GURU NANAK SIKH ACADEMYSPRINGFIELD ROAD HAYES

MIDDLESEX UB4 0LT

Telephone: 020 8573 6085 Fax: 020 8561 6772 Website: www.gurunanaksikhacademy.co.uk email: hr@gnsa.co.uk

Founder: Sant Baba Amar Singh JiPrincipal: Rajinder Singh Sandhu

APPLICATION FORM FOR A TEACHING APPOINTMENTPost applied for …………………………………………………………………………………….

1. PERSONAL DETAILS (Block Capitals)

Surname: …………………………………………………….

First Names: …………………………………………………

Title Mr/Mrs/Miss/Ms: ………………………………..

Former Names (if applicable) ………………………

Date of Birth: ………………………………………………

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Home Address: ……………………………………………

Term Time Address (if different): ………………..

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Tel: ………………………..…Fax: ………………………….

E-Mail Address: ……………………………………………..

DfE Reference Number: …………………………. National Insurance Number: …………………………

If not a European citizen please state if you require a work permit YES NO

2. EDUCATION/QUALIFICATIONSDetails of all courses studied, including those not completed successfully, must be given. It is a requirement of the DfE that applicants for teaching posts possess GCSE or equivalent passes in English and Mathematics at Grade C or above.Secondary School(s) From To Examinations passed with grades Date

GCSE or equivalent: EnglishGCSE or equivalent: MathsOther GCSE or equivalent:

Post 16:

University or Institution of equivalent status

From To Degree pass/Class obtained Honours Main and Subsidiary subjects

Date

College, Department of From To Qualifications obtained/Main and Date

Education Subsidiary subjects

Age group for which trained:

…………………………………………………………………………………………………………………………………………………….

Date of successful completion of Induction Year/Probationary Period (if applicable):

…………………………………………………………………………………………………………………………………………………….

LA where Induction Year/Probationary Period was completed:…………………………………………………………………………………………………………………………………………………….

Details of special qualifications on the basis of which Qualified Teacher Status is claimed, including membership of professional institutions gained by examination:

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3. PRESENT POST

Title of present post (indicate any remunerated responsibilities)…………………………………………………………………………………………………………………………………………………..

…………………………………………………………………………………………………………………………………………………..

…………………………………………………………………………………………………………………………………………………..

Date Appointed ………………………………………………………………………………………………………………………..

Current Salary £ …………………….. Point on MPS/UPS/LS (state which) …………………………………

School/College/Employer…………………………………………………………………………………………………………………………………………………..

Address…………………………………………………………………………………………………………………………………………………..

LA (if applicable) …………………………………………………………………………………………………………………….

Tel: ……………………..Fax: ………………………..E-Mail Address ………………………………………………………..

Notice Required

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4. PREVIOUS TEACHING POSTS (list in reverse chronological order)

Post FT/PT Scale School Age Rang

e

Subjects Taught From To

5. OTHER EMPLOYMENT

Name and Address of Employer Dates FT/PT Details of Post Held

6. IN-SERVICE COURSES

Please give details of all courses attended of at least one day over the last five years.

Description of Course Month Year

7. LEISURE ACTIVITIES AND SPECIAL INTERESTS

Please give details of your recreational and cultural interests, voluntary work and any other special skills you have developed which may be relevant to the post and to your work with young people

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8. GENERAL STATE OF HEALTH

Have you ever suffered from any serious illness or injury? YES NO

Please give details………………………………………………………………………………………………………………......................………………………………………………………………………………………………………………...................... …………………………………………………………………………………………………………….………………………….

Please give dates and duration of you last illness……………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………..

Please give details if you have a disability which you would like to make known to us………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………

9. ADDITIONAL SPACE

Please use this space for any information you have not had the space or opportunity to enter under other headings

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10. REFEREES

These should be persons of appropriate standing with direct knowledge of your professional work and should include your present employer. If you are applying for a first teaching post you should include your Course Tutor and the Headteacher of a school where you have completed teaching practice.

i) Name ………………………………………………………..

ii) Name ………………………………………………………

Status ……………………………………………………………

Status ………………………………………………………….

Address …………………………………………………………

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Address ………………………………………………………..

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Tel: ……………..…........................................

Fax: ………………………..................................

Email: ………………………………………………………….

Tel:……………..…........................................

Fax: ………………………..................................

Email: ………………………………………………………….

11. LETTER OF APPLICATION

You are invited to supply, in a letter below, supporting information, including the reason for your application. Please highlight the skills, experience and educational background which would indicate your suitability for the post and the personal contribution that you can make. You should relate the information you give to the details of the post that have been sent to you.

Applicants should note that Guru Nanak Sikh Academy welcomes applications for posts from persons of all ethnic and religious backgrounds. However applicants should note that it is a school which is committed to sustaining the Sikh religion and culture. As such, all members of staff are required to wear head covering, although there is considerable

flexibility as to the nature of this. The Academy has a strict non-smoking policy.

Please indicate that you have read and understood the foregoing.

Signature of Applicant: ………………………………………………….… Date: …………………………………..……

Please send this completed form together with your application letter (below) to hr@gnsa.co.uk

GURU NANAK SIKH ACADEMY LIMITED

You are invited to supply, in a letter BELOW, supporting information, including the reason for your application. Please highlight the skills, experience and educational background which would indicate your suitability for the post and the personal contribution that you feel you can make. You should relate the information you give to the details of the post that have been sent to you.

(Please use additional sheets as required).