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STUDLEYHIGHSCHOOL

Committed to equal opportunitiesAssociate Staff ApplicationForm and attainment through meritPlease complete this form in black or typescript, so that ifnecessary it may be photocopied. The completed form should beenclosed with your letter of application. Please do notinclude a curriculum vitae. APPLICATION FOR THE POST OF:Surname Forenames Title Address Post Code Tel.No. (home) Te l. no. (work) Tel. no. (mobi le) Emai laddress

PRESENT POSITION (Please give details of your CURRENTpost) (A) If in employment EMPLOYER POST AND DUTIESFULL / PART TIME WAGE / SALARY DATE APPOINTEDPERIOD OF NOTICE REQUIRED: (B) If unwaged, please give briefdetails of your current situation/occupation. PREVIOUSEXPERIENCE (Please complete in chronological order i. e.your earliest job first) (A) Employment EMPLOYER POSTAND DUTIES FULL /PART TIME FROM/TO (MONTH / YEAR)(B) Other useful experience (e.g. voluntary work, family care,study) QUALIFICATIONS AND EDUCATION (See overleaffor other training) SUBJECTS QUALIFICATION GRADE / LEVEL

YEAR OF QUALIFICATION OTHER TRAININGTRAINING/COURSE TITLE DATE(S) MONTH YEARPlease give details of anyways inwhichyou feel your education,experience and other skills are relevant to this post. Ifnecessary, please continue on the back of this form.REFEREES (1) OFFICE USE ONLY Please give details of two referees,one of whom should be your present/most recent employerRequested Received Name Position Address Tel No.Fax No. Email: May this referee be contacted withoutfurther authority from you? YES / NO REFEREES (2)OFFICE USE ONLY Please give details of two referees, one of whomshould be your present/most recent employer Requested ReceivedName Position Address Tel No. .Fax No. Email: May this referee be contacted withoutfurther authority from you? YES / NO CONTRACTUALINFORMATION OFFICE USE ONLY 1) National InsuranceNo. . . 2) Declaration of Criminal RecordsYou MUST declare any offences, sentences or cautions,(reprimands, f inal warnings and dates) . Youshould also disclose any charges, which are, or may be, pending.

3) Sickness Record If you have been absent from work due tosickness or hospitalisation in the last two years, please state

---------------------------------------------------------------最新资料推荐------------------------------------------------------the number of days absent, and indicate reasons. 4)Driving Licence Do you hold currently valid licence? YES/ NO 5) It is in your own interest to indicate anyrelationship to anyone in authority at the School, e.g.Governors. YES/NO. (Please give name, address andrelationship. ) To the best of my knowledge theinformation given on this form is correct. Iunderstand that canvassing or giving false information willdisqualify my application.Signed. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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