Job Application Form

    • 1

      Personal Details

    • 2

      Safeguarding Children

    • 3

      Current / Most Recent Employment

    • 4

      Employment History

    • 5

      Education

    • 6

      Professional Training and Qualifications

    • 7

      Any Unaccounted Period

    • 8

      Supporting Statement

    • 9

      References

    • 10

      Declaration

    • 11

      DBS Application Details

    • 12

      Data Protection and Privacy

    • 13

      Equal Oppertunities Monitoring

    • 14

      Health Questionnaire

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    Personal Details

    If you have a disability which makes it difficult to complete this document or participate in any part of our recruitment process, please contact us and we will be happy to discuss reasonable adjustments which can be made to assist you.

    Job Details



    Personal Details

















    YesNo


    IMPORTANT: This post is exempt from the Rehabilitation of Offenders Act 1974 under the Exceptions Order 1975. You are required to disclose ALL criminal convictions, cautions, reprimands, and final warnings — INCLUDING spent convictions — that are not protected under the Disclosure and Barring Service filtering rules. IT IS A CRIMINAL OFFENCE under the Safeguarding Vulnerable Groups Act 2006 to apply for this role if you are barred from engaging in regulated activity with children. By submitting this form you confirm that you are not on the DBS Children's Barred List and are not subject to a prohibition order, Section 128 direction, or childcare disqualification that would prevent you from working in this role.

    Please answer all of the following questions honestly. A "Yes" answer will not necessarily disqualify you — each case is considered individually.

    Safeguarding Children

    Have you ever been convicted, cautioned, reprimanded, or received a final warning for any criminal offence (including spent convictions, given that this post is ROA-exempt)?

    Are you currently the subject of any police investigation or pending criminal charges?

    Are you included on the DBS Children's Barred List or have you ever been referred to the DBS for consideration for barring?

    Have you ever been disqualified from working with children or young people by any court, tribunal, or regulatory body?

    Has your conduct in relation to children or young people ever been subject to concern, investigation, or disciplinary proceedings — whether or not it resulted in a charge, conviction, or formal finding?

    Are you subject to a prohibition order issued by the Teaching Regulation Agency (TRA) or any sanction from the General Teaching Council for England (GTCE)?

    Are you subject to a Section 128 direction barring you from management of an independent school?

    Are you disqualified under the Childcare (Disqualification) and Related Regulations 2018 from working in early years or childcare settings?

    Have you ever been prohibited from being a private foster carer, or had a child removed from your care by a care order?

    Has any child in your care or guardianship been placed on a child protection plan or at-risk register?

    If you answered YES to any question above, please provide full details including dates, nature of the offence or concern, and outcome:

    CURRENT / MOST RECENT EMPLOYMENT

    Who do you currently work for?












    EMPLOYMENT HISTORY


    You must list ALL employment, self-employment, voluntary work, and career breaks since leaving full-time education, including roles outside the UK. Start with the most recent and work backwards. There must be no unexplained gaps. We are required to contact any previous employer where you worked with children or young people, regardless of whether they are listed as a referee.

    Name and address of Employer

    Job Title

    Date from

    Date to

    Salary

    Reason for leaving

    Action

    Education
    (From Age 11)

    Name and address of School/College/University

    Subject or qualification gained

    Date from

    Date to

    Action

    PROFESSIONAL TRAINING & QUALIFICATIONS

    Training Provider / Institution

    Course / Qualification Gained

    Date from

    Date to

    Action

    ANY UNACCOUNTED PERIOD

    If there are any periods not accounted for in your employment history above (including periods of travel, caring responsibilities, study, unemployment, or other), please explain them here.

    Date from

    Date to

    Explanation

    Action

    SUPPORTING STATEMENT

    Please explain why you are applying for this post. Refer to the Job Description and Person Specification and address both the essential and desirable criteria. Include relevant experience, skills, and personal qualities.

    REFERENCES

    Please ensure that you provide the details for a minimum of two referees which cover at least the last 5yearsof your employment. The first of your Please ensure that you provide the details for a minimum of two referees which cover at least the last 5 years of your employment. The first of your referees must be your present employer and your relevant line manager. If you are unemployed, this should be your last employer, or if this is your first job, your head teacher or college tutor. Please note that should you be successful at interview, Supreme Start Ltd. may take up references in any previous employment paid or unpaid, without notifying you first. You may also provide the name of a personal referee as well as your employment references if you wish. None of the above should be related to you.

    Current Employer

    Organisation name and address

    Name

    Job Title

    Tel No.

    Fax No.

    Email Address

    Capacity in which you know them

    Can we apply for this reference now

    Action

    DECLARATION

    By signing this application form I confirm and declare that:1. All information provided in this application is accurate, complete, and truthful. I understand that providing false or misleading information will disqualify me from appointment and, if I am already employed, will result in dismissal.
    2. I am not included on the DBS Children's Barred List and I am not barred, prohibited, or disqualified from working with children by any legal or regulatory order.
    3. I am not subject to a prohibition order issued by the Teaching Regulation Agency, a Section 128 direction, or a childcare disqualification that would prevent me from taking up this post.
    4. I understand that this post is exempt from the Rehabilitation of Offenders Act 1974 and that I am required to disclose all convictions, cautions, reprimands, and final warnings, including spent convictions, that are not filtered by DBS rules.
    5. I consent to the school making enquiries of relevant bodies — including the DBS, TRA, and previous employers — to verify the information provided.
    6. I have read and understood the school's Child Protection and Safeguarding Policy, and I am willing to comply with its requirements if appointed.
    7. I understand that any offer of employment is conditional upon satisfactory pre-employment checks, including an enhanced DBS check with children's barred list information.



    If this form is submitted electronically, you will be required to sign a hard copy in person at the point of interview, in accordance with the school's safer recruitment procedures.

    DBS APPLICATION DETAILS

    The following information is required to process your enhanced DBS certificate application. This section will only be used for DBS purposes.




    DATA PROTECTION AND PRIVACY

    How we use your information
    Supreme Start School processes the personal data you provide on this form for the purpose of recruitment and selection only, in accordance with the Data Protection Act 2018 and UK GDPR.
    If your application is unsuccessful, your data will be retained securely for a period of 6 months from the conclusion of the recruitment process, after which it will be securely destroyed.
    If you are appointed, relevant information from this form will form part of your personnel record and will be retained for the duration of your employment and beyond in accordance with our data retention schedule.
    Our Privacy Notice for Job Applicants provides full details of your rights and how your data is processed. A copy is available from the school office or will be provided to you alongside this application form. Please confirm below that you have received and read the Privacy Notice.

    I confirm I have received and read the Privacy Notice for Job Applicants

    EQUAL OPPORTUNITIES MONITORING

    This section is for monitoring purposes only. It will be detached and processed separately before your application is seen by the shortlisting panel. It will have no bearing on your application.





    Personal Details








    HEALTH QUESTIONNAIRE

    IMPORTANT: This section is governed by the Equality Act 2010. It must not be reviewed until after the shortlisting and interview stages are complete and a conditional offer of appointment has been made. It is used solely to assess whether reasonable adjustments are needed and to confirm fitness for the specific duties of the role. It must not influence the selection decision.


    This role involves working with children who may present challenging behaviour. The following questions are designed to identify any health considerations that may affect your ability to carry out the role safely, or that require us to make reasonable adjustments.

    1. Do you have a health condition or disability that has a substantial and long-term adverse effect on your ability to carry out day-to-day activities?

    2. Do you require any adjustments to the workplace or working arrangements to enable you to carry out this role?

    3. Have you ever had a health condition arising from or worsened by work (e.g. stress, musculoskeletal conditions)?

    4. Do you have a condition affecting balance, coordination, or consciousness (e.g. epilepsy, diabetes, vertigo) that may affect your safety or that of others?

    5. Have you been medically advised not to undertake any specific type of work activity relevant to this role?

    6. Are you currently taking prescribed medication that may affect your ability to work safely (e.g. causing drowsiness)?

    7. Do you have any other health matter you believe we should be aware of in order to support you in this role?