London Diocesan Board for Schools Application Form

London Diocesan Board for Schools Application Form

Confidential.
To save your information while filing in the form, please click save at the bottom of the page or all your progress will be lost.
Position applied for*
Individual school / area(s) of London you would like to work in*
Section 1 – Personal Information
Name*

TitleForenamesSurname
Previous Surname (if applicable)
Current Address*

Street Address

Street Address Line 2

Town/CityCounty

Postal / Zip CodeCountry
Home Telephone Number*

Country CodeArea CodeTelephone Number
Mobile Number*

Country CodeMobile Number
Email*
example@example.com
National Insurance Number*
Do you have qualified teacher status?*

YesNoStudying towards
Date Awarded

MonthDayYear
Date
Are you registered with the DfE as a qualified teacher?*

YesNo
DfE Reference Number
Are you related to any member of the Governing Body, Local Authority elected, senior LA official or officer of the LDBS?*

YesNo
If YES, please give details
Section 2 – Current employment

If you are currently at university/college please give details of the university/college you are attending
Employer Name*
Employer Address*

Street Address

Street Address Line 2

Town/CityCounty

Postal / Zip CodeCountry
Employer Telephone Number*

Country CodeArea CodeTelephone Number
Current Job Title
Current Salary
Date Started

DayMonthYear
Describe your current role in terms of its responsibilities and relationships (no more than 250 words)

0/250
What notice period are you required to give?
Section 3 – Previous employment

Please list your career history beginning with your most recent employment.
Previous Role 1
Previous Employer Name*
Previous Employer Address*

Street Address

Street Address Line 2

Town/CityCounty

Postal / Zip CodeCountry
Previous Employer Telephone Number*

Country CodeArea CodeTelephone Number
Previous Job Title*
Brief description of responsibilities (no more than 50 words)

0/50
From*

DayMonthYear
To*

DayMonthYear
Reason for leaving*
Salary at leaving*
Previous Role 2
Previous Employer Name*
Previous Employer Address*

Street Address

Street Address Line 2

Town/CityCounty

Postal / Zip CodeCountry
Previous Employer Telephone Number*

Country CodeArea CodeTelephone Number
Previous Job Title*
Brief description of responsibilities (no more than 50 words)

0/50
From*

DayMonthYear
To*

DayMonthYear
Reason for leaving*
Salary at leaving*
Previous Role 3
Previous Employer Name*
Previous Employer Address*

Street Address

Street Address Line 2

Town/CityCounty

Postal / Zip CodeCountry
Previous Employer Telephone Number*

Country CodeArea CodeTelephone Number
Previous Job Title*
Brief description of responsibilities (no more than 50 words)

0/50
From*

DayMonthYear
To*

DayMonthYear
Reason for leaving*
Salary at leaving*
Previous Role 4
Previous Employer Name*
Previous Employer Address*

Street Address

Street Address Line 2

Town/CityCounty

Postal / Zip CodeCountry
Previous Employer Telephone Number*

Country CodeArea CodeTelephone Number
Previous Job Title*
Brief description of responsibilities (no more than 50 words)

0/50
From*

DayMonthYear
To*

DayMonthYear
Reason for leaving*
Salary at leaving*
Section 4 – Qualifications

Please list any qualifications gained after leaving secondary education. Please include any qualifications you are currently studying towards.
Qualification 1
Name of institution
Course title/subject
Level of qualification (Degree etc.)
Finish date/date of final exam

MonthDayYear
Date
Qualification 2
Name of institution
Course title/subject
Level of qualification (Degree etc.)
Finish date/date of final exam

MonthDayYear
Date
Qualification 3
Name of institution
Course title/subject
Level of qualification (Degree etc.)
Finish date/date of final exam

MonthDayYear
Date
Qualification 4
Name of institution
Course title/subject
Level of qualification (Degree etc.)
Finish date/date of final exam

MonthDayYear
Date
Section 4 – In-service training/CPD

Please include both long and short courses you have attended over the last three years.
Training 1
Organising body (e.g. LDBS, Local Authority, St John Ambulance)
Course title/subject
Number of days
Finish date/date of final exam

MonthDayYear
Date
Training 2
Organising body (e.g. LDBS, Local Authority, St John Ambulance)
Course title/subject
Number of days
Finish date/date of final exam

MonthDayYear
Date
Training 3
Organising body (e.g. LDBS, Local Authority, St John Ambulance)
Course title/subject
Number of days
Finish date/date of final exam

MonthDayYear
Date
Training 4
Organising body (e.g. LDBS, Local Authority, St John Ambulance)
Course title/subject
Number of days
Finish date/date of final exam

MonthDayYear
Date
Section 4 – Secondary School Qualifications

Please list all of your A Level or equivalent qualifications and grades. For GCSE or equivalent qualification please provide grades for English and Mathematics and the total number of grades A*-C or 9-4.
Qualification 1
Name of school/college
Subject
A Level, GCSE, equivalent
Finish date/date of final exam

MonthDayYear
Date
Qualification 2
Name of school/college
Subject
A Level, GCSE, equivalent
Finish date/date of final exam

MonthDayYear
Date
Qualification 3
Name of school/college
Subject
A Level, GCSE, equivalent
Finish date/date of final exam

MonthDayYear
Date
Qualification 4
Name of school/college
Subject
A Level, GCSE, equivalent
Finish date/date of final exam

MonthDayYear
Date
Qualification 5
Name of school/college
Subject
A Level, GCSE, equivalent
Finish date/date of final exam

MonthDayYear
Date
Section 5 – Supporting Statement
Please include a separate supporting statement, no longer than three sides of A4, with reference to the job description and person specification, explain why you are applying for the role and why you are a strong candidate. Please include details of voluntary work or offices held that are relevant to this application.
Section 6: Working in a Church of England school, academy or organisation
We welcome people of many faiths and beliefs. We do, however ask that all staff should support the values, ethos and philosophy of the Church of England.

We expect our school leaders to demonstrate a clear commitment to the Christian ethos.

If you are a practicing member of a Christian church, please give details below.
Place of worship
Address

Street Address

Street Address Line 2

CityCounty

Postal / Zip Code
Denomination
Diocese
If possible please give details of a parish priest or minister from whom a reference may be obtained:
Name
Job title
Address

Street Address

Street Address Line 2

CityCounty

Postal / Zip Code
Email
example@example.com
Telephone Number

Area CodeTelephone Number
Mobile Number

Area CodeTelephone Number
Section 7 – References

Please give details of two professional referees, the referee one must be your current or most recent employer.
Referee 1
Name*

ForenamesSurname
Job Title
Address*

Street Address

Street Address Line 2

Town/CityCounty

Postal / Zip CodeCountry
Telephone Number*

Country CodeArea CodeTelephone Number
Mobile Number*

Country CodeMobile Number
Relationship*
Referee 2
Name*

ForenamesSurname
Job Title
Address*

Street Address

Street Address Line 2

Town/CityCounty

Postal / Zip CodeCountry
Telephone Number*

Country CodeArea CodeTelephone Number
Mobile Number*

Country CodeMobile Number
Relationship*
Section 8 – Data Protection – application privacy notice
All data requested in this form is mandatory unless stated otherwise.

The LDBS requires this data in order to meet its legal and regulatory obligations and undertake a safer recruitment process.

Under data protection law you have the right to be informed about how the LDBS collects and uses any personal data it holds about you. Please see the LDBS Privacy Notice on our website for information.

The LDBS takes any complaints about collection and use of personal information very seriously. If you think that the LDBS’ collection or use of personal information is unfair, misleading or inappropriate, or if you have any other concerns about its data processing, in the first instance please raise this with our Data Protection Officer via, dpo@london.anglican.org. Alternatively, you can refer a complaint to the Information Commissioner’s Office.
Section 9 – Applicant declaration
I declare that the information given on this form is correct to the best of my knowledge and belief, and I understand that any false statements on this form are an offense and could result in my application being rejected or summary dismissal and, where relevant, possible referral to the teachers’ misconduct team or the police. I agree that the information I give you in connection with this application for employment may be stored and processed for the purpose of personnel management.
Signature
Date

MonthDayYear
Date
If your application is not successful at the school mentioned at the beginning of this form, would you be happy for your application to be passed on to another LDBS school with a similar vacancy? All information would be handled and transferred under the terms of the General Data Protection Regulation 2018.

YesNo
Section 10 – Confidential monitoring information

This section of the form will be removed before shortlisting.
Gender
Date of Birth

MonthDayYear
Date
Ethnicity: Choose one section from A-E and then tick the appropriate box to indicate your cultural background
A White

English, Welsh, Scottish, Northern Irish or BritishIrishGypsy or Irish TravellerRomaAny other White background (please write below)
Other White background
B Mixed or Multiple Ethnic Groups

White and Black CaribbeanWhite and Black AfricanWhite and AsianAny other Mixed or multiple ethnic background (please write below)
Any other Mixed or multiple ethnic background
C Asian or Asian British

IndianPakistaniBangladeshiChineseAny other Asian background (please write below)
Any other Asian background
D Black, Black British, Caribbean or African

CaribbeanAfricanAny other Black, Black British or Caribbean background (please write below)
Any other Black, Black British or Caribbean background
E Other Ethnic Group

ArabAny other background (please write below)
Any other background
Do you consider yourself to have a disability or health condition?

YesNoRather not say
What is the effect or impact of your disability or health condition on your ability to give your best at work?
The information on this form is for monitoring purposes only. If you believe you need a ‘reasonable adjustment’ if invited to an interview, then please discuss this with the manager running the recruitment process.
End of application form
Please submit
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London Diocesan Board for Schools Application Form

To save your information while filing in the form, please click save at the bottom of the page or all your progress will be lost.

Section 1 – Personal Information

Section 2 – Current employment

Section 3 – Previous employment

Previous Role 1

Previous Role 2

Previous Role 3

Previous Role 4

Section 4 – Qualifications

Qualification 1

Qualification 2

Qualification 3

Qualification 4

Section 4 – In-service training/CPD

Training 1

Training 2

Training 3

Training 4

Section 4 – Secondary School Qualifications

Qualification 1

Qualification 2

Qualification 3

Qualification 4

Qualification 5

Section 5 – Supporting Statement

Section 6: Working in a Church of England school, academy or organisation

Section 7 – References

Referee 1

Referee 2

Section 8 – Data Protection – application privacy notice

Section 9 – Applicant declaration

Section 10 – Confidential monitoring information