideration for this appointment.
Do you have ANY convictions, cautions or reprimands, warnings or bind-overs?
Please tick the relevant box
Yes No
If the answer is "yes", you must record full details in a separate, sealed envelope marked with your name and
'Confidential: Criminal Record Declaration' and enclose it with your application. In accordance with statutory
requirements, an offer of employment will be subject to satisfactory CRB clearance. A copy of this notice will be sent to
your referees.
10. DATA PROTECTION ACT
The information collected on this form will be used in compliance with the Data Protection Act 1998. The information is
collected for the purpose of administering the employment and training of employees. The information may be disclosed,
as appropriate, to the governors, to Occupational Health, to the General Teaching Council, to the Teachers Pensions
Agency, to the Department for Education, to pension, payroll and personnel providers and relevant statutory bodies. You
should also note that checks may be made to verify the information provided and may also be used to prevent and/or
detect fraud.
11. NOTES
a) When completed, this form should be returned in accordance with the instruction in the advertisement for the job or
in the applicant’s information pack.
b) Canvassing, directly or indirectly, an employee or governor will disqualify the application.
c) Candidates recommended for appointment will be required to complete a pre-employment medical questionnaire and
may be required to undergo a medical examination.
.
12. DECLARATION
I certify that, to the best of my knowledge and belief, all particulars included in my application are correct. I understand
and accept that providing false information will result in my application being rejected or withdrawal of any offer of
employment, or summary dismissal if I am in post, and possible referral to the police. I understand and accept that the
information I have provided may be used in accordance with paragraph 10 above, and in particular that checks may be
carried out to verify the contents of my application form
___________________________________ ___________________________________
Signature of Applicant Date
___________________________________
Print Name
PLEASE NOTE SIGNATURES MUST BE HANDWRITTEN
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PART 3 EQUALITY AND DIVERSITY MONITORING
This section will be separated from part 1 and part 2. Collection of equality information is solely for monitoring purposes to ensure that
our policies and procedures are effective. We also collect this data in accordance with the general and specific public sector equality
duties under the Equality Act 2010. Any data you enter onto this monitoring form will only be used for monitoring purposes and will not be
used in assessing and or scoring your application or during the interview process. This information is kept fully confidential and access
is strictly limited in accordance with the Data Protection Act.
Ethnic Group
Please tick
White
British English Welsh Northern Irish Scottish
Irish
Irish Traveller
Gypsy
Other White background
Mixed
White and Black Caribbean
White and Black African
White and Asian
Other Mixed background
Asian
or Asian British
Indian
Pakistani
Bangladeshi
Chinese
Other Asian background
Black
or Black British
Caribbean
African
Other Black background
Other ethnic group
Arab
Write in:
Prefer not to say
Religion Disability
Please tick Do you consider that you have a disability? Please tick
No religion
Christian (including Church of England,
Catholic, Protestant and all other Christian
denominations)
Buddhist
Hindu
Jewish
Muslim
Sikh
Any other religion write in
Prefer not to say
Sexual Orientation Please tick
Bi-sexual
Gay
Lesbian
Heterosexual
Other
Prefer not to say
Gender Please tick
Personal relationship Please tick
Yes Please complete the grid below
No
Prefer not to say
My disability is: Please tick
Physical Impairment
Sensory Impairment
Mental Health Condition
Learning Disability/ Difficulty
Long standing illness
Other
Prefer not to say
Female
Male
Transgender
Prefer not to say
Single
Living together
Married
Civil Partnership
Prefer not to say
