GWYNEDD EDUCATION AUTHORITY

Transcription

1 GWYNEDD EDUCATION AUTHORITY Application for the post of:... School:... Please send the completed form to the address which appears in the advertisement. If a self-addressed and stamped envelope is sent, the application will be acknowledged. No application will be accepted after the closing date. Please complete using BLACK INK. Full Name (Surname first)...title... Address Post Code Tel No. (or contact Tel no)... (This is used in order to inform applicants whether or not they have been successful) College Address (for students only)... Post Code... Tel No. (or contact Tel no)... Teacher s Registration No.... National Insurance No.... Secondary Education (a) Secondary School(s) attended (b) External Examinations sat whilst at school (i) GCSE Subjects or similar qualification: Standard (e.g. GCSE, CSE, O Level) Subject Grade 1

2 (ii) A Level Subjects or similar qualification: Standard Subject Grade 1. University (a) Degree Course Higher Education Main subjects... Degree... (Specify ordinary degree or honours with classification and standard) (b) Degree Course Main subjects... Degree... (c) Professional Course Main subjects of professional course... Trained for: Primary... Primary/Secondary... Secondary... Certificate/Diploma/Degree... (Specify classification and standard) 2. Education College Main subjects... Basic, subsidiary and professional subjects... Trained for: Infants... Juniors... Secondary... Certificate/Diploma/Degree... (Specify classification and standard) 3. Further Education/ Other Advanced College College... from... to... Course details... Certificate/Diploma/Degree... (Specify classification and standard) 2

3 Qualifications (a) Specify your qualifications in the subject or subjects pertinent to this post:... (b) Special Educational Needs Specify any qualification/experience... Knowledge of Welsh (a) Oral ability in Welsh... (b) Writing ability in Welsh.... (c) Qualification in teaching Welsh as a Second Language... Teaching Experience (do not include periods on teacher training nor current post) Recent Continuous Professional Development (within the past five years) e.g. Leadership Programme, courses, activities, secondments. DEVELOPMENT NATURE OF THE ORGANIZED BY OUTCOMES e.g. effect in the DEVELOPMENT AND classroom/cascading to others DATES 3

4 (a) At a school Current post School... LEA... Pupil numbers... Age range (e.g , )... Status of post (e.g. assistant teacher, head of department)... Current Pay Scale... Current salary point... Allowances... Date of appointment... (b) At another educational establishment Description... Employer... Pupil numbers... Age range... Status of post... Current Pay Scale... Current salary point... Allowances... Date of appointment... Additional Information. Other Work Experience. (previous posts other than teaching should be listed, as this information may contribute towards determining a salary point) Schools where teacher training was done (students only) Other relevant issues (e.g, courses, hobbies, awards, honorary posts) Please include any further information in support of your application. Appended sheets may also be added to this form. 4

5 Please give the name and address of two referees. For applicants currently in employment at least one reference must be from your present employer Applicants for any post within the Council, should, if they are aware that they are related to a member or senior officer from the Council, divulge this in writing when applying. Unless this is done, the candidate will be disqualified from appointment to the post and should he/she be appointed, may be liable to dismissal without warning. Direct canvassing of Council Members/Governors or any Council committee by a candidate either directly or indirectly for any Council post will disqualify the candidate from that post. How were you notified about this post? Superannuation (a) Have you retired under the terms of any pension scheme including the terms of the Early Retirement/Sickness Scheme for Teachers? If so, please specify:... b) Do you contribute to the Teachers Superannuation Scheme? Yes/No If you don t, give details of scheme contributed to (if at all) e.g, Local Government Pension Scheme or a Private Scheme: c) Have you reached agreement with the Department for Education regarding making an additional contribution? (Not AVC s) Yes/No If so, specify amount or percentage:... (d) If you are employed as a part-time/supply teacher, have you opted for your service to be regarded as a contributory service? Yes/No If so, please forward copy of Form 478A/261 to this Office. (e) Since January 2007, it is compulsory for all teachers to contribute towards the Teachers Superannuation Scheme unless they decide to opt-out of the scheme. Do you wish to opt-out of the pension scheme Yes/No (Should you wish to do so, then the appropriate form will be forwarded to you in order that Teachers Pensions can be informed of your decision). Candidate s signature... Date... 5

6 FOR OFFICE PURPOSES ONLY SALARY ASSESSMENT Main Pay Scale (1-6) Points Mandatory Points... Discretionary Points (Experience other than teaching)... Total Points... Upper Pay Scale (1-3) Point on scale... Allowances Mandatory SEN Allowance Mandatory and Discretionary SEN Allowance Teaching and Learning Responsibility (TLR 1 or TLR 2) Recruitment and retention (period from /------/ to /------/----- Total.... Leadership Scale Pay Range L i L Starting Salary. (L ) Unqualified Teacher Pay Point Additional comments 6