APPLICATION FOR EMPLOYMENT AT ABRAHAM MOSS COMMUNITY SCHOOL WORKING TOWARDS EQUAL OPPORTUNITIES Office use only Candidate Reference Number…………………… ...……. CONFIDENTIAL Dear Applicant Thank you for the interest you have shown in working for Abraham Moss Community School. Please note that employment with the school depends on a Disclosure and Barring Service Clearance being sought, your entitlement to work in the UK and on receipt of satisfactory references. Please read the guidance notes. Then fill in the application form in black ink or type, as we may need to photocopy it. We only contact people who are invited for interview. So, if you haven’t heard from us within 4 weeks either by e-mail or letter after the closing date for applications, please accept that you have not been short listed and will not be asked for interview. Manchester Council operates an interview guarantee scheme for disabled applicants. This means that we guarantee that all disabled people who meet the essential criteria for a post will be guaranteed an interview. Job appointment will be on merit. Yours sincerely Miss Gillian Houghton - Headteacher SECTION A 1. Post Details Post applied for: Location/Administration Centre: Abraham Moss Community School Closing Date: Please return your completed application form to: d.sawczuk@abrahammoss.manchester.sch.uk or by post FAO Mrs Debra Sawczuk Administrator Abraham Moss Community School Crescent Road Crumpsall Manchester M8 5UF 2. Personal Details Title ….…………….. Surname (block capitals) ……………………………………………………………………… Forenames …………………………………………………………………………………………………………………… ……. DOB ………………………………………………………………… NI No. ……….. …………………………………………… Address …………………………………………………………………………………………………………………… …………. Telephone Numbers: ……………………................. Home ….. ………………………………………………… Post Code ………………………………………………………. Work …………………… Mobile…………………… E-mail address: ……………………………………………………………………………………………………………………………. POST TITLE: DATA AND ASSESSMENT OFFICER Candidate Reference Number…………………… 3. References Please supply the name of two referees who can comment on your suitability for this position. One should be your current or most recent employer. If you have not been employed recently refer to the guidance notes. You may choose your second referee, but they must not be a relative or partner (including same sex partner) or an Elected Member. If you are an internal candidate, one of your referees should be the Director of your Department/Service. If you are shortlisted your referees will be contacted. Please tick the box if you do not wish your referee to be contacted without prior consent Name ………………………………………… Address ……………………………………… ………. …………. Job Title ………………………………………… ……………………………………… ………. …………. E-mail ………………………………………… ……………………………………… ………. …………. Tel. No ………………………………………… ……………………………………… ………. …………. Business/Character Ref?  ………… .. Please tick the box if you do not wish your referee to be contacted without prior consent  Name ………………………………………… Address ……………………………………… ………. ………… Job Title ………………………………………… ………. ……………………………………… ………… E-mail ………………………………………… ………. ……………………………………… ………… Tel. No. ………………………………………… ………. ……………………………………… ………… Business/Character Ref? ………… .. How did you find out about this job? (eg name of the newspaper, website)…………………… Declaration: I declare that to the best of my knowledge the information contained in Section A and B of this application form are true and correct and I have noted and understood Note 8 in Section B headed General Information. I understand that if it is found that I have deliberately given false or misleading information I will, if appointed, be subject to a disciplinary hearing which may lead to my dismissal without notice. Name: ……………………………………………………………… Signature:……………………………. Date: ………. POST TITLE: DATA AND ASSESSMENT OFFICER Candidate Reference Number…………………… SECTION B (Employment & Education) PRESENT EMPLOYMENT Name & Address of present employer: Name and address of establishment at which employed: Date of Appointment Present Post Scale Point Annual Salary Responsibility or other allowance Brief description of duties: PREVIOUS EMPLOYMENT (most recent first and exact dates) EMPLOYER (If employed by an LEA, give LEA and school) Post Grade / Scale Full or part time (if PT give hours) Continue on a separate sheet if necessary EDUCATION AND TRAINING Secondary Education Date From: D M Y To: D M Y Reason for change POST TITLE: DATA AND ASSESSMEN