Hitchin Girls’ School

Application Form – Professional or Support role

POST:

Please ensure that you return this form on or before the date and time stated in the advertisement

Personal Details
FIRST NAME(S)

SURNAME TITLE

HOME ADDRESS

TOWN/CITY COUNTY POSTCODE

TELEPHONE MOBILE EMAIL

NI NUMBER Permission to work in the United Kingdom (UK)

Are there any restrictions on your rights to work in the

UK? (TICK AS APPLICABLE) YES  NO 

IF YES, PLEASE PROVIDE FURTHER INFORMATION

PLEASE NOTE: PERMISSION TO WORK WITH A PREVIOUS EMPLOYER OR IN A PREVIOUS POST IS NOT TRANSFERABLE

Qualifications and Training

DETAILS OF DEGREES/DIPLOMAS AND ANY OTHER QUALIFICATIONS OBTAINED OR IN PROGRESS
Name of college, Inclusive dates Grade/Class (or
university or other Month & Year Type of Degree/ state if still in Main subject
institution, location From To Course title progress)

SECONDARY SCHOOL(S) OR EQUIVALENT

Name of school/college, location Examinations passed

Date Subjects(with grades)

DETAILS OF ANY RELEVANT SHORT COURSES ATTENDED IN THE PAST FIVE YEARS

Date Course Title Provider

Employment History

DETAILS OF CURRENT OR MOST RECENT EMPLOYMENT

Name and address of Position held Full/Part Inclusive dates Reason for leaving
employer time Month & Year (if applicable)
From To

PAYSCALE/OR GRADE AND CURRENT SALARY, ALSO INDICATE ANY ALLOWANCE(S) AWARDED
AND LEVEL OF PAYMENT

TYPE OF PAYSCALE OR GRADE CURRENT SALARY

PREVIOUS EMPLOYMENT, VOLUNTARY WORK OR OTHER ACTIVITIES

Please complete with most recent employment/other activities first, detailing gaps between employment/other activities e.g. bringing up
family, time spent travelling, periods of unemployment etc. Please include any voluntary work or school based work experience.

Employer/Organisation Nature of Position held Full/Part time Inclusive dates Reason(s)

business Month & Year for leaving
From To

LEISURE ACTIVITIES
Please state briefly what your main leisure interests are, particularly where these are relevant to the
work for which you are applying

Personal statement in support of application

In this section you are asked to detail how your knowledge, skills and experience, or any other factors, relate to
the criteria listed on the person specification and job description. This section is very important and enables
you to demonstrate any successes or impact evidence you have to support your application.

Referees
Please list referees who can comment on your skills and abilities to carry out the duties of the post for which
you are applying. One of these must be your current line manager/last employer. If your employer is/was a
school, the referee provided must be the Headteacher. Our normal practice is to take up references prior to
interview.

REFEREE 1, CURRENT OR MOST RECENT EMPLOYER

NAME ADDRESS

STATUS NAME OF EMPLOYER

TELEPHONE EMAIL

May we contact prior to interview? YES □

REFEREE 2

NAME ADDRESS

STATUS NAME OF EMPLOYER

TELEPHONE EMAIL

May we contact prior to interview? YES □

Declaration of criminal offences

The school is required to give you the opportunity to voluntarily declare convictions, cautions,
reprimands or final warnings that are not ‘protected’ as defined by the Rehabilitation of Offenders Act
1974 (Exceptions) Order 1975 (as amended in 2013 and 2020). You will be provided with a criminal self-
declaration form by the school if you are shortlisted for the post. All posts in schools are exempt from
the Rehabilitation of Offenders Act 1974.

If you are appointed you will be required to have an up to date Disclosure and Barring Service (DBS)
Certificate. The existence of a criminal background does not automatically mean that you cannot be
appointed but it may do so.

The DBS now offers an update service, which keeps DBS certificates up to date and allows employers
to make an online check with an applicant’s consent. This applies where the type and level of check
are identical and in the same workforce area (e.g. schools).

Please confirm if you currently subscribe to the update service: YES □ NO □

Declaration

Do you have a close relationship with, and/or are you related to, anyone in school or a school
governor?

IF YES, STATE DETAILS

YES □ NO □ (TICK AS APPROPRIATE)

I confirm that I am not barred, either totally or to a limited extent, from work involving regular contact with children, young
persons or other vulnerable people, nor subject to any prohibitions, sanctions, conditions, restrictions or disqualifications
in relation to my employment/work imposed by the Secretary of State or a regulatory body.

In accordance with the Data Protection Act 1998, I agree that information I have provided may be held and used for
personnel reasons.

I understand that an offer of appointment will be subject to satisfactory references, DBS clearance, proof of identity and
right to live and work in the UK, medical checks and relevant qualifications.

I understand that failure to disclose any relevant information, or the provision of false information, could result in the
withdrawal of any offer of appointment, or my dismissal without notice at any time in the future, and possible criminal
prosecution.

I hereby declare that information given on this form is complete and accurate.

NAME SIGNATURE

DATE

You will be asked to sign this at interview which then makes it a legal document.

Childcare (Disqualification) Regulations 2009

The Department for Education (DfE) has revised its Statutory Guidance ‘Keeping Children Safe in Education’.

This update requires schools which provide care for pupils under the age of 8, to ensure that staff and volunteers working
in these settings are not disqualified from doing so under the Childcare (Disqualification) Regulations 2009.

A person may be disqualified through:

1. Having certain orders or other restrictions placed upon them
2. Having committed certain offences
3. Living in the same household as someone who is disqualified by virtue of 1 or 2 above (this is known as
disqualification by association)

Upon appointment an education setting may, therefore, require you to sign a declaration confirming that you are
not disqualified under those Regulations from working in schools.

How did you find out about this job? (PLEASE TICK OR STATE AS INDICATED)

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