Teaching Staff Application Form

Thank you for your interest in our vacancy. Please complete this form after you have considered the job description and person specification for the post. In this way we hope to receive all relevant information in support of your application. Please tick the appropriate answer boxes. All information supplied on this form is subject to the provisions of the Data Protection Act 1998 and will be treated in confidence

Note: Curriculum Vitae will NOT be accepted

Please use BLACK INK - To ease photocopying

When completed please return to: Bentley Wood High School, Bridges Road, Stanmore, Middlesex HA7 3NA or recruitment@bentleywood.harrow.sch.uk

Are you applying for your first teaching post as a Newly Qualified Teacher?

    Personal Details

    Are you required to hold a work permit?


    The Disability Discrimination Act defines a "disabled person" as a person with: “A physical or mental impairment which has a substantial or long term adverse effect on their ability to carry out normal day-to-day activities." The following questions on disability are to help us assess what action we might take to offer positive opportunities for employment for people with disabilities. They in no way attempt to preclude applications from people with disabilities.

    Do you have a disability?

    Equal Opportunities Monitoring Information

    We ask for your co-operation in providing the following information. The Academy monitors its recruitment process to assess the effectiveness of our Equal Opportunities Policy. The information given will be in strict confidence and will be used only in the monitoring exercise, which will help to achieve equality of opportunity in the Academy’s employment.

    I consider my ethnic origin to be:

    Teachers’ Pension

    If you are appointed to a post, full details will be sent to you.
    Note: As a teacher you will automatically pay into the TP Scheme unless you have completed a form to opt out.

    Do you contribute to the Teacher’s Pension Scheme?
    Have you opted out of TPS?
    Have you contributed to any other schemes?


    Any candidate who directly or indirectly canvasses an employee or Governor of the Academy will be disqualified.

    Are you related to an employee or Governor of the Academy?

    Educational Achievements and Training

    Are you available to teach FULL TIME
    or PART TIME?
    Please state the level and the date achieved
    Are you recognised by the Department for Education (DfE) as a qualified teacher in this country?
    Are you currently registered with the General Teaching Council?
    Have you passed the threshold?
    (Proof will be required)


    Have you started a period of induction/probation, as was required by the DfE until Sept 1992 and from Sept 1999?
    (Proof will be required)
    Have you successfully completed a period of Induction/probation as a qualified teacher in this country as required by the DfE until Sept.1992, and from Sept 1999?

    Qualifications gained from age 11 years.

    Do you hold a Catholic Certificate in Religious Studies?
    Are you currently undergoing a course of study?

    Membership of Professional Bodies/Institutes/Associations:

    Please list briefly any courses, seminars and in-service training with dates, from which you feel you have acquired skills or knowledge directly relevant to the post for which you are applying.

    Previous Experience/Career History

    Please enter full details including dates (Month/Year), addresses and details of part-time working. Failure to do so may delay an accurate salary assessment being made.

    1. Present or most recent Employment. If you are Newly Qualified please specify your teaching practices starting with your first. Please continue on a separate sheet if necessary.

    Previous Experience/Career History

    Other skills and experience

    Periods Unaccounted For

    Additional Information

    Appropriate to the post for which you are applying, relating to the job description and person specification.


    We do not take up references prior to short-listing. However it is our policy to contact all referees prior to interview. Please supply the names and addresses of two referees (not related to you). One should be your current or most recent employer if you are an experienced teacher. (Note if you are applying for your first teaching appointment one reference must be your Teacher Training Tutor and the second from a school where you have had teaching practice).


    Rehabilitation of Offenders Act (Exemptions) Order 1975

    Please give details of criminal convictions, cautions or bindovers. The post you are applying for is an exempted employment under the Rehabilitation of Offenders Act (Exemptions) Order 1975. You are required to declare to us, on the back of this form, any convictions, cautions or bindovers even if you consider them to be spent.

    Candidates are assured that information regarding convictions will not necessarily disqualify them from consideration. If at any point after completing this declaration, you are given a criminal conviction you must advise the Academy immediately. If you are appointed and are given a criminal conviction, you must tell your manager immediately.


    Providing false information or knowingly omitting or concealing any relevant fact about your eligibility for employment will result in your name being withdrawn from the list of candidates.

    If such a discovery is made after you have been appointed then you will be liable to be dismissed without notice.

    The Academy is under a duty to protect the public funds it administers, and to this end may use the information you have provided on this form for the prevention and detection of fraud. It may also share this information with other bodies administering public funds solely for these purposes.

    I hereby certify that all the information given by me on this form is correct to the best of my knowledge, that all the questions relating to me have been accurately and fully answered and that I possess all the qualifications which I claim to hold.