Recruitment Application Form

Full Name*

First NameMiddle NameLast Name

Address

Street Address

Street Address Line 2

City

Post codeCountry

Mobile Number

DO NOT TYPEMobile Number

E-mail

example@example.com

Birth Date

DayMonthYear

Do you have a UK passport

YesNoDo you require a work permit?

Position Applying For

Date You Can Start

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Teacher Reference Number:

National Insurance Number

Do you have Qualified Teacher Status (QTS)

YES / NO

PGCE – Date

Education

College/University

Education

Name of College / University Attended

Education

Name of College / University Attended

Area of Study/Degree

Graduated?

YesNo

Skills

List any relevant skills

Qualifications

List any relevant certifications or qualifications

Current Employer

Name of Current Employer or NONE if not Employed

Current Salary

Name of Current Employer or NONE if not Employed

Position

Reason for Leaving?

Start Date

Date

May We Contact?

YesNo

Previous Employer

Name of Previous Employer

Current Salary

Name of Previous Employer

Position

Reason for Leaving?

Start Date

Date

End Date

Date

Previous Employer

Name of Previous Employer

Current Salary

Name of Previous Employer

Position

Reason for Leaving?

Start Date

Date

End Date

Date

Please supply the names and addresses of two people to whom we may write for references.
One of these must be your current or most recent employer. If your current employment does not involve work with children, then your second referee should be your employer with whom you most recently worked with children.
If an employment agency your last employer, Teach Education First will write to the agency to verify dates and job title, but please also provide two other references who have observed you working. References will not be accepted from relatives or from people writing solely in the capacity of friends.
Both references should be able to comment on your work. Both references may be taken up prior to interview.
As this position involves working with children, any number of your previous employers may be contacted without seeking further permission from you in relation to your employment history, particular experience or qualifications, and as part of assessing your suitability for supply work.
To maintain Teach Education First reputation for providing first class supply teachers to local schools, we will only take on supply teacher candidates where both referees assess all of your abilities as “good” or “excellent”;

Reference 1*

Name of Reference

Address

Position *

Phone Number*

Area CodePhone Number

Email*

example@example.com

Reference 2*

Name of Reference

Address

Position *

Phone Number*

Area CodePhone Number

Email*

example@example.com

Reference 3

Name of Reference

Position

Email

example@example.com

Phone Number

Area CodePhone Number

Do you have any spent or unspent criminal convictions?

YesNo

Have you ever been banned from working with children (up to age 18) or vulnerable adults?

YesNo

Have you ever been the subject of any proven/unproven investigation(s), complaints(s) in relation to your work with children or vulnerable adults, whether in a paid or voluntary capacity or carried out privately?

YesNo

Marital Status

MarriedSeparated / DivorcedSingleOther

Ethnic Origin

WhiteBritishIrishAny other

Ethnic Origin

ChineseAny other

Additional Information

Do you consider yourself disabled?

YesNo

Have you ever had any illness, medical problem or disability that may currently affect your ability to work safely as a teacher?*

YesNo

Have you seen a Doctor in the past year for any kind of health problem? If so please give reason(s).*

YesNo

Are you having any treatment or investigation of any kind at the moment?*

YesNo

Are you waiting for any treatment, operation or investigation?*

YesNo

Have you ever had any illness or health related problem that may have been caused by or made worse by your work?*

YesNo

Have you ever been medically retired from any job or left any job because of ill health?*

YesNo

Have you had any days off sick in the last 2years? If yes, please give the number of days and the reasons to the best of your recollection.*

YesNo

Have you ever had any visual problems e.g. eye diseases, colour deficiency*

YesNo

Have you ever had any hearing problems e.g. ear disease, tinnitus; do you wear a hearing aid?*

YesNo

Have you ever had any back or neck problems?*

YesNo

Have you ever had problems with your joints including pain, swelling or stiffness?*

YesNo

Have you ever suffered from any mental health/ psychological or stress related problems or nervous conditions including depression, anxiety, schizophrenia, eating disorders (anorexia / bulimia)?*

YesNo

Do you have or ever had a drug or alcohol problem?*

YesNo

Have you ever had epilepsy, fainting attacks, vertigo or giddiness?*

YesNo

Have you ever had any skin conditions?*

YesNo

Have you ever had any heart or blood pressure problems?*

YesNo

Have you ever had any chest problems e.g. asthma, bronchitis, Tuberculosis, pneumonia, chronic cough?*

YesNo

In the last 12 months have you had a cough for more than 3 weeks, coughed up blood or had any unexplained weight loss or fever?*

YesNo

Have you ever had any blood diseases, e.g. jaundice, hepatitis?*

YesNo

Are you allergic to anything, if so what?*

YesNo

Have you ever had any major illness or operations e.g. cancer, organ transplant etc, if so what?*

YesNo

Do you have any other medical conditions?*

YesNo

Are you taking medication at present (this does not include contraception)?*

YesNo

Have you had any other special health / learning needs that we should be aware of in order that we can make suitable adjustments e.g. A Specific Learning Difficulty, SpLD such as dyslexia; An autistic spectrum disorder e.g. Asperger Syndrome; mobility issues; sensory problems?*

YesNo

Do you currently consider yourself to be in good health?*

YesNo

Do you currently consider yourself to be in good health?*

YesNo

Additional information in response to the above questions:

Declarations
I acknowledge that my acceptance as a supply teacher with Teach Education First is subject to the following:

A personal face-to-face / Teams interview;

Verification of my employment history;

Verification of my identity and proof of address using documents acceptable to DBS;

Confirmation of my right to work in the UK, and any necessary permits, clearances or immigration documents;

A minimum of two current satisfactory written references, at least one from my last employer commenting on my teaching/work with children or young people, these references covering at least a period of two years. To maintain Teach Education First ’ reputation for providing first class supply teachers to local schools, I understand that they will only take on supply teacher candidates where both referees assess all abilities as “good” or “excellent”;

Obtaining a new DBS Enhanced Disclosure relevant to the appropriate workforce (generally the Child Workforce unless I am also likely to be working with vulnerable adults in further, higher education or other settings in which case it will be for Child and Adult Workforces) unless I already have a suitable current valid DBS.

Declaration of any unfiltered convictions or cautions (see below);

Demonstration of my commitment to safeguarding and promoting the welfare of children.

If appropriate, a signed declaration that I am not disqualified under the provisions of the Childcare Act 2006 and appropriate Regulations;

Verification of my relevant qualifications including equivalence of overseas qualifications;

Confirmation of my progress/completion of statutory induction if I am an ECT;

A satisfactory Teacher Regulation Agency check in respect of QTS, Induction, Suspension, Prohibition, Sanction and Barring;

Confirmation by declaration or occupational health report that I am medically fit to undertake supply work in accordance with the Education (Health Standards) (England) Regulations 2003;

That I am able to demonstrate a level of fluency in English sufficient for the work I have applied for;

That I will agree (by signing and dating)

CV Upload

DBS

Passport

Employment Application

Personal Information:

Employment Desired:

Education:

Skills/Qualifications:

Current Employment:

Previous Employment:

References: