Teacher Application Form
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9Teacher Application Form
If you need a copy of this information in large print,
Braille, another language or on cassette, please ask us.
Application for
the Post of:
1. Personal Information
Previous Name(s): (if applicable)
Last Name
First Name(s):
Home Address:
,
Please specify alternative
correspondence address on
a separate sheet.
Postcode:
E-mail address:
National Insurance Number (If you have one):
Date of Birth:
Do you have a full current
Home Telephone
Yes
No
driving licence?
Number:
Do you have daily use of
Work Telephone
Yes
No
a vehicle?
Number:
Do you have any penalty points
Mobile Telephone
Yes
No
on your licence?
Number:
If so, how many?
Do you consider yourself to have a disability?
Yes
No
(NB: The Disability Discrimination Act defines a person as having a disability if he/she “has a physical or
mental impairment which has a substantial and long-term adverse effect on his or her ability to carry out
normal day to day activities”)
The Academy operates an “interview Guarantee Scheme” for people with a disability and who meet the
essential criteria of the post.
If you have a disability, are there any arrangements which we can make for you if
Yes
No
you are called for interview?
If Yes, please outline your requirements:
How did you find out about this job?
Are you applying on a job share basis?
Yes
No
If so, please state the proportion of full-time you are willing to work:
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