East Midlands Education Trust

Teaching Application Form

Personal Details


 EmployerPostGrade ScaleFull time or Part-timeStart DateLeave DateReason for Leaving

Education and Training

 Start DateEnd DateFull Time or Part-timeName of Educational EstablishmentQualification GainedGradeDate awarded

Details of Teacher Training (For Newly Qualified Teachers ONLY)

Education trained for

Periods of Unremunerated Activity

 How Time was spentDate FromDate To

Additional Information


Main Reference

Primary Reference

Do we have your permission to approach the above prior to interview?


You are required to declare below any relationship with or to a Trustee or member of staff within the East Midlands Education Trust.

Have you ever been the subject of formal disciplinary proceedings?

Disclosure of Criminal Background

The Authority is required under the Police Act 1997, the Protection of Children Act 1999 and the Criminal Justice & Court Services Act 2000 to check the criminal background of those employees whose jobs give them access to children or other vulnerable members of society. Decisions to appoint will be subject to consideration of a disclosure from the Disclosure and Barring Service.

Due to the nature of the work for which you are applying, this post is exempt from the Rehabilitation of Offenders Act 1974 and therefore you must provide information about all convictions, including those which for other purposes are ‘spent’ under the Provisions of the Act.

Have you ever been convicted of a criminal offence?
Have you ever been cautioned for a criminal charge?
Are you at present the subject of a criminal charge?

Health/Medical Details

Successful applicants will be required to complete a confidential medical questionnaire and may be required to undergo a medical examination.

Additional Information

Data Protection Privacy Statement

The personal data that you provide within your application will be used for shortlisting and interviewing purposes and for contacting you about the recruitment process. If you chose to complete the sections on the final two pages of the application form, this data will be used only for monitoring purposes and will be anonymised. Your application will be stored securely and only used for purposes directly relevant to the recruitment process.

If you are appointed, your application will be placed onto a secure employment file. Details for unsuccessful candidates will be destroyed six months after the recruitment process concludes.

We do not share information about you with any third party without your consent unless the law allows us to do so.

The school is the ‘data controller’ for the purposes of data protection law.

By Selecting 'Yes' you are consenting for your data to be used as described above. You may withdraw this consent at any time.


I declare that, to the best of my knowledge and belief, the information given on ALL parts of this form is correct. I understand that, should my application be successful and it is discovered subsequently that information has been falsified, then disciplinary action may be taken which may include dismissal from the post.

I confirm that I have a legal right to work in the UK and if this application is successful, I undertake to produce appropriate documentary evidence to prove this, prior to commencing work with the Trust.

The East Midlands Education Trust is committed to safeguarding and promoting the welfare of children and young people and expects all staff and volunteers to share this commitment