APPLICATION FOR THE POST OF TEACHER 
                                                                                      
            Job applied for:             
            
           PERSONAL DETAILS 
            Surname:                                                                   Forenames:            
            Preferred Title:          National Insurance Number:                       Are you eligible to live and work in the UK? 
                                                                                       Yes                No               Only with Sponsorship              
            Do you hold UK Qualified Teacher Status (QTS)?                             QTS Certificate Number:                Date QTS Awarded: 
            Yes                       No                                                                                                 
            Have you completed a period of induction (NQT Year) as a qualified teacher in this country successfully?   
            Yes                       No        If yes, date of completion:            
            Address:                              
            Postcode:                             
            Home Phone:                                                                                         Mobile Phone:                
            e-mail:                                                                                             Work Phone:                        
            
           CURRENT OR LAST POSITION OF EMPLOYMENT (OR TRAINING) AS A TEACHER 
            Present Post (Title):                             Full/Part Time/Job Share/Training                 Date Appointed 
                                                                                                                           
            Current Salary Point                              Current Salary                                    Allowances (incl TLR) 
                                                                                                                           
            Name of School                        
            Address:                              
            Post Code:                            
            Type of School:                                                              Age Range:                       
            Number on Roll:                                                              Age Range Taught:                          
            Brief description of duties/responsibilities: 
                       
                                                                                    1 
            
                                                                                                                                                                                         
            REFERENCES (One of these should be your present employer) 
              Name:                                    
              Position:                                
              Address:                                 
              Post Code:                               
              Tel Number:                              
              e-mail:                                  
                 
              Name:                                    
              Position:                                
              Address:                                 
              Post Code:                               
              Tel Number:                              
              e-mail:                                  
             
             
            SECONDARY / FURTHER EDUCATION (up to 18 years old) 
                    Name and addresses of 
                                                                      Dates (dd/mm/yy)                            Qualifications gained including grades 
               secondary schools and further 
               education institutions attended                         From                 To 
                                                                                                                                                             
                                                                                                                                                             
                                                                                                 2 
             
                                                                                                                                                                                         
            HIGHER EDUCATION (beyond 18 years old) 
                                                                      Dates (dd/mm/yy) 
               Name and addresses of higher                                                                       Qualification gained and classification 
               education institutions attended                         From                 To 
                                                                                                                    
                                                                                                                    
             
             
             
            FURTHER, POST GRADUATE EDUCATION (including post graduate teaching qualification) 
               Name and addresses of higher 
                                                                      Dates (dd/mm/yy)                     Qualifications gained, including membership of 
               education institutions attended                                                                     any relevant professional association 
                     for post graduate study                           From                 To 
                                                                                                                    
                                                                                                                    
                                                                                                                    
              For what age range were you                           Main teaching subjects offered:                            Additional subjects offered: 
              trained?                                                                                                                    
                                                                                                                                
                                                                                                 3 
             
                                                                                                                                                                                         
            PROFESSIONAL DEVELOPMENT COURSES ATTENDED WITHIN THE LAST FIVE YEARS  
                                         Title                                                     Organising Body                                    Duration (dd/mm/yy) 
                                                                                                                                                         From              To 
                                                                                                                                                                                     
                                                                                                                                                                                     
                                                                                                                                                                                     
                                                                                                                                                                                     
                                                                                                                                                                                     
                                                                                                                                                                                     
             
             
            PREVIOUS EMPLOYMENT (Please enter the most recent job first then continue up to leaving full time education) 
            If you have had any breaks in employment since leaving school/college, please give details of these periods and your 
            activities during these times (e.g. unemployment, raising a family, voluntary work, training and so on). 
                                                                                                                 Exact dates of 
                        Name and address                                   Job Title (and                         employment 
                              of employer                             responsibility point if                      (dd/mm/yy)                        Reason for leaving 
                                                                             applicable) 
                                                                                                              From                 To 
                                                                                                                                                           
                                                                                                                                                           
                                                                                                                                                           
                                                                                                 4