Membership of Professional Institutes or Societies
Awards and Other Education and Training
Original documentation of qualifications will be required prior to an appointment.
Present School/Place of Work
Please explain how your ability, skills and knowledge match those required for the appointment. Please consider all your experience whether paid or unpaid. Give examples where you can, in support of your application. Continue on a separate sheet if necessary.
Please give the name and address of two professional people willing to give a reference, including your present or last Headteacher. Or, if you are in, or have recently completed full-time education, one referee should be from your College/University.
Disclosure of Relationship
Disclosure of Criminal Convictions
Under the Rehabilitation of Offenders Act 1974 (Amendment Order 1986) and regulations issued by the Home Office, the Governors have a duty to ensure that a police check for possible criminal convictions is undertaken for all those who apply for positions that give substantial access to children. Applicants are not entitled to withhold information about convictions which for other purposes would be “spent” under the provisions of the Act.
Have you ever been cautioned, convicted or found guilty of any offence by any Court (even if you were only placed on probation or conditionally discharged)? Have you ever been the subject of any investigation or inquiry into abuse or other inappropriate behaviour by an enforcement agency?
The Brook Learning Trust is committed to developing and implementing its Equal Opportunities Policy. We recognise that discrimination occurs on the basis of race, sex, age and disability, and against lesbians, gay men and bisexuals. We are setting up procedures to ensure recruitment and selection is carried out fairly. In order to ensure the policy is operating effectively, we need to monitor applications for jobs and you are asked to assist by completing the enclosed monitoring form. Monitoring information is not requested for sexual orientation, as it is recognised that not everyone wishes to reveal this information. The information provided will only be used to monitor recruitment and will be detached before the selection process.
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 will justify dismissal from the School’s service. I understand that a police check will be carried out.