Tutor Application Form

First Name*

Surname*

Preferred Title*

Previous Surname(S)*

Known by any other name?*

Date of Birth *

Email*

Home Phone Number*

Work Phone Number

Address*

Town*

County

Postcode*

QTS Number*

NI Number*

DBS Number*

DBS Date*

Set up a new User Name*

Set up a new Password*

Confirm Password*

Captcha *

Type the text displayed above

Disclaimer

Safer Recruitment Procedures

It is an offence to apply for this post if you are barred from engaging in regulated activity relevant to children. It is a condition of employment that the tutor should not have been convicted of any criminal offence against children, nor have been dismissed from or resigned from a previous employment for misconduct of a similar nature.

Data Protection Act

Information from this form will be processed in accordance with the Data Protection Act 1998. In signing it you agree to this data being held and processed and if appointed to the job you also agree to further personal information, including sensitive data (e.g. bank details, medicals, etc) being held and processed by Your Community Schools Limited in accordance with the Act.

Please let your referees know that you have quoted them as a referee and to expect a request for a reference

Have you been previously employed?*

Yes No

Professional Reference 1

Name*

Job Title*

Name of Institution*

Business Phone Number*

Email*

Professional Reference 2

Name*

Job Title*

Name of Institution*

Business Phone Number*

Email*

General Reference 1

Name*

Relationship to the applicant*

Phone Number*

Email*

Qualification*

Personal Statement*

Please write a brief statement of your personal qualities and experience that you believe will be relevant to your application to become a Community Schools tutor.

Have you any unspent convictions*

Have you any spent or unspent convictions? If so please give details. If yes you will be required to complete a separate self-declaration form. If between the completion of this application form and taking up a job with the Community Schools you are convicted of a criminal offence you must inform the Community Schools of this.

General Teaching Council*

Have you been referred to the GTC on misconduct grounds and/or are subject to a reprimand and/or a conditional registration order?

Yes No

Disclosure and Barring Service

Successful applicants will be asked to provide their recent Disclosure and Barring Service with children’s barred list check certificate. They will also be asked to provide their update DBS service details. If this is not possible then the they will have to apply for a new DBS enhanced with children’s barred list check (the Community Schools will contribute towards the cost ) and then sign themselves up for the update service.

I certify that the details on this application form and any supplementary information attached are true as far as I know. I understand that if I give false information or withhold relevant information, it could result in my dismissal.

Signed*

Date*

Tutor Application Form

Personal Details

Disclaimer

Employment history & Professional references

Professional Reference 1

Professional Reference 2

General Reference 1

General Reference 2

Educational Qualifications

Personal Statement

Tutor Information

Terms & Conditions

Disclosure and Barring Service

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