1. Recruitment Information
Dormer House School
Recruitment Information
High Street Moreton-in-Marsh Glos GL56 0AD
Application for appointment as
Title (Mr. / Mrs. / Miss / Ms.)
Surname
First names
All names used previously
Address
Postcode
Telephone numbers
address
Previous address if less than 3 years at present address
Educational Establishments
From To
Qualification and Grades
Details of previous paid and unpaid work from the most recent:
Job Title and Employer
Reason for Leaving
Final Salary
Grade

2. Details of any breaks in employment
Details of sickness absence in last 2 years, including number of days
Two referees are required to support your application, one must be your current employer or if unemployed, your last employer and one must be personal but not a relative.
Name and company
Post
Relationship to applicant
Address, and telephone no.
Do you have any criminal convictions spent, unspent or pending?
Yes No
Do you need a work permit to work in the UK?
For proof of identity and the Criminal Records Bureau check please bring your NI number, passport, driving licence and a recent utility bill to interview.
For proof of qualifications please bring any relevant certificates to interview.
I confirm that I am physically and mentally fit and able to carry out the tasks required of me within the remit of the job description. I have completed the medical declaration form.
I certify that, to the best of my belief, the information I have provided is true and I understand that any false information or failure to disclose criminal convictions will result, in the event of employment, in disciplinary investigation and is likely to result in dismissal.
Signature
Date
I hereby give my consent for personal information (including recruitment monitoring data) provided as part of this application to be held on computer or other relevant filing systems and to be shared with other accredited organisations or agencies in accordance with the Data Protection Act 1998.
Dormer House School: Safer Recruitment: Application Form