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APPLICATION FORM
King Edward VI Academy Trust in Birmingham is committed to safeguarding and promoting the welfare of children and young
people and expects all staff and volunteers to share this commitment. The successful applicant will be subject to an enhanced
DBS check. Please note, where a role involves engaging in regulated activity relevant to children, it is a criminal offence to
apply for the role if the applicant is barred from engaging in regulated activity relevant to children.

King Edward VI Academy Trust in Birmingham is committed to equal opportunities in employment and positively welcome your
application irrespective of your age, disability, gender reassignment, marriage and civil partnership, pregnancy and maternity,
race, religion or belief, sex, or sexual orientation.

Vacancy applied for:

Personal Details
Last Name
First Name
Title, (Mr, Mrs, Ms, Dr, etc.)
Previous Names
Contact Address
Home Telephone Number
Mobile Telephone Number
Work Telephone Number
Personal Email address (please indicate if you YES / NO
are happy to receive correspondence via email)
Are you eligible to work in the UK YES / NO (If NO please specify your circumstances). All successful applicants
will be required to provide evidence to their entitlement to work in the UK.

If you are a migrant worker, please state

whether you have settled or pre-settled status
National Insurance Number
Where did you learn about this vacancy?

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Education / Qualifications (Please start with secondary education)

Name of Dates Qualifications Obtained
School/College/University From To Title and Subject Class or Level Date

Professional Qualifications
Studied
Name of qualification Qualifications Obtained Date
From To

Training (Please list any courses that you have undertaken, which are relevant to the job and/or specified in the person
specification)
Dates
Brief description of course Organising body Qualifications gained
From To

Employment History – Current (Please detail all employment since leaving full time education)
Employer’s Name
Full Address
Type of Business
Job Title Salary/Scale £
Date Appointed Other Benefits
To whom you are Date of leaving or notice
responsible required
Brief outline of duties and reason for leaving

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Previous Employment
Employer’s Name
Full Address
Type of Business
Job Title
Date Appointed Date Left
Brief outline of duties and reason for leaving

Employer’s Name
Full Address
Type of Business
Job Title
Date Appointed Date Left
Brief outline of duties and reason for leaving

Employer’s Name
Full Address
Type of Business
Job Title
Date Appointed Date Left
Brief outline of duties and reason for leaving

Employer’s Name
Full Address
Type of Business
Job Title
Date Appointed Date Left
Brief outline of duties and reason for leaving

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Employer’s Name
Full Address
Type of Business
Job Title
Date Appointed Date Left
Brief outline of duties and reason for leaving

Employer’s Name
Full Address
Type of Business
Job Title
Date Appointed Date Left
Brief outline of duties and reason for leaving

Please continue your employment history on a separate sheet if necessary.

Breaks in Employment History

If you have had any breaks in employment since leaving school, give details of these periods and your activities during these
times, e.g., unemployment, raising family, voluntary work, training, long periods of sickness etc.

References
Please give the names, addresses and email of two employment referees who can be consulted regarding your professional
ability for the post. One of the referees must be your current or most recent employer. If not, we reserve the right to request
one. Reference requests will be made by email.

In relation to work with children, we will seek information about any past disciplinary issues relating to children and/or child
protection concerns you may have been subject to. If you have any concerns about this, please contact our HR Department on
0121 472 1147 to discuss the issue.

It is the candidate’s responsibility to ensure that referees are made aware that they will be contacted and of the timescales for
providing references. References will not be accepted from relatives or persons who only know you as a friend.
1 Name:
Title:

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Relationship to applicant:
Address:
Email:
Telephone number:
Can we contact the referee prior to interview? Yes No

2 Name:
Title:
Relationship to applicant:
Address:
Email:
Telephone number:
Can we contact the referee prior to interview? Yes No

Applicant Statement
Using the Job Description & Person Specification
 Please pick out those aspects of your experience or skills that are relevant to this post.
 Using examples, explain how your ability, skills and knowledge match those required for the appointment.
 Please consider experience in previous employment and also other interests outside work, such as at home, in the
community or through voluntary activities.
 Governors are particularly interested in your personal educational philosophy and how you would apply it to the
Foundation.
 Please keep your statement to 2 sides of A4, minimum font size 10.

Personal Statement

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DECLARATION
I hereby give my consent for King Edward VI Academy Trust in Birmingham and its appointed agents to process and retain on file
information (including recruitment monitoring) on this form and in accompanying documents. This is required for recruitment
purposes, the payment of staff and the prevention and detection of fraud. All information will be used for registered purposes
under the Data Protection Act.

The information supplied to you will be subject to verification and King Edward VI Academy Trust in Birmingham may contact
people and/or organisations to confirm some of the facts contained in your application, e.g., referees, previous employers,
educational establishments, examination bodies etc. King Edward VI Academy Trust in Birmingham may also obtain from or
provide information to third parties for the purposes of the detection and prevention of crime.

By signing this from you authorise us to verify any information you have given with third parties and you authorise them to
disclose your personal information to us.

The information on this form is true and correct and will be used as part of my contract of employment. I accept that any false
statement or omission may lead to the job being withdrawn or me being dismissed if appointed to the post.

Signature: Date:

WHERE TO RETURN YOUR COMPLETED APPLICATION FORM

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Thank you for showing an interest in King Edward VI Academy Trust in Birmingham, and for taking the time to complete this
application form. Please take the time to check that you have completed all sections.

Please email your application and recruitment monitoring form to: [email protected]

Or post to: FAO A. Ashraf, King Edward VI Camp Hill School for Girls, Vicarage Road, Kings Heath, Birmingham B14 7NB