Facebook-f Twitter Instagram
Why? Democratic Education Logo

Application Form

1
Position Details
Position Applied For:
Field is required!
Field is required!
Date Of Application:
Field is required!
Field is required!
Other Positions You Would Consider:
Field is required!
Field is required!
Employment Status:
Field is required!
Field is required!
Source of application:
Field is required!
Field is required!
2
Personal Details
Title:
  • Mr.
  • Miss.
  • Mrs.
  • Ms.
  • Dr.
  • Other.
Field is required!
Field is required!
Surname:
Field is required!
Field is required!
Forename(s):
Field is required!
Field is required!
Address:
Field is required!
Field is required!
Postcode:
Field is required!
Field is required!
Telephone:
Field is required!
Field is required!
Home telephone:
Field is required!
Field is required!
Email address:
Field is required!
Field is required!
National Insurance No.:
Field is required!
Field is required!
Date of Birth:
Field is required!
Field is required!
3
General Information
Minimum salary acceptable:
Field is required!
Field is required!
Date available to start:
Field is required!
Field is required!
Do you have a work permit:
Field is required!
Field is required!
For teaching posts you have to disclose any conviction, warning, reprimand, caution or other order including “spent convictions”, that are not “protected” as defined by the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (Amendment) (England and Wales) Order 2013. Details of any such disclosure should be placed in a sealed envelope marked “Confidential” and brought to interview. Any information disclosed will be treated in the strictest confidence
Any offer of appointment will be subject to satisfactory Disclosure & Barring Service clearance.
Have you been convicted of any criminal offences which are not yet spent under the Rehabilitation of Offenders Act 1974:
Field is required!
Field is required!
Please Explain:
Field is required!
Field is required!
Do you hold a current driving licence:
Field is required!
Field is required!
Do you speak or write any other languages:
Field is required!
Field is required!
Hobbies and interests:
Field is required!
Field is required!
Please give any other facts which you feel would be useful in considering this job application:
Field is required!
Field is required!
4
Education
Name and address of school, college, etc.
Field is required!
Field is required!
From
Field is required!
Field is required!
To
Field is required!
Field is required!
Qualifications
Field is required!
Field is required!
Other relevant qualifications, courses, awards, experiences:
Field is required!
Field is required!
Are you a member of a professional organisation or association?
Field is required!
Field is required!
please explain:
Field is required!
Field is required!
5
Employment
From
Field is required!
Field is required!
To
Field is required!
Field is required!
Company name and address
Field is required!
Field is required!
Job title and duties
Field is required!
Field is required!
Salary
Field is required!
Field is required!
Reason for leaving
Field is required!
Field is required!
6
Medical Details
Do you have any health problem which is relevant to this job application:
Field is required!
Field is required!
please explain:
Field is required!
Field is required!
We ask this question to enable us to consider any adjustment that we can make to our recruiting procedures/arrangements to assist you in your application.
7
Contact In Case Of Emergency
Title
  • Mr.
  • Miss.
  • Mrs.
  • Ms.
  • Dr.
  • Other.
Field is required!
Field is required!
Surname
Field is required!
Field is required!
Forename(s):
Field is required!
Field is required!
Address:
Field is required!
Field is required!
Telephone:
Field is required!
Field is required!
Home telephone:
Field is required!
Field is required!
Postcode:
Field is required!
Field is required!
Relationship To You:
Field is required!
Field is required!
8
Reference
Title:
  • Mr.
  • Mrs.
  • Ms.
  • Miss.
  • Dr.
  • Other.
Field is required!
Field is required!
Surname:
Field is required!
Field is required!
Forename(s):
Field is required!
Field is required!
Address:
Field is required!
Field is required!
Company or Relationship
Field is required!
Field is required!
Postcode:
Field is required!
Field is required!
Email address:
Field is required!
Field is required!
Phone number:
Field is required!
Field is required!
9
Declaration
I confirm that the above information is correct and true and has no deliberate omissions. I understand that if this does not prove to be the case, there may be sufficient grounds for cancelling any agreement made with the organisation.
I agree that in submitting this application, references can be taken up and I will undergo a medical examination if asked to do so.
Signature
Field is required!
Field is required!
Print name:
Field is required!
Field is required!
Date:
Field is required!
Field is required!
Submit