ࡱ> q` gbjbjqPqP 8::&PPPPPPPDffffL6$4ZZZZZ555ٚۚۚۚۚۚۚ$ԝh<uP55555PPZZt0ممم5"PZPZٚم5ٚمم|PPِZN lfWF%$ 47 & $ِ Pِم555Å555455556$'~+d;f6$'~+fdT6PPPPPP Arts Educational Schools London Cone Ripman House 14 Bath Road Chiswick, London W4 1LY Telephone 020 8987 6666 Fax 020 8987 6678Employment Application Cover Sheet Please attach this cover sheet to the front of your Curriculum Vitae and letter of application. Applicants for all posts must supply an up to date Curriculum Vitae and a personal, written statement outlining your strengths as a potential employee. All personal data supplied to us on this form, which is subsequently processed on computer or by other means, is subject to the provisions of the Data Protection Act 1998. Position applied for: Date of application:Where did you see this job advertised? Personal details Last Name: Title: (Mr/Mrs/Miss/Ms/Dr/Prof) First names: Address:Post code:E-mail address:Confidential fax number:Home Telephone number:Mobile telephone number: Current Employment (if applicable) Name and address of current employer: Employers Telephone : Position held/main areas of responsibility:Current salary: Grade: How long have you been employed in this post?What period of notice are you required to give to your present employer? Reason for leaving (if appropriate) Previous Employment Starting with the most recent job list previous employment providing all the details requested. Include periods of unemployment Dates Employer Name /Address Post Salary Reason For Leaving  Other previous jobs and/or gaps in employment  Brief Statement of Application Please briefly state your reasons for applying for this post. Make sure that you read the enclosed Job Description before you complete this section. It is important that you attach to this application form a letter of application, more fully outlining your suitability for the post.  Education/Training & Development Please state qualifications obtained, together with dates, subjects etc. You may need to provide evidence of qualifications gained. Schools, College, Universities or Institutes Course Dates Qualifications List other relevant qualifications or courses attended, including membership and status of any relevant Professional or Technical Associations. Referees Please give the name and address of two referees (not relatives, friends or people with whom you live). If in employment quote your present and most recent employers, giving the name of your Manager. If short listed we may contact your referees before interview. We reserve the right to ask you for further referees if necessary. In addition to information on ability and performance we will be seeking information on recent sickness absence. 1.Line Managers Name and Position Held:Telephone number:Can we take up reference prior to interview? Yes% No %OrganisationConfidential fax number:Address:E-mail address:2.Line Manager s Name and Position Held:Telephone number:Can we take up reference prior to interview? Yes% No %OrganisationConfidential fax number:Address:E-mail address: Employment with Arts Educational Schools London Have you ever previously worked for Arts Educational Schools London Yes% No % If yes, please state: Post(s) held: Dates employed: Reason for leaving: Did you receive any redundancy payment or enhanced retirement benefit? Yes% No % Disability Discrimination Act 1995 Do you have any disabilities which may affect your application?:YesNo If yes please give details indicatingany adjustments which you feel should be made to the recruitment process to assist you in your application for this job;any adjustments which you feel should be made to the job itself which would enable you to carry out the job. Rehabilitation of Offenders Act 1974 If the post for which you are applying is based in a school or otherwise has substantial unsupervised access to children you will need to respond to statement (a) and read statement (b).  a. Rehabilitation of Offenders Act 1974 Because of the nature of the work for which you are applying this post is exempt from the provision of Section 4(2) of the Rehabilitation of Offenders Act 1974 by virtue of the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975. You are therefore required to state whether or not you have any convictions or criminal charges or summonses pending against you whether or not your conviction is regarded as spent. In the event of employment, any failure to disclose such convictions could result in dismissal or disciplinary action by the Authority. Any information given will be completely confidential and will be considered only in relation to an application for positions to which the order applies. b. Protection of Children: Disclosure of criminal background of those with access to children All posts based in establishments which deal exclusively or mainly with children and young people or posts involving work with children or young people are defined by the Criminal Justice and Court Services Act 2000 as Regulated Positions and the name of the successful candidate will be submitted to the Criminal Records Bureau for Disclosure of criminal conviction(s). This will include details of cautions, reprimands, final warnings, police enquiries and pending prosecutions as well as convictions. If your employer finds anything in that record which might be considered prejudicial to his/her working with children or young people then the appointment may not be confirmed. Have you ever been convicted of a criminal offence?YesNo If yes, please set out the details of the conviction(s) including dates below: For staff applying to work where they have unsupervised access to vulnerable adults or children, it is a requirement of our recruitment procedures that you disclose any pending prosecutions, cautions and bindover orders. Have you ever been cautioned, bound over or have any outstanding prosecutions? Yes% No % If yes, please give details including dates below:  Nationality Are you a UK or EU / EEA Citizen? Yes% No % If not, it is possible that you may not be eligible to work in the UK without a work permit / visa. Please indicate if you will require a work permit Yes% No % If  NO please indicate the basis on which are eligible to work in the UK  Prevention of Fraud This Charity is under a duty to protect the public funds it administers, and to this end may use the information you have provided in your application for the prevention and detection of fraud. It may also share this information with other bodies administering public funds solely for these purposes. I declare that the information on my form is correct and agree that they form part of the basis of my engagement and may be used for registered purposes under the Data Protection Act 1998. I authorise Arts Educational Schools London to check the information supplied. I understand that providing misleading or false information/qualifications will disqualify me from appointment or if appointed may lead to dismissal.  Signed: Date PLEASE RETURN THIS APPLICATION FORM TO: Carolyn Daniel, Human Resources, Arts Educational Schools London, Cone Ripman House, 14 Bath Road, Chiswick, London W4 1LY Telephone: 020 8987 6697 Website: www.artsed.co.uk The Arts Educational Schools London. A Company Limited by Guarantee and Registered in London No 712444. Registered Charity No 311087 Registered office: Cone Ripman House, 14 Bath Road, London W4 1LY Equal Opportunities in Employment Monitoring Form Note to applicants Arts Educational Schools London confirms its commitment to a comprehensive policy of equal opportunities. It aims to create the conditions whereby students and staff are treated solely on the basis of their merits, abilities and potential regardless of gender, ethnic or national origin, age, socio-economic background, disability, religious or political beliefs and affiliations, family circumstances, sexual orientation or other irrelevant distinction. 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