people and all staff working with children and young people are expected to share a commitment to this. You will be expected to report any concerns about the safeguarding of children and/or young people in accordance with the agreed school procedures. Successful applicants will be required, as part of role, to attend regular safeguarding training relevant to the role. If your conduct in relation to the safeguarding of children or people gives cause for concern, the school’s agreed child protection procedures will be followed alongside the school’s disciplinary procedure. References will be sought prior to interview and we will ask about your performance and conduct, including any disciplinary action taken and/or allegations/issues relating to children and young people in order that your suitability to work with children/young people can be assessed. Employment is conditional upon the results of an enhanced Disclosure and Barring Service (DBS) check (with a barred list check) which will indicate your suitability to work with children. Applications for teaching roles will involve a check of the National College for Teaching and Leadership’s Prohibition List, to ensure they are not subject to a prohibition order issued by the Secretary of State. Personal Details Forename/s: Surname: Preferred title (e.g. Mr, Mrs, Miss Dr, etc): Previous surname/s: Other: Known as: Contact information: address: Term time telephone number: Home telephone number Mobile telephone number: Preferred telephone number: Alternative telephone number : Address: name/number : Street name: Town/city: County:
other employment, should you be offered this appointment? If yes, how many hours per week? In what capacity ? Please note: Deliberate omission or falsification of information lead to the disqualification of your application or later dismissal, if appointed. Canvassing of councillors or school governors, directly or indirectly, will disqualify your application. The appointment is subject to satisfactory evidence of your medical fitness and the results of a ‘disclosure’ from the Disclosure and Barring Service, where applicable. The information you supply will be used by the school for the purpose of administration in relation to prospective, current and past staff. If your application is successful, some of the information will be used to compile your personal file. It may be used and shared with other designated bodies administering public funds, for the prevention and detection of fraud. Data protection statement – Data Protection Act 1998 and 2003. The school has a duty to protect personal information. The school will process this information in accordance with the Data Protection Act 1998 and 2003. This information will be stored on computer and manual files. Following receipt of your application for this post consideration will be given to all applicants and shortlisted candidates will be contacted. Completion and submission of this form is as consent to process the information that you have provided. _______________________________________________________________ Please sign and date here to confirm that the information given on this form is accurate. Signature ___________________________________ Date _______________ Please also complete the equality and diversity monitoring form.