Combe CE Primary School is committed to safeguarding children and young people

All post holders are subject to a satisfactory enhanced Disclosure and Barring Service check

Please note that you are required to complete all sections of Part 1 and Part 2 of the application. If the particular field is not applicable to you, you must enter this in the box provided.

Part One

Vacancy Job Title

Personal Details

Present / Last Employer

Employment History

In the following section, please provide a full history in chronological order starting with the most recent since leaving secondary education, including periods of any post-secondary education/training, and part-time and voluntary work as well as full time employment, with start and end dates, explanations for ALL periods not in employment or education/training and reasons for leaving employment.

Employment 1
Employment 2
Employment 3
Employment 4
Employment 5
Employment 6
Additional Employment

Education and Qualifications

Secondary School / College 1

Secondary School / College 2

Secondary School / College 3

Secondary School / College 4

Additional Schools / Colleges

University / College Education

Professional Courses Attended - Please list relevant courses attended in the past three years.

Professional Course 1

Professional Course 2

Professional Course 3

Professional Course 4

Professional Course 5

Personal Statement


Please provide details of two people to whom reference may be made. The first referee should normally be your present or most recent line manager or equivalent person. If you are not currently working with children please provide a referee from your most recent employment involving children. References will not be accepted from relatives or from people writing solely in the capacity of friends.

First Referee (This must be your most recent employer)

Second Referee

Part 2

Equal Opportunities (This section will not be used for shortlisting.)

You are asked to complete the grid below for the purpose of monitoring applicants for employment by reference to the ethnic groups to which you belong. However, you are not obliged to do so.

Asian or Asian British
Black or Black British
Chinese or other Ethnic Group
Do not wish to be recorded

Disability (This section will not be used for shortlisting.)

The Disability Discrimination Act 1995 defines a disability as a physical or mental impairment which has a substantial and long term adverse effect on your ability to carry out normal day to day activities. An amendment in 2005 means certain conditions are also covered at the point of diagnosis, not when they begin to affect day to day activities.

Are there any considerations in relation to any of the information that you have provided in this form that we should take into account for making interview or assessment arrangements?


Jobs in schools are exempt from the provisions of Section 4(2) of the Rehabilitation of Offenders Act 1974. You must therefore declare, whether spent or not, any convictions, cautions or reprimands, warnings or bind-overs which you have ever had and give details of the offences. The fact that you have a criminal record will not necessarily debar you for consideration for this appointment.

Do you have ANY convictions, cautions or reprimands, warnings or bind-overs? Please mark the relevant box below:

I certify that, to the best of my knowledge and belief, all particulars included in Parts 1 and 2 of my application are correct. I understand and accept that providing false information will result in my application being rejected or withdrawal of any offer of employment, or dismissal if I am in post. I understand and accept that checks may be carried out to verify the contents of my application form.

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