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Please nominate two referees. Your current employer – either the Chair of Governors or Principal/Headteacher - should be one of your referees. Referees should have direct knowledge of your professional capabilities and performance. In the case of NQTs, references from your training institution and one of your placements (and on their letterhead) need to be provided. Please note, if you are not currently working with children, but have done so in the past, the remaining referees should be an employer by whom you were most recently employed in work with children. References will not be accepted from relatives, or persons who only know you as a friend.

Please note, in the interest of safeguarding and on account of all Trust posts involving working with children, we will seek references prior to interview if you are short-listed for this post. We will seek the following information: dates of previous employment: relationship of the referee to you and length of time of the relationship: main duties of your previous employment: your overall suitability for this post: your suitability for working with children including any child protection concerns you may have been subject to and any referrals made about you for misconduct or possible barring to the Independent Safeguarding Authority/ Government Department: your skills and competences: your strengths and weaknesses: your honesty and reliability: any causes of concern/ disciplinary issues including any allegations regarding your behaviour or judgement: if you already hold a DBS police check completed by your current employer: your number of days and number of occasions of absence in the last 2 years: your referee’s opinion regarding whether they would re-employ you within their organisation along with any reason why we should not employ you: your current grade, salary and date appointed.
Other Employment/Education Details
In Service Training And Other Qualifications Obtained
Please supply details of In Service Training and other relevant qualifications undertaken in the last five years and list on a separate sheet then attach to this form.

Please state Training Provider, Subject, Duration, Date Completed and Qualifications Obtained.
Continued Professional Learning (CPD)
Please give details (including dates) of subsequent qualifications, training or research. Continue on a separate sheet if required.
Eligibility to Work in the UK
The Alpha Academies Trust requires all employees to be eligible to work in the UK. You will be required to provide verification of this by providing evidence from one of the categories detailed below - please note, this list is not exhaustive, further guidance can be found on the website for full details.

If appointed, and in order to comply with asylum and immigration legislation, you will be required to have entitlement to work in the UK.
Rehabilitation of Offenders Act
The Rehabilitation Offenders Act 1974 requires applicants to give details of any convictions which are not spent. Failure to disclose such convictions could result in withdrawal of any job offer or dismissal in circumstances where employment has already commenced.

Criminal Convictions
In addition, applicants are required to declare any pending criminal prosecutions they have as well as any spent criminal convictions, cautions, reprimands and final warnings as defined under the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975. The only exception to this requirement is that applicants/employees do not need to disclose any ‘protected’ cautions or convictions as defined by the The Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (Amendment) (England and Wales) Order 2013. Guidance and criteria on the filtering of these ‘protected’ spent convictions and cautions can be found on the Disclosure and Barring Website. The onus is on you, the applicant to check the Disclosure and Barring Service (DBS) website for this purpose when completing your declaration.

If the answer is “yes” to either of the above, you must record full details in a separate, sealed envelope marked with your ‘Name’, ‘Confidential Criminal Record Declaration’, and ‘For the attention of the Principal, For the Addressee Only’ and enclose it with your application. In accordance with statutory requirements, a conditional offer of appointment will be subject to satisfactory enhanced DBS clearance.

All employees of the Alpha Academies Trust will be required to undertake an enhanced DBS disclosure check if successfully appointed (unless already registered with the DBS update service) and every 5 years following this.

The fact that you have a criminal record will not necessarily debar you for consideration for this appointment. Failure to disclose may result in the withdrawal of any job offer in relation to this form.

Equalities and Diversity Monitoring Form
Completion of this section will help us to ensure that our workforce reflects the diverse make-up of the community of Stoke-on-Trent. To ensure our policies and procedures are not discriminatory, we monitor job applicants and the diversity make-up of our current workforce, as part of our internal processes, such as training. The information you give is confidentially managed and does not form part of the process. It will greatly assist us if you provide as much information as possible, but you are not obligated to do so.

Applicants should answer this question according to their current gender presentation, which may be different to that assigned at birth.

Please describe your religion and belief :

Declaration & Consent
Under the terms of the Data Protection Act 2018 the information you provide will be kept confidential and will be used for the purposes of this recruitment process only. In signing this declaration you agree to the Alpha Academies Trust collating personal information contained in this application to be stored and processed for the purpose of arriving at a selection decision and for sensitive data to be used for the purpose of equal opportunities monitoring. If appointed, the information will be used to form the basis of your personnel record.

I understand that appointment to the post will be subject to criminal background and medical clearance, evidence of all qualifications appertaining to the post and verification of current and valid permission to work in the United Kingdom along with receipt of satisfactory references (for which I give my consent to the Alpha Academies Trust seeking all information as stated in the reference section of this application) a prohibition check and disqualification by association check (for primary academy employees only).

I declare that the information I have given in my application is complete and accurate. I understand that any false, omitted or misleading information may render my contract of employment, if appointed, liable to termination and possible criminal prosecution. In addition I consent for the reference information, as indicated in the reference section of this application, to be sought about me.

Secondary, Further Education and Higher Education   (Add Education)
Current/Previous Employment   (Add Experience)

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