LEA Teacher_Application_Form_Dec 2013.doc

8/11/2019 LEA Teacher_Application_Form_Dec 2013.doc

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Application for Teaching Post

Post Applied For FORMTEXT

Closing Date

Incomplete application forms will not be considered. London Enterprise Academy does notaccept CVs alone t!e" will onl" be considered as part of t!e additional information on a f#ll"completed application form$

1. Personal details

%ame rname

'ome address

&treet address

Town(cit"

Co#nt"

Post code

Co#ntr" ofresidence )* Ot!er If ot!er please state

Do "o# re+#ire awor, permit orVI&A- .E& %O If "es please gi/e details

%ational Ins#rance%#mber

Teac!er referencen#mber01TCE(DFE2

If "o#r postaladdress isdifferent to abo/eplease insert !ere

&treet address

Town(cit"

Co#nt"

Post code

Telep!onen#mbers 0pleaseonl" list n#mberswe s!o#ld call tocontact "o#2

3or,4

E5mail address

'ome4

Mobile4

Date of 6irt! 0optional20dd(mm(""""2

7ondon Enterprise Academ"

7ondon Enterprise Academ"Ane#rin 6e/an 'o#se

895:9 Commercial Road7ondon E9 9RD

Tele4 ;>8?@=9>8Email4 infolondonenterpriseacadem"$org


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2. Current Employment

Do "o# !old B#alified Teac!er&tat#s-

.es %o In w!ic! "ear did "o# gain BT&-

C#rrent emplo"er 0%ame and f#ll

address2

obs !eld and main

d#ties

From To &alar" Reason for lea/ing

3. Please give details of relevant previous employment

Pre/io#s emplo"er 0%ame andf#ll address2

obs !eld and maind#ties

From To &alar" Reason for lea/ing



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4. Continuing Professional and Personal Development

Co#rses attended 0d#ring last "ears2

%ame of co#rse andpro/ider

Award(+#alification gained F#ll or part time From To



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5. Education istory!Please list your education attainment" igest #ualification first$

Instit#tion0Please indicate bot! name address2

From ToB#alification attained ( s#bect(sand grades

%. &no'ledge" e(perience and s)illsa2 *sing no more tan 2 A4 pages descri+e o' you meet te re#uirements of te ,o+

description.



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-. Personal data

6asic &alar"

Additional salar" 0please indicate management pointsor 7ondon allowance etc2

Total salar"

Please declare if "o# !a/e an" famil" member or close relations!ip to an eGisting 7ondon EnterpriseAcadem" emplo"ee or 1o/ernor$ If so please gi/e details$

. /eferees!Please note references 'ill +e re#uested prior to your intervie'" unless stated oter'ise.$

Please pro/ide t!e contact details of two referees 0co/ering t!e last t!ree "ears2 one of w!om s!o#ld be"o#r c#rrent emplo"er$

%ame %ame

ob title ob title

Organisation

Organisation

Address Address

Telep!one n#mber

Telep!one n#mber

Mobile n#mber Mobile n#mber

Email Email

0.Confidential nformationLondon Enterprise Academy re#uires all employees to underta)e an enanced D cec). ou are re#uired" +eforeappointment" to disclose any conviction" caution or +inding over including spent convictions6 under te /ea+ilitation of7ffenders Act 10-4 !E(emptions$ 7rder 10-5. Disclosure of a criminal +ac)ground 'ill not necessarily de+ar you fromemployment 8 tis 'ill depend upon te nature of te offence!s$ and 'en tey occurred.9on:disclosure may lead to termination of your employment

In relation to t!e abo/e if "o# !a/e an" con/ictions or ca#tions 0incl#ding spent con/ictions2 "o# are obligedto detail t!ese below4

Do "o# !a/e an" con/ictions 0incl#ding ca#tions bind5o/ers2 .es %o

If "es gi/e details$



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I can confirm t!at I am not on 7ist :: dis+#alified from wor,ing wit! c!ildren or s#bect to sanctions imposedb" a reg#lator" bod" s#c! as t!e 1eneral Teac!ing Co#ncil$

&I1%ED 0t"ped signat#res are accepted24 DATE4



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1;.


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Equality and Diversity Monitoring

=itle

>irst name

urname

?omeaddress

&treet address

Town(cit"

Co#nt" Post code

In order to monitor o#r E+#alit" and Di/ersit" Polic" and to enable #s to ens#re o#r compliancewit! t!is polic" we wo#ld be gratef#l if "o# wo#ld complete t!e following tables for monitoringp#rposes4

@ender !please tic) appropriate +o($

Male Female

Etnic 7rigin !please tic) appropriate +o($


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/eligion !please tic) appropriate +o($

6a!aHi 6#dd!ism C!ristian 'ind#ism %one

slam ain #daism &i,!ism Ot!er

Age +and !please tic) appropriate +o($

)nder 98 98

LEA Teacher_Application_Form_Dec 2013.doc

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