Teacher Application Form Page 9

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13. General Application Information
Tick which phases you are trained to teach:
Early Years
Key Stage 1
Key Stage 2
Key Stage 3
Key Stage 4
Post 16
Special
(Specify which key stage)
Main curriculum area:
(If applicable)
Subsidiary curriculum area:
(If applicable)
Other relevant areas of interest:
(If applicable)
14. Declarations
Canvassing will disqualify. Please state below if you are related to any member or staff or Governor of The
Academy.
Please state their name and position held:
I declare that all the information I have provided is true, that I have not canvassed a member/officer of The
Academy, directly or indirectly, in connection with this application and further, that I will not do so. I understand
that such canvassing will disqualify me as a candidate.
I further understand that failure to disclose any
relationship with a member/officer of The Academy or providing information which is untrue or omitting
information relevant to the application, will also disqualify me and that if such failure/untrue information is
discovered after appointment I may be liable to dismissal without notice. I agree that the information I give you in
connection with this application for employment may be stored and processed for the purpose of personnel
management.
Signed :
Date:
The information given in this form will form part of The Contract of Employment for successful candidates.
Under the terms of The Data Protection Act 1998 the information you give us will be kept confidential and
will be used only for the purpose of personnel management. We may contact other relevant organisations
to check factual information you have given in this application form. The information will be stored manually
and electronically and disposed of after 12 months (maximum) if your application is unsuccessful.
"WORKING TOWARDS EQUALITY FOR ALL"

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