Application Form

Position applied for*
Where did you hear about the role
Section 1: Personal details
Title
Name*
First Last
Email*
Former Name
Preferred Name
Teacher registration number (If Applicable)
National Insurance number:
Address
Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country
Home Phone
Work Phone
Mobile Phone
Are you eligible for employment in the UK?*
- Yes
- No
Please Provide Details
Do you have Qualified Teacher status?*
- Yes
- No
What is your reference Number?
Have you read the School's Child Protection/Safeguarding policy?*
- Yes
- No
Do you know, or are you related to, any employee of The Beacon School or member of any Beacon School committee (including Governors)?*
- Yes
- No
Please specify:

Section 2: Sanctions, restrictions and prohibitions
Have you ever been referred to, or are you the subject of a sanction, restriction or prohibition issued by, the Teaching Regulation Agency (previously known as the National College for Teaching and Leadership (NCTL)), any equivalent body in the UK or a regulator of the teaching profession in any other country?*
- Yes
- No
Have you ever been referred to the Department for Education, or are you the subject of a direction under section 128 of the Education and Skills Act 2008 which prohibits, disqualifies or restricts you from being involved in the management of an independent school?*
- Yes
- No
Have you ever been the subject of a direction under section 142 of the Education Act 2002?*
- Yes
- No
If answering "Yes" to any of the questions above please provide details

Section 3: Education
Name of institution
Date from
DD slash MM slash YYYY
Date to
DD slash MM slash YYYY
Examinations and qualifications
List each exam on its own line - subject, result, date and awarding body, for example - GCSE English, A*, 12/05/10, AQA
Name of institution
Date from
DD slash MM slash YYYY
Date to
DD slash MM slash YYYY
Examinations and qualifications
List each exam on its own line - subject, result, date and awarding body, for example - GCSE English, A*, 12/05/10, AQA
Name of institution
Date from
DD slash MM slash YYYY
Date to
DD slash MM slash YYYY
Examinations and qualifications
List each exam on its own line - subject, result, date and awarding body, for example - GCSE English, A*, 12/05/10, AQA
Additional Education
If the fields above were insufficient to list all your exams or qualifications please provide additional information here

Section 4: Other vocational qualifications, skills or training
Please provide details of any vocational qualifications or skills that you possess or training that you have received which you consider to be relevant to the role for which you have applied.
Section 5: Employment
Current / most recent employer
Current / most recent employer's address
Current / most recent job title
Date started*
DD slash MM slash YYYY
Date employment ended*
DD slash MM slash YYYY

(if applicable)
Remuneration*

Include basic salary and allowances.
Do you / did you receive any employee benefits?
- Yes
- No
If so, please provide details of these:
Reason for seeking other employment:
Please state when you would be available to take up employment if offered:

Section 6a: Previous employment and / or activities since leaving secondary education
This must be completed in full, explaining any gaps in Sections 6b and Section 7 as appropriate.
Date from*
DD slash MM slash YYYY
Date to*
DD slash MM slash YYYY
Name and address of employer
Position held and / or duties
Reason for leaving

Section 1: Personal details