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DENNIS

PRIVATE AND CONFIDENTIAL

Please note: This application should be completed, signed and dated and then returned to Dennis Academy Trust. Please write only within the text boxes. If needed, continue on a separate sheet of paper and attach it to this document.

 

References may be contacted if applications are successful.

 

On appointment as an employee a Disclosure and Barring Service (DBS) check will be undertaken.

                                      PartTime Teacher Application

 

1.

Your Full Name

 

2.

Your Email Address

 

3.

Your Phone Number

 

4.

Are you able to teach in the Hackney area?

YesNo

 

5.

Which subjects are you qualified to teach?

 

6.

How many years of teaching experience do you have?

 

7.

Please describe your part-time availability.

 

 

8.

Tell us why you are interested in this position.

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please select yes or no:​​

9.

I am not a bankrupt or subject to a disqualification order under the Company Directors Disqualification Act 1986 or to an order made under section 429(2)(b) of the Insolvency Act 1986.

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I have not been removed from the office of a Charity Trustee or Trustee for a charity by an order made by the Charity Commissioners or the High court on the grounds of any misconduct or mismanagement or, under section 7 of the Law Reform (Miscellaneous provisions) (Scotland) Act 1990, from being concerned in the management or control of any body.

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I am not included on the barred list the list of teachers and workers with children or young persons whose employment is prohibited or restricted.

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I am not disqualified from being the proprietor of any independent school or from being a teacher or other employee in a school.

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I have not, in the five years prior to applying to be a Trustee, received a sentence of imprisonment, suspended or otherwise, for a minimum of three months without the option of a fine.

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I have not, in the twenty years prior to applying to be a Trustee, been previously convicted of any offence and had passed on me a sentence of imprisonment for a minimum of two and a half years.

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I have not, at any time, had passed on me a sentence of imprisonment for a minimum of five years.

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I have not, in the five years prior to applying to become a Trustee, been fined for causing a nuisance or disturbance on education premises.

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I am not subject to a disqualification order under the Criminal Justice and Court Services Act 2000. My estate has not been sequestrated.

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I am not the subject of a bankruptcy restrictions order or an interim order.

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Signed:

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Print:

 

Date:

                                                                                                Dennis Academy Application Form part-time teacher

Contact

07405 567556

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