JCoSS Form Test (Non-Teaching)

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Form Test (Non-Teaching)

Application Form (Non-Teaching)

Please complete this form as fully as possible. We recommend using a PC and not a Mac due to technical issues. If you do not complete all sections, we may be unable to consider your application. If you wish to save the form so as to return to it later, please scroll right to the bottom and click ‘Save and Continue’. Once you are happy with your application, please click the ‘Submit’ button, which will trigger an automatic email to let you know we have received it. IMPORTANT – Due to current technical issues, please email lsamuels@jcoss.barnet.sch.uk once you have submitted your application form so that we know that you have applied for a role.
Personal Details

Role you are applying for*
Title:*
First Names:*
Surname:*
DoB:*
DD slash MM slash YYYY
Address:*
Post Code:*
Email:*
Home Tel:
Mobile:
National Insurance no:
Do you require permission to live and work in the UK?*
- Yes
- No
Do you require employer sponsorship to work in the UK?*
- Yes
- No
If you have temporary permission, when does this expire?
DD slash MM slash YYYY
When could you start employment at JCoSS if appointed?*
How did you hear about the post?*
Chronological Summary

For ‘Safer Recruitment’ reasons, we require a complete chronological account of your history from the start of Secondary School. Include all education and employment and accounting for any time spent in unemployment, extended travelling or childcare etc. Further details will be required further down the form.*
Description Institution/Employer/Other Reason or activity Start Date (month) Start Date (year) End Date (month) End Date (year)

Use the + button to add additional activities
Employment

Employment History
Employer:
Job title and nature of role:
Nature of business:
Date Started:
DD slash MM slash YYYY
Date Ended:
DD slash MM slash YYYY
Address:
Reason for leaving:
Salary on leaving:
confirm employment 1
- Please confirm this is your full additional employment history
Additional Employment Positions 1
OR
- Add Another Employment Position
This field is hidden when viewing the form
Section Break
Employer:
Job title and nature of role:
Nature of business:
Date Started:
DD slash MM slash YYYY
Date Ended:
DD slash MM slash YYYY
Address:
Reason for leaving:
Salary on leaving:
confirm employment 2
- Please confirm this is your full additional employment history
Additional Employment Positions 2
OR
- Add Another Employment Position
This field is hidden when viewing the form
Section Break
Employer:
Job title and nature of role:
Nature of business:
Date Started:
DD slash MM slash YYYY
Date Ended:
DD slash MM slash YYYY
Address:
Reason for leaving:
Salary on leaving:
confirm employment 3
- Please confirm this is your full additional employment history
Additional Employment Positions 3
OR
- Add Another Employment Position
This field is hidden when viewing the form
Section Break
Employer:
Job title and nature of role:
Nature of business:
Date Started:
DD slash MM slash YYYY
Date Ended:
DD slash MM slash YYYY
Address:
Reason for leaving:
Salary on leaving:
confirm employment 4
- Please confirm this is your full additional employment history
Additional Employment Positions 4
OR
- Add Another Employment Position
This field is hidden when viewing the form
Section Break
Employer:
Job title and nature of role:
Nature of business:
Date Started:
DD slash MM slash YYYY
Date Ended:
DD slash MM slash YYYY
Address:
Reason for leaving:
Salary on leaving:
confirm employment 5
- Please confirm this is your full additional employment history
Additional Employment Positions 5
OR
- Add Another Employment Position
This field is hidden when viewing the form
Section Break
Employer:
Job title and nature of role:
Nature of business:
Date Started:
DD slash MM slash YYYY
Date Ended:
DD slash MM slash YYYY
Address:
Reason for leaving:
Salary on leaving:
confirm employment 6
- Please confirm this is your full additional employment history
Additional Employment Positions 6
OR
- Add Another Employment Position
This field is hidden when viewing the form
Section Break
Employer:
Job title and nature of role:
Nature of business:
Date Started:
DD slash MM slash YYYY
Date Ended:
DD slash MM slash YYYY
Address:
Reason for leaving:
Salary on leaving:
confirm employment 7
- Please confirm this is your full additional employment history
Additional Employment Positions 7
OR
- Add Another Employment Position
This field is hidden when viewing the form
Section Break
Employer:
Job title and nature of role:
Nature of business:
Date Started:
DD slash MM slash YYYY
Date Ended:
DD slash MM slash YYYY
Address:
Reason for leaving:
Salary on leaving:
confirm employment 8
- Please confirm this is your full additional employment history
Additional Employment Positions 8
OR
- Add Another Employment Position
This field is hidden when viewing the form
Section Break
Employer:
Job title and nature of role:
Nature of business:
Date Started:
DD slash MM slash YYYY
Date Ended:
DD slash MM slash YYYY
Address:
Reason for leaving:
Salary on leaving:
confirm employment 9
- Please confirm this is your full additional employment history
Additional Employment Positions 9
OR
- Add Another Employment Position
This field is hidden when viewing the form
Section Break
Employer:
Job title and nature of role:
Nature of business:
Date Started:
DD slash MM slash YYYY
Date Ended:
DD slash MM slash YYYY
Address:
Reason for leaving:
Salary on leaving:
confirm employment 10
- Please confirm this is your full additional employment history
Additional Employment Positions 10
OR
- Add Another Employment Position
This field is hidden when viewing the form
Section Break
Employer:
Job title and nature of role:
Nature of business:
Date Started:
DD slash MM slash YYYY
Date Ended:
DD slash MM slash YYYY
Address:
Reason for leaving:
Salary on leaving:
confirm employment 11
- Please confirm this is your full additional employment history
Additional Employment Positions 11
OR
- Add Another Employment Position
This field is hidden when viewing the form
Section Break
Employer:
Job title and nature of role:
Nature of business:
Date Started:
DD slash MM slash YYYY
Date Ended:
DD slash MM slash YYYY
Address:
Reason for leaving:
Salary on leaving:
confirm employment 12
- Please confirm this is your full additional employment history
Additional Employment Positions 12
OR
- Add Another Employment Position
This field is hidden when viewing the form
Section Break
Employer:
Job title and nature of role:
Nature of business:
Date Started:
DD slash MM slash YYYY
Date Ended:
DD slash MM slash YYYY
Address:
Reason for leaving:
Salary on leaving:
confirm employment 13
- Please confirm this is your full additional employment history
Additional Employment Positions 13
OR
- Add Another Employment Position
This field is hidden when viewing the form
Section Break
Employer:
Job title and nature of role:
Nature of business:
Date Started:
DD slash MM slash YYYY
Date Ended:
DD slash MM slash YYYY
Address:
Reason for leaving:
Salary on leaving:
confirm employment 14
- Please confirm this is your full additional employment history
Additional Employment Positions 14
OR
- Add Another Employment Position
This field is hidden when viewing the form
Section Break
Employer:
Job title and nature of role:
Nature of business:
Date Started:
DD slash MM slash YYYY
Date Ended:
DD slash MM slash YYYY
Address:
Reason for leaving:
Salary on leaving:
confirm employment 15
- Please confirm this is your full additional employment history
Additional Employment Positions 15
OR
- Add Another Employment Position
This field is hidden when viewing the form
Section Break
Employer:
Job title and nature of role:
Nature of business:
Date Started:
DD slash MM slash YYYY
Date Ended:
DD slash MM slash YYYY
Address:
Reason for leaving:
Salary on leaving:
confirm employment 16
- Please confirm this is your full additional employment history
Additional Employment Positions 16
OR
- Add Another Employment Position
This field is hidden when viewing the form
Section Break
Employer:
Job title and nature of role:
Nature of business:
Date Started:
DD slash MM slash YYYY
Date Ended:
DD slash MM slash YYYY
Address:
Reason for leaving:
Salary on leaving:
confirm employment 17
- Please confirm this is your full additional employment history
Additional Employment Positions 17
OR
- Add Another Employment Position
This field is hidden when viewing the form
Section Break
Employer:
Job title and nature of role:
Nature of business:
Date Started:
DD slash MM slash YYYY
Date Ended:
DD slash MM slash YYYY
Address:
Reason for leaving:
Salary on leaving:
confirm employment 18
- Please confirm this is your full additional employment history
Additional Employment Positions 18
OR
- Add Another Employment Position
This field is hidden when viewing the form
Section Break
Employer:
Job title and nature of role:
Nature of business:
Date Started:
DD slash MM slash YYYY
Date Ended:
DD slash MM slash YYYY
Address:
Reason for leaving:
Salary on leaving:
confirm employment 19
- Please confirm this is your full additional employment history
Additional Employment Positions 19
OR
- Add Another Employment Position
This field is hidden when viewing the form
Section Break
Employer:
Job title and nature of role:
Nature of business:
Date Started:
DD slash MM slash YYYY
Date Ended:
DD slash MM slash YYYY
Address:
Reason for leaving:
Salary on leaving:
confirm employment 20
- Please confirm this is your full additional employment history
Additional Employment Positions 20
OR
- Add Another Employment Position
This field is hidden when viewing the form
Section Break
Employer:
Job title and nature of role:
Nature of business:
Date Started:
DD slash MM slash YYYY
Date Ended:
DD slash MM slash YYYY
Address:
Reason for leaving:
Salary on leaving:
confirm employment 21
- Please confirm this is your full additional employment history
Additional Employment Positions 21
OR
- Add Another Employment Position
This field is hidden when viewing the form
Section Break
Employer:
Job title and nature of role:
Nature of business:
Date Started:
DD slash MM slash YYYY
Date Ended:
DD slash MM slash YYYY
Address:
Reason for leaving:
Salary on leaving:
confirm employment 22
- Please confirm this is your full additional employment history
Additional Employment Positions 22
OR
- Add Another Employment Position
This field is hidden when viewing the form
Section Break
Employer:
Job title and nature of role:
Nature of business:
Date Started:
DD slash MM slash YYYY
Date Ended:
DD slash MM slash YYYY
Address:
Reason for leaving:
Salary on leaving:
confirm employment 23
- Please confirm this is your full additional employment history
Additional Employment Positions 23
OR
- Add Another Employment Position
This field is hidden when viewing the form
Section Break
Employer:
Job title and nature of role:
Nature of business:
Date Started:
DD slash MM slash YYYY
Date Ended:
DD slash MM slash YYYY
Address:
Reason for leaving:
Salary on leaving:
confirm employment 24
- Please confirm this is your full additional employment history
Additional Employment Positions 24
OR
- Add Another Employment Position
This field is hidden when viewing the form
Section Break
Employer:
Job title and nature of role:
Nature of business:
Date Started:
DD slash MM slash YYYY
Date Ended:
DD slash MM slash YYYY
Address:
Reason for leaving:
Salary on leaving:
confirm employment 25
- Please confirm this is your full additional employment history
Additional Employment Positions 25
OR
- Add Another Employment Position
This field is hidden when viewing the form
Section Break
Employer:
Job title and nature of role:
Nature of business:
Date Started:
DD slash MM slash YYYY
Date Ended:
DD slash MM slash YYYY
Address:
Reason for leaving:
Salary on leaving:
confirm employment 26
- Please confirm this is your full additional employment history
Additional Employment Positions 26
OR
- Add Another Employment Position
This field is hidden when viewing the form
Section Break
Employer:
Job title and nature of role:
Nature of business:
Date Started:
DD slash MM slash YYYY
Date Ended:
DD slash MM slash YYYY
Address:
Reason for leaving:
Salary on leaving:
confirm employment 27
- Please confirm this is your full additional employment history
Additional Employment Positions 27
OR
- Add Another Employment Position
This field is hidden when viewing the form
Section Break
Employer:
Job title and nature of role:
Nature of business:
Date Started:
DD slash MM slash YYYY
Date Ended:
DD slash MM slash YYYY
Address:
Reason for leaving:
Salary on leaving:
confirm employment 28
- Please confirm this is your full additional employment history
Additional Employment Positions 28
OR
- Add Another Employment Position
This field is hidden when viewing the form
Section Break
Employer:
Job title and nature of role:
Nature of business:
Date Started:
DD slash MM slash YYYY
Date Ended:
DD slash MM slash YYYY
Address:
Reason for leaving:
Salary on leaving:
confirm employment 29
- Please confirm this is your full additional employment history
Additional Employment Positions 29
OR
- Add Another Employment Position
This field is hidden when viewing the form
Section Break
Employer:
Job title and nature of role:
Nature of business:
Date Started:
DD slash MM slash YYYY
Date Ended:
DD slash MM slash YYYY
Address:
Reason for leaving:
Salary on leaving:
confirm employment 30
- Please confirm this is your full additional employment history
This field is hidden when viewing the form
Education

SECONDARY EDUCATION
School:
Location:
Date Started:
DD slash MM slash YYYY
Date Ended:
DD slash MM slash YYYY
Use the + button to add additional qualifications
Qualification Type: Subject: (one per line) Grade/Result: Year:

Use the + button to add additional qualifications
confirm school 1
- Please confirm this is your full Secondary School history
Additional Schools Attended 1
OR
- Add Another School
This field is hidden when viewing the form
Section Break
School:
Location:
Date Started:
DD slash MM slash YYYY
Date Ended:
DD slash MM slash YYYY
Use the + button to add additional qualifications
Qualification Type: Subject: (one per line) Grade/Result: Year:

Use the + button to add additional qualifications
confirm school 2
- Please confirm this is your full Secondary School history
Additional Schools Attended 2
OR
- Add Another School
This field is hidden when viewing the form
Section Break
School:
Location:
Date Started:
DD slash MM slash YYYY
Date Ended:
DD slash MM slash YYYY
Use the + button to add additional qualifications
Qualification Type: Subject: (one per line) Grade/Result: Year:

Use the + button to add additional qualifications
confirm school 3
- Please confirm this is your full Secondary School history
Additional Schools Attended 3
OR
- Add Another School
This field is hidden when viewing the form
Section Break
School:
Location:
Date Started:
DD slash MM slash YYYY
Date Ended:
DD slash MM slash YYYY
Use the + button to add additional qualifications
Qualification Type: Subject: (one per line) Grade/Result: Year:

Use the + button to add additional qualifications
confirm school 4
- Please confirm this is your full Secondary School history
Additional Schools Attended 4
OR
- Add Another School
This field is hidden when viewing the form
Section Break
School:
Location:
Date Started:
DD slash MM slash YYYY
Date Ended:
DD slash MM slash YYYY
Use the + button to add additional qualifications
Qualification Type: Subject: (one per line) Grade/Result: Year:

Use the + button to add additional qualifications
confirm school 5
- Please confirm this is your full Secondary School history
HIGHER OR FURTHER EDUCATION
University or College:
Location:
Date Started:
DD slash MM slash YYYY
Date Ended:
DD slash MM slash YYYY
Full/Part Time:
- Full Time
- Part Time
Use the + button to add additional qualifications
Qualification Type: Subject: (one per line) Grade/Result: Year:

Use the + button to add additional qualifications
confirm higher education 1
- Please confirm this is your full higher education history
Additional Universities/Colleges 1
OR
- Add Another University/College
This field is hidden when viewing the form
Section Break
University or College:
Location:
Date Started:
DD slash MM slash YYYY
Date Ended:
DD slash MM slash YYYY
Full/Part Time:
- Full Time
- Part Time
Use the + button to add additional qualifications
Qualification Type: Subject: (one per line) Grade/Result: Year:

Use the + button to add additional qualifications
confirm higher education 2
- Please confirm this is your full higher education history
Additional Universities/Colleges 2
OR
- Add Another University/College
This field is hidden when viewing the form
Section Break
University or College:
Location:
Date Started:
DD slash MM slash YYYY
Date Ended:
DD slash MM slash YYYY
Full/Part Time:
- Full Time
- Part Time
Use the + button to add additional qualifications
Qualification Type: Subject: (one per line) Grade/Result: Year:

Use the + button to add additional qualifications
confirm higher education 3
- Please confirm this is your full higher education history
Additional Universities/Colleges 3
OR
- Add Another University/College
This field is hidden when viewing the form
Section Break
University or College:
Location:
Date Started:
DD slash MM slash YYYY
Date Ended:
DD slash MM slash YYYY
Full/Part Time:
- Full Time
- Part Time
Use the + button to add additional qualifications
Qualification Type: Subject: (one per line) Grade/Result: Year:

Use the + button to add additional qualifications
confirm higher education 4
- Please confirm this is your full higher education history
Additional Universities/Colleges 4
OR
- Add Another University/College
This field is hidden when viewing the form
Section Break
University or College:
Location:
Date Started:
DD slash MM slash YYYY
Date Ended:
DD slash MM slash YYYY
Full/Part Time:
- Full Time
- Part Time
Use the + button to add additional qualifications
Qualification Type: Subject: (one per line) Grade/Result: Year:

Use the + button to add additional qualifications
confirm higher education 5
- Please confirm this is your full higher education history
PROFESSIONAL OR OTHER QUALIFICATIONS
Institution:
Location:
Date Started:
DD slash MM slash YYYY
Date Ended:
DD slash MM slash YYYY
Full/Part Time:
- Full Time
- Part Time
Use the + button to add additional qualifications
Qualification Type: Subject: (one per line) Grade/Result: Year:

Use the + button to add additional qualifications
confirm pro qualifications 1
- Please confirm this is your full professional qualifications history
Additional Pro Qualifications 1
OR
- Add Another Institution
This field is hidden when viewing the form
Section Break
Institution:
Location:
Date Started:
DD slash MM slash YYYY
Date Ended:
DD slash MM slash YYYY
Full/Part Time:
- Full Time
- Part Time
Use the + button to add additional qualifications
Qualification Type: Subject: (one per line) Grade/Result: Year:

Use the + button to add additional qualifications
confirm pro qualifications 2
- Please confirm this is your full professional qualifications history
Additional Pro Qualifications 2
OR
- Add Another Institution
This field is hidden when viewing the form
Section Break
Institution:
Location:
Date Started:
DD slash MM slash YYYY
Date Ended:
DD slash MM slash YYYY
Full/Part Time:
- Full Time
- Part Time
Use the + button to add additional qualifications
Qualification Type: Subject: (one per line) Grade/Result: Year:

Use the + button to add additional qualifications
confirm pro qualifications 3
- Please confirm this is your full professional qualifications history
Additional Pro Qualifications 3
OR
- Add Another Institution
This field is hidden when viewing the form
Section Break
Institution:
Location:
Date Started:
DD slash MM slash YYYY
Date Ended:
DD slash MM slash YYYY
Full/Part Time:
- Full Time
- Part Time
Use the + button to add additional qualifications
Qualification Type: Subject: (one per line) Grade/Result: Year:

Use the + button to add additional qualifications
confirm pro qualifications 4
- Please confirm this is your full professional qualifications history
Additional Pro Qualifications 4
OR
- Add Another Institution
This field is hidden when viewing the form
Section Break
Institution:
Location:
Date Started:
DD slash MM slash YYYY
Date Ended:
DD slash MM slash YYYY
Full/Part Time:
- Full Time
- Part Time
Use the + button to add additional qualifications
Qualification Type: Subject: (one per line) Grade/Result: Year:

Use the + button to add additional qualifications
confirm pro qualifications 5
- Please confirm this is your full professional qualifications history
Training Courses or Professional Development in the last 3 years
Use the + button to add additional courses
Provider: Course Title: Year:

Use the + button to add additional courses
Supporting Statement

FORMAL STATEMENT IN SUPPORT OF YOUR APPLICATION*
This should refer specifically to the requirements of the job description and person specification
References

Please list referees who can comment on your skills and abilities to carry out the duties of the post for which you are applying. In an educational setting this should be the Headteacher or Principal of the organisation. One of these must be your current or last employer. (NB. If you are not currently working with children but have done so in the past, the second referee should be the employer by whom you were most recently employed in work with children). You should be aware that referees will be asked about disciplinary/capability investigations or warnings, as well as any in which the penalty is time expired, if they relate to child protection issues. (They will not, however, be asked to provide information on allegations that were proven to be unsubstantiated, unfounded or malicious)
Referee 1
Name:*
Position:*
In what capacity do you know this person?*
Address (including postcode):*
Tel No:*
Email:*
Reference will be followed up prior to interview unless you tick NO
- No
Referee 2
Name:*
Position:*
In what capacity do you know this person?*
Address (including postcode):*
Tel No:*
Email:*
Reference will be followed up prior to interview unless you tick NO
- No
Declarations

Disclosure of Personal Relationships and Financial Interests
All applicants are required to declare personal relationships with existing members of school staff or the Governing Body. Any financial interests that applicants may have in contracts with the school must be declared. Canvassing members of the Governing Body directly or indirectly will automatically disqualify the applicant.
Are you related to any member of the school staff or Governing Body*
- Yes
- No
If yes, please state their name and your relationship with them:*
Relationship
Do you have any financial interest arising out of a contract with the school?*
- Yes
- No
If yes, specify the contract details:*
Declaration of criminal offences
All applicants MUST complete this section even if they have no criminal record. If this section is incomplete or blank your application will not be considered.

If you are appointed, you will be required to complete a disclosure application that will be sent to the DBS. The DBS will provide a report to you and to the local authority on whether you have any history of criminal convictions, including cautions and bind-overs. All posts in schools are exempt from the Rehabilitation of Offenders Act 1974; this means that you must declare all convictions, including those that would generally be regarded as ‘spent’. The existence of a criminal background does not automatically mean that you cannot be appointed but it may do so. If you have no convictions please write "NONE". You must declare any pending convictions below and indicate that they are pending in the column headed "Place & date of judgment", or provide any information about criminal records in a separate sealed envelope marked 'Confidential-Disclosure' addressed to the Head teacher. All information given will be treated in the strictest confidence and will be used for this job application only.
Use the + button to add additional offences*
Nature of offence(s) Details of offence(s) Place & date of judgment(s) Sentence(s)

Use the + button to add additional offences
Asylum and Immigration Act 1996
In accordance with this Act, the successful applicant will be required to provide original documentary evidence that they are legally entitled to live and work in the United Kingdom.
Please confirm whether or not you can provide this information:*
- Yes
- No
Declaration of Accuracy*
- Agree
By ticking this, I certify that, to the best of my knowledge, the information on this form is true and accurate. I understand that if the information I have supplied is false, incomplete or misleading in any way it will automatically disqualify me from appointment or may render me liable to instant dismissal without notice. You will be asked to sign a hard copy of this form if called for interview.
This field is hidden when viewing the form
Section Break

DATA PROTECTION ACT
This 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 for the purpose of personnel management and employment. We may contact other relevant organisations to check factual information you have given in this application form. The information will be stored on computer or other relevant filing systems.

Description	Institution/Employer/Other Reason or activity	Start Date (month)	Start Date (year)	End Date (month)	End Date (year)

Qualification Type:	Subject: (one per line)	Grade/Result:	Year:

Qualification Type:	Subject: (one per line)	Grade/Result:	Year:

Qualification Type:	Subject: (one per line)	Grade/Result:	Year:

Application Form (Non-Teaching)

Personal Details

Chronological Summary

Employment

Employment History

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Education

SECONDARY EDUCATION

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HIGHER OR FURTHER EDUCATION

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PROFESSIONAL OR OTHER QUALIFICATIONS

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Training Courses or Professional Development in the last 3 years

Supporting Statement

References

Referee 1

Referee 2

Declarations

Disclosure of Personal Relationships and Financial Interests

Declaration of criminal offences

Asylum and Immigration Act 1996

Section Break

DATA PROTECTION ACT