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Cover Supervisor, 36hrs per week, term-time only Fixed term contract from 1 st September 2017 Salary £16,983 - £20,487 subject to qualifications and experience We are seeking to appoint a diligent and dynamic Cover Supervisor on a fixed term contract to work closely with teachers to support teaching and learning at Senior School. The successful applicant with have excellent administration and inter-personal skills. A teaching qualification would be desirable but is not essential. We offer: First class facilities Discounted fees for children of staff Excellent ICT support Competitive salary and benefits A friendly, supportive working environment A professional development programme and support from within our network of 26 schools Well motivated and academically selected pupils Closing date: noon 7 th June 2017 We are committed to the safeguarding of children, and child protection screening will apply to this post. Please visit our school website www.newcastlehigh.gdst.net/vacancies/ to download an information pack or contact Nicola Bardett at [email protected] Newcastle High School for girls Tankerville Terrace Newcastle upon Tyne NE2 3BA Telephone: 0191 201 6568 Email: [email protected] Website: www.newcastlehigh.gdst.net Registered Charity No. 306983

Cover Supervisor, 36hrs per week, term-time only We offer: … · Cover Supervisor, 36hrs per week, term-time only Fixed term contract from 1st September 2017 Salary £16,983 - £20,487

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Cover Supervisor, 36hrs per week, term-time only

Fixed term contract from 1st September 2017

Salary £16,983 - £20,487 subject to qualifications and experience

We are seeking to appoint a diligent and dynamic Cover Supervisor on a fixed term contract

to work closely with teachers to support teaching and learning at Senior School. The successful

applicant with have excellent administration and inter-personal skills. A teaching qualification

would be desirable but is not essential.

We offer:

First class facilities

Discounted fees for children of staff

Excellent ICT support

Competitive salary and benefits

A friendly, supportive working environment

A professional development programme and support from within our network of 26 schools

Well motivated and academically selected pupils

Closing date: noon 7th June 2017

We are committed to the safeguarding of children, and child protection screening will apply to

this post.

Please visit our school website www.newcastlehigh.gdst.net/vacancies/ to download an

information pack or contact Nicola Bardett at [email protected]

Newcastle High School for girls

Tankerville Terrace

Newcastle upon Tyne

NE2 3BA

Telephone: 0191 201 6568

Email: [email protected]

Website: www.newcastlehigh.gdst.net

Registered Charity No. 306983

Part of the

GDST network

www.gdst.net

GDST Schools

Where girls can

Company Registered in England No.6400

Registered Charity No. 306983

Registered Office: 100 Rochester Row,

London SW1P 1JP

Senior School

Tankerville Terrace, Jesmond, Newcastle upon Tyne NE2 3BA

T 0191 2811768

Junior School

Chapman House, Sandyford Newcastle upon Tyne NE2 1TA

T 0191 2851956

www.newcastlehigh.gdst.net

Dear Applicant

Cover Supervisor

Thank you for your interest in the post of Cover Supervisor at Newcastle High School for Girls. I hope

that the information included in this application pack will help you to decide to apply for the post.

Newcastle High School for Girls is a great community in which to work. The Senior and Junior Schools

work closely together and are located near to each other just to the North of the City Centre. The school

has a well-deserved reputation as a leader in education, a dynamic place where bright, lively girls are

engaged in a wide range of activities and experiences. Our academic achievement is exceptional

and, by the time they leave us, they are justifiably self-confident and ready to move into the adult world

as interested and interesting young women.

Our staff, teaching and support, are highly valued and we look after them. There is a full programme of

induction and ongoing training opportunities. Staff are committed to the well-being and development of

the girls and work in small and large teams enjoying their roles as part of our school community. We try

t

school life. We all work hard, but we have fun, too.

nts

and over 4,000 staff at its schools throughout England and Wales, educating more girls than any other

independent sector organisation in the UK. The Trust, established in 1872, provides invaluable expertise

and support for the School, has recently invested in a large refurbishment programme at our Junior School

and has funded the construction of a new state-of-the-art Senior School which opened in September 2016.

I hope that you will enjoy looking at our website to find out more about the School,

www.newcastlehigh.gdst.net, and should you have any questions not answered by the available

documentation, please do not hesitate to call the School.

Once again, thank you for your interest. The closing date for applications is noon on 7th June 2017. Full

details of how to apply are included in the enclosed Information for Candidates document.

Yours faithfully

Hilary French

Headmistress

Company Registered in England No.6400

Registered Charity No. 306983

Registered Office: 100 Rochester Row,

London SW1P 1JP

Part of the

GDST network

www.gdst.net

GDST Schools

Where girls can

Senior School

Tankerville Terrace, Jesmond, Newcastle upon Tyne NE2 3BA

T 0191 2811768

Junior School

Chapman House, Sandyford Newcastle upon Tyne NE2 1TA

T 0191 2851956

www.newcastlehigh.gdst.net

Appointment of Cover Supervisor

Required for September 2017

The Application Procedure

A fully completed standard GDST Application Form (blank copy enclosed) should be submitted

along with a letter explaining why and how you feels you are suitable for the role of Part-time

Cover Supervisor at Newcastle High School for Girls. The application form must include the

names and full contact details of two referees (one of which should be your current employer)

who may be approached immediately.

Applications should be addressed to Nicola Bardett, at the address on the front page of this

document to arrive by 12 noon on 7th June 2017. Selection will be by reference to application

form, lesson observation and a formal interview.

It is the Post- to promote and safeguard the welfare of children and young

persons for whom s/he is responsible, or with whom s/he comes into contact will be to adhere

the course of carrying out the duties of the post the post-holder becomes aware of any actual or

potential risks to the safety or welfare of children in the school s/he must report any concerns in

y

Statement. Candidates should be aware that they an enhanced DBS clearance is required for

all posts in the School.

Newcastle High School for Girls

Newcastle High School for Girls (NHSG) was founded in September 2014 following the merger

of two longstanding girls ust.

Catering for girls age 3 -18, NHSG is a selective independent school for girls with an enviable

reputation. The Junior and Senior Schools occupy excellent sites in the quiet residential suburbs

of Sandyford and Jesmond (less than a mile apart), just outside of the city centre and are well

its shops, restaurants, theatres, museums, sports facilities and parks is only a short walk from the

school.

There are approximately 850 pupils in the whole school including around 300 in the Junior

School and 200 in the Sixth Form. Academic results across both Junior and Senior Schools are

excellent and our focus is on ensuring that each girl is the best she can be.

The Senior School

With a real focus on academic rigour, we offer a broad range of subjects alongside an

impressive co-curricular programme to support these from Science and Coding Clubs to

performing Arts and Sports and many in-between. We see each day as an exciting opportunity

and we aim for the girls to be engrossed in their love of learning as well as develop new skills

that will prepare them for the future. Each Faculty within NHSG has its own unique attributes

ntellectual curiosity is sparked and

they are stretched to achieve their very best across the board. Our cross-curricular approach

ensures that girls are able to transfer the skills from one subject area to another and deepen the

application of their knowledge.

One of the GDST

the girls in their endeavours. The girls attending our school are intelligent, inquisitive, confident,

energetic and talented those who meet them outside of school always comment on their

confidence and impressive abilities.

In September 2016 we moved to outstanding new Senior School facilities in Jesmond following

the completion of a multimillion pound development project. The facilities and resources that

the School now boasts are of an exceptional standard. Outstanding technology enabled

classrooms, Science facilities, Art Studios, Performing Arts venues and sports facilities give staff

the perfect environment in which to deliver a 21st Century education.

The teaching and learning environment at NHSG is challenging and exciting as well as

extremely rewarding.

Junior School

Our Junior School is a special place, a place where imagination comes alive, talents are

nurtured, friendships are fostered and girls develop a confidence that is recognised by all who

meet them.

Academic excellence is at the heart of what we stand for and the education we provide helps

each girl to explore and develop her talents, encourages independence and supports an

education that extends beyond the classroom and helps each girl to understand the world

a supportive and caring environment.

In our fabulous new school, we aim to make learning irresis

to be an extraordinary experience filled with exciting challenges. We have developed a

curriculum underpinned by transferable basic skills. Theatre visits, art gallery workshops, field

trips, residential trips and educational visits add an extra dimension to our tailor made

curriculum. The curriculum is enhanced and enriched with Music, Sport, Drama, Languages

and Philosophy. Staff are trained to use Thinking Skills and P4C. We value the use of ICT

throughout the whole curriculum. It is seamlessly integrated throughout lessons and used as a

valuable resource across the whole school to enhance teaching and learning.

We look to the wider world for inspiration and all girls are taught Spanish right from the first

days in Nursery. Learning another language, we believe, should be a natural development and

our fun and innovative approach to learning Spanish, links in a meaningful way to the whole

curriculum

Our Junior School is located at Chapman House in a recently refurbished building set in five

acres of grounds giving us a vibrant and stimulating environment both indoors and outdoors in

which we can deliver a curriculum fit for purpose in a calm and tranquil learning environment.

By taking learning into the outdoors we have found many opportunities to make abstract

concepts real and relevant by putting them into a more realistic context. Taking girls beyond the

classroom is like unclipping their wings; it allows their minds freedom to explore. Girls blossom

in our happy family atmosphere.

Job Description - Cover Supervisor

Role

Teaching Assistant - Cover Supervisor

Job Purpose To work with teachers to support teaching and learning, providing

specialist support to the teacher in an aspect of the curriculum, age

range or additional learning needs.

Accountable to: The Deputy Head Academic

Accountabilities

Lesson Cover

Cover lessons for absent colleagues as required.

Cover for absent teaching colleagues or the lunchtime supervisor in

the duty rota.

Cover Registrations, Form Time and PSHE for absent Form Teachers.

Quality assuring the work set for cover and liaising with staff re

instructions for cover work.

Liaise with HODs on appropriate work to be covered in unplanned

cover lessons.

Assist data and admin teams at busy times of year (e.g. report

checking, register checking etc)

Be part of a pool of mini-bus drivers

Participating in trips or visits to allow Subject Teachers to continue to

teach their lessons, when appropriate.

Other reasonable duties at the direction of the Head's PA, Director

of Teaching and Learning or Deputy Head.

Teaching and learning

Plan and implement activities for individuals and groups of pupils

after consultation with a qualified teacher or other educational

specialist (i.e. Ed. Psych, Speech and Language Therapist etc.),

differentiating and adapting a learning programme to suit the

needs of allocated pupils.

Assess, record and report on development, progress and

attainment in consultation with the class teacher.

Create and adapt appropriate quality resources for lessons

planned, including differentiation for SEN pupils and gifted and

talented children.

Accompany teachers and pupils on educational visits and engage

in the learning process for the benefit of the pupils

Contribute to discussions with the teacher on the development of

work and support programmes for pupils, in order to further

support learning or behaviour.

Assist in the efficient management and/or completion of individual

pupil records through observation, recording and filing.

Work with pupils who may have an adjusted timetable due to their

learning and/or specialist needs.

Be involved in planning, organizing and implementing Individual

Education Plans, including attendance at, and contribution to,

reviews

To provide at least one of the following:

Specialist support to pupils with learning, behavioural,

communication, social, sensory or physical difficulties

Specialist support to pupils where English is not their first language

Specialist support to gifted and talented pupils

Specialist support to all pupils in a particular learning area (e.g.

ICT, literacy, numeracy, National Curriculum subject)

Pastoral care

Guide and support pupils in their personal, emotional and social

development.

Under the direction of the teacher, promote and model positive

behaviour in all teaching areas.

Uphold the Code of Conduct/Behaviour Policy through effective

delivery of its aims.

Supervise pupils in the classroom (on a short term basis),

playground and at lunchtimes.

Administer first aid if qualified to do so.

Assist pupils with eating, dressing and hygiene, as required, whilst

encouraging independence.

Management of Resources

Ensure that classroom resources are maintained effectively and

available as required.

Prepare and create attractive and interactive learning displays.

Prepare work and activities in advance of the lesson in order to

ensure that the learning resources required are effective and

accessible in order to achieve the learning outcomes.

Communications

Establish and maintain a relationship to foster links between home

and school, and to keep the school fully informed of relevant

information.

Be aware of confidential issues linked to home /pupil /teacher

/school.

Work collaboratively with colleagues to meet the needs effectively

of all pupils.

Communicate concerns and observations to the relevant person

regarding health & safety issues and child protection issues to

Liaise with parents regarding the effective sharing of information

regarding the collection of pupils.

Training & development of self and others

Supervise the induction, development and support of other TAs in

their role.

Participate in training activities and sessions offered by the school

and other external agencies in order to further relevant knowledge

and skills.

Feedback to colleagues on any in-service training undertaken.

Occasionally line manage other TAs

General

requirements

All school staff are expected to:

a. Work towards and support the school vision and the current school

objectives outlined in the School Development Plan.

b. -curricular activities.

c. safeguarding students.

d. working environment for staff, students and visitors

e. opportunity for all students and staff, both current and prospective.

f. Maintain high professional standards of attendance, punctuality,

appearance, conduct and positive, courteous relations with

students, parents and colleagues.

g. Engage actively in the performance review process, and training

and development opportunities available.

h. Adhere to policies as set out in the GDST Council Regulations,

ORACLE and GDST circulars.

i. Undertake other reasonable duties related to the job purpose

required from time to time.

Review and

Amendment

This job description should be seen as enabling rather than restrictive

and will be subject to regular review.

May 2017

Person Specification - Cover

Supervisor

Skills Required

Ability to demonstrate active listening skills Essential

Ability to use language and other communication skills to which children can

relate

Essential

Ability to empathise with the needs of children Essential

Ability to work effectively with other colleagues Essential

Ability to provide appropriate levels of individual attention, reassurance and

help to achieve the intended learning outcomes

Essential

Ability to undertake observations of individual children and complete records

under the direction of the teacher

Essential

Knowledge Base

A good standard of education, particularly in English and Mathematics Essential

Knowledge of appropriate First Aid procedures Desirable

Knowledge of National Curriculum requirements for the age of the pupils Desirable

Knowledge of the use of basic technology ie photo-copier, computer, DVD

and digital camera

Essential

Knowledge of Child Protection issues Essential

Qualifications/Attainment

Level

Evidence of relevant attainment in a recognised TA

qualification ie NVQ, NNEB, City & Guilds, BTEC etc or

through relevant experience

NVQ Level 3 Essential

Evidence of attainment or training in Child Protection issues/

procedures

Essential

Willingness to participate in further training and

developmental opportunities offered

Essential

Evidence of attainment of a relevant and recognised

qualification to support SEN pupils

Desirable

Experience

Relevant experience in an educational establishment/setting Essential

Demonstrable evidence of establishing positive relationships with children Essential

Demonstrable evidence of experience in supporting children in a learning

environment

Essential

Experience of preparing resources for children Essential

Attitude/approach

Willingness to be professionally discreet and to maintain confidentiality on all

school matters

Essential

Willingness to adopt a flexible approach to all directed tasks Essential

Willingness to work as part of a team Essential

APPLICATION FOR EMPLOYMENT

TEACHING, TEACHING SUPPORT AND ADMINISTRATIVE POSTS

Version: April 2011

Name

Position Applied For

School Newcastle High School for Girls

Where did you see this job advertised?

The Girls’ Day School Trust A Limited Company Registered in England No. 6400. A Registered Charity No. 306983

Registered office: 100 Rochester Row London SW1P 1JP

The information provided by you in connection with your application for this vacancy will be treated as confidential by the Girls’ Day School Trust. Your application form may be copied for use during the recruitment process. Information given by you in the Equal Opportunities Monitoring Form will be dealt with separately from the rest of your application. The information provided will be used solely to monitor equal opportunities policies. Further information provided by you will be used to determine your suitability for a position and, if applicable, in determining terms of employment or engagement. It may also be used to monitor recruitment initiatives. If your application progresses further, details may be disclosed to third parties (such as educational institutions, past and present employers, credit reference agencies, etc.) for reasons such as the verification of, or obtaining extra, information. If your application is unsuccessful, we may retain any information as required by law or, at our discretion, for up to six months following our final communication with you, unless you tell us otherwise. The Girls’ Day School Trust is committed to the safeguarding of children, and child protection screening will apply to this post. Some of the information that we request in this form is for this purpose. By signing and returning this application form, you consent to the Girls’ Day School Trust using and keeping the information provided by you as outlined above, carrying out any reference, criminal record, or child protection checks as may be appropriate in the circumstances.

1 PERSONAL DETAILS

Surname: First Names:

Title: MR/MRS/MISS/MS/DR Preferred name:

Any former names: Date of birth:

Home address: Address for correspondence (if different):

Post code: Post Code:

Tel no: (day) Email:

(eve) National Insurance no:

(mob) Are you legally entitled to work in the UK? YES/NO

If you are not a UK, EEA or Swiss national, please give details of your permission to work, specifying the type and length of visa or permit.

2 EDUCATION AND QUALIFICATIONS (to include details of QTS where appropriate)

School/College/University

Dates attended

Qualifications obtained / Examinations passed / Awarding Body

Date

From Month/Year

To Month/Year

Membership of professional institutions and other training/knowledge relevant to this post Continue on separate sheet if required

3 EMPLOYMENT HISTORY

Present or most recent employer:

Address:

Job Title: From: To:

Brief description of responsibilities:

Reason for leaving/wishing to leave:

Notice required (or when you could join us): Current salary:

Provide a full employment history in chronological order (most recent first) to include: periods of work in the UK and abroad; education/training; voluntary work; travel; career breaks; and any periods not in employment or education.

Dates

Position held and brief description

of duties

Reason for leaving

From Month/Year

To Month/Year

4 ADDITIONAL INFORMATION

Do you have a current clean driving licence (applicable only if duties involve driving) YES/NO

Hobbies, interests and anything you wish to tell us about your personal and family circumstances, including any special needs. Please declare any family or close relationship to existing employees of the school or the GDST (including Governors).

5 PERSONAL STATEMENT

Please state why you believe your qualifications, experience and personal qualities fulfil the requirements of this post, and any other information to demonstrate your suitability for the post. Continue on separate sheet if required

6 REFERENCES

Please give the names of two people who can comment on your suitability for this post. One should be your current or last employer, or if you have not been employed, your school head teacher or college tutor. If you do not currently work with children, a reference will be required from your most recent employment involving work with children. References will not be accepted from relatives or those writing solely in the capacity of friends. Open references provided by you will also not be accepted.

Name: Name:

Address: Address:

Tel no: Tel no:

Email: Email:

Relationship: Relationship:

It is our practice to take up references before interview unless requested not to do so. If you do not wish us to contact a referee at this stage, please mark the alongside the name with a cross.

7 SIGNATURE

I confirm that the above information is true and accurate.

Signed: Date:

PROTECTION OF CHILDREN:

SAFEGUARDING STRATEGY STATEMENT

The GDST Safeguarding Strategy forms a fundamental part of our approach to providing

excellent pastoral care to all pupils, including those who may be over the age of 18 years. We

believe that all pupils, regardless of age, special needs or disability, racial/cultural heritage,

religious belief and sexual orientation have the right to protection from all types of harm and

abuse.

The objective of the Safeguarding Strategy is to help keep our pupils safe by providing a safe

environment for them and to educate them about keeping themselves safe.

The Safeguarding Strategy consists of:-

1. GDST Safeguarding and Child Protection Policy

2. GDST Safeguarding Procedures

3. GDST School Safeguarding and Child Protection Policy

4. Training to equip staff and volunteers to carry out their responsibilities in relation to

safeguarding and promoting the welfare of pupils.

The Safeguarding Strategy provides a clear framework within which individual schools will

develop systems and local procedures to:-

Prevent unsuitable people working with children

Identify pupils who are at risk of, and/or are likely to suffer significant harm and take

appropriate action with the aim of making sure they are safe

Record and share information appropriately

Respond to allegations against staff and volunteers

Promote safe practice and challenge poor and unsafe practice

Adherence to the GDST Safeguarding Strategy is mandatory for all staff and volunteers.

We recognise that Safeguarding covers much more than child protection, and so this strategy

will operate in conjunction with related policies and procedures, such as effective whole school

policies on Anti-Bullying, Behaviour Management, ICT and School Security.

Our approach to safeguarding is based on, and reflects the current principles recognised in UK

legislation, including those around maintaining confidentiality and reporting concerns about

pupils likely to suffer significant harm to the child protection agencies.

We are committed to working in partnership with parents; child protection agencies and diverse

communities, to continuously develop and improve the Safeguarding Culture within our schools.

Version: April 2011

FORM S2 VERSION JUNE 2013

DISCLOSURE OF CRIMINAL BACKGROUND OF THOSE GIVEN THE OPPORTUNITY TO HAVE

CONTACT WITH CHILDREN

The appointment for which you are applying involves access to children or the opportunity to have contact

with children and is an excepted occupation for the purposes of the Rehabilitation of Offenders Act 1974.

All applicants who are offered employment will be subject to an enhanced criminal record check and

the appointment is confirmed. This will include details of cautions, reprimands or final warnings as well

as convictions, and "spent" convictions.

The disclosure of a criminal record will not automatically prevent you from being appointed unless the

Girls' Day School Trust considers that the record renders you unsuitable for appointment. In making this

decision, consideration will be given to the nature of the offence, its relevance to the nature of your

employment, how long ago it was committed, what age you were at the time and any other factors that

may be relevant.

If you wish to tell us about

Barred List check being sought, this information should be sent under confidential cover to the person to

whom you are making your application. We will not view this information unless you have been shortlisted

for interview. We guarantee that this information will only be seen by those who need to see it as part of

the recruitment process. If you are not shortlisted for interview, the unopened information will be destroyed

securely.

If you are currently working or have previously worked with children in an educational environment, your

current or previous employer(s) will be asked about any disciplinary offences relating to children,

er you have been the subject of any child

protection concerns.

Providing false information could result in your application being rejected, or summary dismissal if you

have been appointed, and possible referral to the police.

DECLARATION

I declare that I am not barred from activity relating to children, or (if a teacher) subject to sanctions

imposed by a regulatory body e.g. The Teaching Agency. I either have no convictions, cautions, or bind-

overs that may have an impact on my suitability to work in an educational environment, or have attached

details in a sealed envelope marked confidential.

Signed: ______________________________________

Date: _________________________

The Girls' Day School Trust

A Limited Company, Registered in England No. 6400. A Registered Charity No. 306983

Registered office: 100 Rochester Row London SW1P 1JP

Appendix 13 Childcare Disqualification Declaration Form - FORM CDD

CHILDCARE DISQUALIFICATION DECLARATION

This form should be completed and returned in a separate envelope to the application marked Private and Confidential

The role you are applying for is subject to the disqualification provisions of the Childcare Act 2006 and the Childcare (Disqualification) Regulations 2009. This means that if your name is on the Children’s Barred List, or you meet wider disqualification criteria, you will be disqualified from:

teaching, supervising or caring for pupils in the Early Years Foundation Stage (EYFS), or

providing before or after school childcare for pupils up to the age of eight (Year 3), or

being directly concerned in the management of this provision (for example, as part of the school’s Senior Leadership Team).

The childcare disqualification criteria are (broadly):

being placed on the Children’s Barred list (formerly List 99),

being charged with, cautioned for, or convicted of a serious violent or sexual offence,

being disqualified from caring for a child (including one’s own), or

living in a household where someone who meets any of these criteria lives or works, including partners, family members, lodgers, housemates and domestic employees.

DECLARATION – TICK ONE OF THE FOLLOWING BOXES:

To the best of my knowledge, no-one in my household (including me) meets any of the childcare disqualification criteria.

I have a waiver from Ofsted and enclose a copy in a sealed envelope, marked as confidential.

I am disqualified, or unsure whether I am disqualified, and would like further information.

NAME (PLEASE PRINT)………………………………………………………………………………………………………………………..

SIGNATURE ………………………………………………………………………………. DATE ……………………………………………..

NOTES 1. Further details of the disqualification criteria, including relevant offences, protected and spent cautions

and convictions are here: www.gov.uk/government/publications/disqualification-under-the-childcare-act-2006

2. You do not need to provide details of any protected or spent cautions or convictions. 3. Providing false information could result in your application being rejected, or summary dismissal if you

have been appointed, and possible referral to the police and the National College for Teaching and Leadership.

4. We will not view information marked as confidential unless you are shortlisted for interview. We guarantee that this information will only be seen by those who need to see it as part of the recruitment process. If you are not shortlisted, the unopened information will be destroyed securely.

The Girls’ Day School Trust A limited company, registered in England, no. 6400. Registered charity no. 306983

Registered office: 100 Rochester Row London SW1P 1JP

EQUAL OPPORTUNITIES MONITORING FORM FORM S22

The GDST is committed to equal opportunities. One aim of this policy is to ensure that you and other job

applicants are not discriminated against on the grounds of sex, race, disability, age, nationality, colour,

ethnic or national origin, marital or civil partner status, pregnancy, sexual orientation, gender

reassignment, religion or belief.

To monitor this policy, we should be grateful if you would complete and return this form. The information

you give will be treated as strictly confidential and will be used only for Equal Opportunities monitoring

purposes. This form will be detached from your application form, will not be used at any stage of the

selection process and will be destroyed after evaluation has taken place.

POST APPLIED FOR:

NAME OF SCHOOL or TRUST OFFICE:

Personal details:

GENDER: Male / Female / Transgender

MARITAL STATUS: Single / Married / Other (please specify)

AGE:

Ethnic origin:

I would describe myself as:

Black Asian White Other

African Pakistani (please specify)

Caribbean Indian

Other Bangladeshi

Chinese

Disability

Are you disabled or do you have any conditions (i.e. a physical or mental impairment that has a

substantial long-term effect on your ability to carry out normal day-to-day activities) that may require

adjustments to your work or working environment?

Yes

No

If you have answered "Yes" to this question, please indicate here any special arrangements which you

might require if you are selected for interview.