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Btec as

In: Business and Management

Submitted By ABDUL5050
Words 1115
Pages 5
| |
|Contact details: |
|Lara Samuels, Head’s PA, |
|Castlewood Road, New Barnet, EN4 9GE |
|T - 020 8344 2220 |
|F - 0871 918 2214 |
|recruitment@jcoss.barnet.sch.uk |
| |
|JCoSS is committed to safeguarding and promoting the welfare of children and young people and expects all its staff and volunteers to share this |
|commitment. All postholders are subject to satisfactory enhanced Disclosure and Barring Service (DBS) clearance. |
| |

Teaching Staff Application Form

| |
|1 ABOUT YOUR APPLICATION: Please read carefully |
|This form should be returned to the school (see top for details), together with a separate supporting statement/letter of application of no more than two|
|A4 sheets referring specifically to the requirements of the job description/person specification. Word Processed or handwritten application forms and |
|statements are both acceptable methods of submission. |
|Failure to complete ALL sections of the form may result in your application not being considered. |
| |
|Application for the post of Teacher |
| |
|Where did you see the post advertised? Online |

| |
|2 Personal Details – please complete this section in BLOCK CAPITALS |
| | |
|Surname: LATIF |Address: 69 BENDERROAD |
| | |
|Title (Mr/Mrs/Miss/Ms/Dr): MR |Postcode: SL3 699 |
| | |
|Forenames: ABDUL |Telephone No: 01753 569901 |
| | |
|Former name(s) if applicable: |Mobile No: 07776564329 |
| | |
|Date of birth: |Email: xXlABDUL-5050lXx@outlook.com |
|0 | |
|1 |National Insurance No: PC 78 06 01 |
| | |
|0 | |
|4 | |
| | |
|1 | |
|9 | |
|9 | |
|0 | |
| | |
| | |
|DFE Teacher Reference No: 50 / 50505 | |
| | |
|If you are not a European Union Citizen please state if you require a work | |
|permit: | |
| | |
|YES NO NO | |

| |
|3 SUBJECTS where appropriate |
| |
|a Main: Design technology-Resistant materials, ART |
| |
|b Others: PE, ICT |
| |
|c Extra-curricular activities you can lead/support: Chess Club, Creative Club |

|4 DETAILS OF MOST RECENT TEACHING APPOINTMENT |
| |
|LA: |
|Type (mixed/girls/boys/selective/VA/Foundation/Community/Academy/Independent): mixed |
| |
|School/College Name: Churchmead |
| |
|School/College Address: Priory Way, Datchet, Berkshire, SL3 9JQ, England |
| |
|School Telephone number: 01753 211330 Number on roll: 631 Age range: 11-16 |
| |
|Appointment Held: part/full time & proportion Full time |
| |
|Date Appointed: 17/06/15 Date Left: 30/03/17 |
| |
|Reason for leaving: Satisfaction |
| |
|STATUS: Qualified Teacher /NQT Licensed Teacher /Instructor /Overseas Trained Teacher |
| |
|Subjects, age groups taught and other responsibilities: 11-18 |
| |
|Present Salary £ 24,076 |
| |
|Scale Point: Current Allowance awarded & level of payment |
| |
|Notice Required and/or date available: 01/09/19 |

|5 PREVIOUS EXPERIENCE If part time appointment please state and give details. All gaps in employment must be explained. |
|a) TEACHING |
|Local Authority and School |
|Employer |Post held |Responsibilities/ |Reason for leaving |Inclusive period |
| | |Duties | | |
| | | | |From |To |
| |
|Details of Secondary School/College |From |To | |
| | | |EXAMINATION RESULTS |
| | | |Examining Body |Subjects |Grade/ |Date |
| | | | | |Result | |
|Churchmead CoE |04/08/01 |23/06/05 |AQA, EDEXCEL, CIE, OCR |ART,DT,RE,ICT,BUSINESS,SCIENCE-CORE/ADD, MATHS(B), |A,B,C,C,D*,C,C, |21/08/05 |
| | | | |ENGLISH-LANG/LIT(B/C) | | |
|East berkshire college (Windsor) |01/09/05 |09/06/08 |AQA |Economics, Business, Psychology |C,DISTINCTION,B |15/07/08 |
| | | | | | | |
| | | | | | | |

|b) FURTHER AND HIGHER EDUCATION |
|University, Polytechnic, College or Dept or Inst of |FROM |TO |FT/PT |Qualification |Pass/ |SUBJECTS |
|Education | | | |obtained |Honours & Grade | |
| | | | | | |Main |Subsidiary |
|Keio University |01/01/09 |01/01/11 |FT |Degree in economics |First-class honours |Economics |System design and |
| | | | | | | |management |
| | | | | | | | |
| | | | | | | | |
| | | | | | | | |

| |
|7 DETAILS OF RELEVANT IN-SERVICE COURSES ATTENDED (INCLUDING DATES) DURING THE PAST 3 YEARS (continue on separate sheet if necessary) |
|Health and Safety Executive(HSE) |Pass |
| | |
| | |
| | |
| | |
| | |

| |
|8 OTHER RELEVANT INFORMATION eg hobbies, leisure interests, activities not already mentioned |
| |
| |
|Archery, 5-a-side football, Gym, Tennis |

| |
| |
|9 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) |
|A | |
|NAME Terry Jones |POSITION Assistant |
| | |
|ADDRESS 70 downlane lardey gardens |TELEPHONE NUMBER 01745 429475 |
| | |
|POSTCODE UN56 5OP |FAX NUMBER +44 (161) 999 8888 |
| | |
| |EMAIL ADDRESS terryJ@gmail.com |
|B | |
|NAME Kirtsty Thomson |POSITION Sub leader |
| | |
|ADDRESS 1 Belmont road |TELEPHONE NUMBER 01745 845089 |
| | |
|POSTCODE NH 0310 |FAX NUMBER +44-208-1234567 |
| | |
| |EMAIL ADDRESS K.Tea@outlook.co.uk |

| |
| |
|10 DECLARATION (Read and complete the following page - Declaration of criminal offences) |
|To the best of my knowledge the information on this form is correct. I understand that by canvassing the Governors of JCoSS, giving false information or |
|omitting to give information could disqualify my application, or, if appointed, could lead to my dismissal. |
| |
|SIGNED ALatif DATE 16/01/19 |
| |
|If this form is sent electronically, you should bring a signed copy with you if called for interview |

|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.

You must inform us of any offences, convictions, cautions, bindovers, and of any court cases that are pending.

Under the provision of the Rehabilitation of Offenders Act 1974, since this post is in an educational establishment with substantial access to children, all convictions must be declared and none can be considered “spent”.

Declaring anything on your record will not bar you from being considered for the post, but if you fail to declare something that later comes to light the job offer may be withdrawn or if already in post you are liable to dismissal regardless of the nature and date of the incident.

Please list below all your cautions and criminal offences. You must include any pending convictions and indicate that they are pending in the column headed “Place & date of judgment”.

If you have no convictions please write “NONE” and sign the form. All information given will be treated in the strictest confidence and will be used for this job application only.

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.

|Name |ABDUL LATIF |Date |01/09/17 |
|(please print) | |(dd/mm/yyyy) | |
|Signed | |…...

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