Schools Rugby Officer (REF: 090622/SRO/AH) Present Employment Name of present employer Address of present employer Postcode of present employer Present position Current salary * PerAnnumMonthWeekHour Reason for seeking alternative employment * Please describe your current duties and responsibilities * Notice required * Previous Employment Starting with the most recent, please give all relevant employment experience. CVs are not acceptable. Employer Position and Duties Reason For Leaving Job Type ---Full TimePart Time Remove Add another row Education Shortlisted candidates will be required to produce original certificates for all relevant qualifications. Name Of Establishment Subject Level Grade Remove Add another row Other Qualifications Please state the highest level Maths and English qualification you possess (with grades if applicable)* Subject Level Grade Maths English Membership Of Professional Body Name Of Professional Bodies Grade of Membership Remove Add another row Do you hold a teaching qualification? *YesNo If yes, please provide full details in the education section above. DfES Number (if applicable) If yes, please state the relevant qualification you possess *PGCE/Cert. Ed.Other If "Other" teaching qualification, please give details Supporting Statement Please pay particular attention to this section as it is a key part of your application. You are invited to make a statement below in support of your application. This should evidence why you are suitable for the post and should focus on the key requirements of the person specification and job description. Please pay particular attention to this section as it is a key part of your application. Please note that CVs are not acceptable. Contact Information Surname Forenames Title NI Number Address Postcode Home Telephone Work Telephone Personal Email Work Email Personal Mobile Work Mobile References Please provide two referees to whom confidential enquiries can be made. One must be your present employer, or, if presently self employed or unwaged, your most recent employer. Please note that all appointments are subject to the receipt of satisfactory references. Both references must be received by HR Unit before employment can commence. Please be advised that references will only be sought for successful candidates. Present/Most Recent Employer Name Job Title Company Name Address Tel No: Email: Relationship: May we approach before interview? *YesNo Other Referee Name Job Title Company Name Address Tel No: Email: Relationship: May we approach before interview? *YesNo Health Offers of employment are made subject to the satisfactory completion of a detailed Medical History. Report which may result in a medical examination. Have you had a major illness or injury in the last 3 years? *YesNo Are you aware of any medical condition which could affect your performance at work? *YesNo If you have answered “Yes” to any of the questions in this section, please give brief details below General Information All appointments are subject to the checking and copying of documentation as required under section 8 of the Asylum and Immigration Act 1996. Do you hold a current full UK driving licence? *YesNo Do you require a work permit? *YesNo Do you have any other paid employment (e.g. consultancy, part time work, self employment etc)? *YesNo If you have answered “Yes” to any of the questions in this section, please give brief details below Where did you see / hear of this vacancy? *SharePointnptcgroup.ac.ukJob Centre PlusFEJobs.com/ETeach.comTes.comEducators WalesOther Equal Opportunities Equal Opportunities Monitoring This information will be used for monitoring purposes. Date Of Birth Current Age Gender *MaleFemaleOther Do you consider yourself to have either a physical or mental impairment which has a substantial and long-term adverse effect on the ability to carry out normal day-to-day activities? *YesNoUnsure If "Yes" please provide brief details Are you aware of any medical condition which may require reasonable adjustments to be made in order to allow you to meet the requirements of the role? *YesNoUnsure If "Yes" please provide brief details Do you require any reasonable adjustments to be made for you to allow you to participate in the recruitment process? (e.g. due to disability or language). *YesNoUnsure If "Yes" please provide brief details Please indicate if you would like further correspondence from NPTC Group of Colleges in Welsh *YesNo If successful at the shortlisting stage, please indicate if you would like the interview to be conducted through the medium of Welsh (simultaneous translation will be provided). *YesNo Can you: understand spoken Welsh? *Yes, fluentlyYes, on an intermediate levelYes, on a basic levelNo Can you: speak Welsh? *Yes, fluentlyYes, on an intermediate levelYes, on a basic levelNo Can you: write Welsh? *Yes, fluentlyYes, on an intermediate levelYes, on a basic levelNo Can you: read Welsh? *Yes, fluentlyYes, on an intermediate levelYes, on a basic levelNo Cultural Background White BritishWelshEnglishScottishNorthern IrishIrishGypsy / Irish TravellerOther Multiple White & Black CaribbeanWhite & Black AfricanWhite & AsianOther Asian / Asian British IndianPakistaniBangladeshiChineseOther Black / African / Caribbean / Black British CaribbeanAfricanOther Other Ethnic Group ArabOther If "Other" Cultural Background please indicate Canvassing Are you related to any member of the Board of Governors of NPTC Group Corporation or any employee of the College? (An applicant who knowingly fails to disclose such a relationship or who canvasses any persons engaged in the appointment will be disqualified.) *YesNo If “yes” please state relationship here Data Protection Act 2018 and The General Data Protection Regulation (GDPR) 2018 The information supplied on this application form and supporting documents may be processed for purposes registered by the College under the GDPR and Data Protection Act legislation. The information provided by you on your application form will be used in order to process your application under the legal basis of fulfilling a contract of employment. Unsuccessful application forms will be kept for a period of 6 months. Successful application forms will be transferred to the relevant personnel file and kept for the duration of employment in that role. Please note that by signing the declaration below, you are giving explicit consent for the data to be collected, recorded and used for the above purposes. Declaration I certify that the information given on this form is, to the best of my knowledge and belief, correct and that misleading statements may be sufficient for cancelling any agreements made. If appointed, I understand that any deliberate omission, incorrect statements or falsification of the information given on this form could render me liable to dismissal. I am also aware that in the event of a successful application, a Disclosure will be sought through the Disclosure and Barring Service. I understand that in the event of being short listed, I will be required to complete a confidential declaration regarding criminal convictions. If I am applying for a position “excepted” from the Rehabilitation of Offenders Act 1974, I understand the declaration will include details of any convictions, both spent and unspent, (except for certain convictions and cautions which are ‘protected’ so not subject to disclosure) cautions, reprimands and final warnings. If the position I am applying for requires an Enhanced Disclosure, I understand that I should also give details of any other information that may have a bearing on my suitability for the post. I am aware of the existence of the DBS Code of Practice (available from the HR Unit) and note that a declaration of conviction will not necessarily be a bar to employment, unless the offence debars the person. I trust that all the information I provide is strictly confidential. I have read and agree to the above statements