Apply Job | Madrasah Falah

Date of Birth *

Your Phone Number *

Gender *

Male

Female

Address *

Post Code *

Do you have a completed DBS Certificate? *

Yes

No

Nationality *

British

Other

Please Specify Nationality *

Do you require a work permit to take up employment in the UK?

Yes

No

Right to Work Share Code

Available TImes

5.15-7.15pm

5.15-6.15pm

6.15-7.15pm

Other/Ad-Hoc

Madrasah Name

Academic Qualifications

Are you currently employed? *

Yes

No

Job Title

Date of Appointment

Employer

Employment History

Other, Please Specify

What is your availability?

Full Day (5.15-7.15pm)

1st Hour Only (5.15-6.15pm)

2nd Hour Only (6.15-7.15pm)

Referee 1

Please provide referee's Name, Position, Post Code, Contact Number, Email

Referee 2

Please provide referee's Name, Position, Post Code, Contact Number, Email

Short Introduction

Declaration *

• I certify that the information on this form is correct and complete to the best of my knowledge. I am not on List 99, disqualified from work with children, or subject to sanctions imposed by a regulatory body.
• I understand my responsibility to safeguard children and am aware that I am required to notify the head teacher of anything that may affect my suitability.
• I give permission for you to contact any previous employers, police and the DBS to share information about my suitability to care for children.
• I certify that to the best of my knowledge all the information I have given is correct. I understand that by deliberately giving false or incomplete information I may be suspended from duty and may be liable to summary dismissal with possible referral to the police.
• I also understand that, on appointment, the information from this form will be retained in a digital format for HR purposes in accordance with the Data Protection Act.

Application Form

Supply Teacher (Ad-Hoc)

Preston, United Kingdom

Employee