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This application form must be completed in full. A CV will not be accepted as a replacement for any part of this form.

We are committed to safeguarding and promoting the welfare of children and young people and expect all staff and volunteers to share this commitment.

We always acknowledge all applications, whether successful or not by the end of the process and offer feedback for all applicants who have been unsuccessful.

Personal Details

Your title (optional): Date of Birth: First name(s): Surname: Previous name known by: Address and postcode: Home phone number: Mobile number: Email address: DFE Number: NI Number: If you do not have an NI number, please give details:

Referees

Please give details of two referees. If you are, or have recently been employed, one must be your current or last employer. If you have worked with children in the past, one of your referees must be able to make reference to your work with children. If your current or last employment was within a school, one referee must be the Head Teacher. If you are a student, one should be a senior staff member from your place of study. Your referees must not be a relative or partner.

References will be taken up after shortlisting and before interview.
We may request additional referees.

Referee 1

Name: Job Title: Address: Daytime phone number: Email: Capacity in which known to you:

Present or Last Employment

If you are a Student Teacher you can give some details of your placements here.
If you have more than one post please provide details of the most relevant post here

Present Post Title: Name and address of workplace: Salary point and any additional responsibility points or allowances: Date of appointment (to and from): Type of school, including single or mixed sex: Number on roll: Age range taught: Key duties and responsibilities

Previous Teaching / Leadership Posts

Please list in chronological order starting with the oldest. Be explicit about the type of school or college and the length of time that the post was held. Please give reasons and duration for any gaps when you have not been in employment.

	Name of Local Authority	Name, contact details and type or school / college and whether mixed or single sex	Approx no, on roll	Age range taught	Post title, grade or scale (full or p/t)	Dates from / to (month & year)	Reason for leaving
1
2
3
4
5
6

Continue on a separate sheet if necessary and attach here No file chosen

Previous employment other than teaching

Please include any voluntary work, giving reasons and the duration of any gaps when you have not been in employment.

	Name and contact details of previous employers	Position and responsibilities	Dates from/to (month & year)	Reason for leaving
1
2
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4

Continue on a separate sheet if necessary and attach here No file chosen

Asylum & Immigration Act, 1996

Can you provide evidence of your legal right to work in the UK? (You will be required to produce this documentation at Interview)YesNo

Positive About Disabled People

The Tall Oaks Academy Trust welcomes applications from disabled people.

Please tick the box below if you consider yourself to have a disability*. In addition please advise us of any reasonable adjustments which are needed to ensure the interview is accessible to you.

*For this purpose, disability is defined as any physical or mental impairment which has a substantial and long term adverse effect on your ability to carry out normal day to day activities. Long term means the effect of the impairment has lasted at least twelve months, is likely to last for twelve months, or is likely to last for the rest of a person’s life.

Do you consider yourself to have a disability?YesNo

Do you have any special requirements in relation to your interview arrangements?YesNo

If yes, please give details