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0208 004 5481
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Nourishing the fitrah of
each unique child.
‘Every child is born upon Al Fitrah....’ (Saheeh Bukhari 1292)
Apply Now!
Nourishing the fitrah of
each unique child.
‘Every child is born upon Al Fitrah....’ (Saheeh Bukhari 1292)
Apply Now!
umta
job application form
Job Application Form
Please complete all sections of this form as your application will not be considered for short listing if deficient.
Data Protection Notice
Throughout this form we ask for some personal data about you. We’ll only use this data in line with data protection legislation and process your data for one or more of the following reasons permitted in law: You have given us your consent We must process it to comply with our legal obligations
Vacancy Information
Please state the post applied for:
Post applied for
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Would you consider job sharing?
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Yes
No
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Do you wish to be added to the school mailing list?
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Yes
No
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Personal Details
Forename(s)
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Title
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Surname
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Previous name(s)
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Home address:
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National Insurance Number:
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Postcode
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Date of birth
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Do you have a DBS certificate?
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Yes
No
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Please provide your DBS (Disclosure and Barring Service) certificate number:
[{"field":"optiondfefe","logic":"equal","value":"Yes","and_method":"","field_and":"","logic_and":"","value_and":""}]
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[{"field":"","logic":"","value":"","and_method":"","field_and":"","logic_and":"","value_and":"","new_value":""}]
On what date did you receive this?
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[{"field":"optiondfefe","logic":"equal","value":"Yes","and_method":"","field_and":"","logic_and":"","value_and":""}]
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What organisation applied for this on your behalf?
[{"field":"optiondfefe","logic":"equal","value":"Yes","and_method":"","field_and":"","logic_and":"","value_and":""}]
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[{"field":"","logic":"","value":"","and_method":"","field_and":"","logic_and":"","value_and":"","new_value":""}]
Are you signed up to the online DBS update service?
- select a option -
Yes
No
- select a option -
[{"field":"optiondfefe","logic":"equal","value":"Yes","and_method":"","field_and":"","logic_and":"","value_and":""}]
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Have you the right to work in the United Kingdom?
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Yes
No
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Is this subject to a Work Permit?
- select a option -
Yes
No
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Are you related to an employee or trustee of the school?
- select a option -
Yes
No
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Please provide names and state their relationship to you.
[{"field":"field_ocaUH","logic":"equal","value":"Yes","and_method":"","field_and":"","logic_and":"","value_and":""}]
Name of employee/trustee
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Relationship to you
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[{"field":"field_ocaUH","logic":"equal","value":"Yes","and_method":"","field_and":"","logic_and":"","value_and":""}]
Contact Details
Work phone number
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Home landline number
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Mobile number
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E-mail Address
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Secondary Education (beginning with the most recent)
Name of school
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From
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Until
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Address of school
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Subject
(e.g. English, Maths etc; list all)
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Qualifications gained and grades
(e.g. GCSE, B)
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Further and Higher Education (beginning with the most recent)
Name of college/university
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From
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Until
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Full-time or part-time
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Full-time
Part-time
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Address of college/university
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Subject studied
List all
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Qualifications achieved with dates and grades
(e.g. 30/06/2005, A level Maths, B)
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Work Experience
Please state all periods of employment in any position. Including new roles assigned through promotion within the same institution, as separate jobs. Please state whether any period of service was on behalf of a supply agency. Please state all periods of previous employment even if not directly relevant to the post your applying for.
MOST RECENT POST OF EMPLOYMENT (if applicable)
Name and address of employer
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Job title
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Present salary and grade
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Reason for leaving, if not in post
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Postcode
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Date of appointment
Select a date
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Notice Period required if in post
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Date of leaving
Select a date
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Please give a brief description of your present duties and responsibilities below.
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PREVIOUS POSTS OF EMPLOYMENT (if applicable)
(please state all, even if not relevant to the post you are applying for)
Name and address of employer
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Position held and duties involved
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From
Select a date
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Until
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Full-time or part-time
- select a option -
Full-time
Part-time
- select a option -
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Field is required!
Hours per week
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Reason for leaving
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Training
Please state all professional development courses and training undertaken during the past 5 years.
Course
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Date
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Hours per week
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Full-time or part-time
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Full-time
Part-time
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Hours
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Selection Criteria
The information you provide in your personal statement will be used to assess your application. The selection criteria for the post are set out in the accompanying job description and person specification. Your personal statement should state in sufficient detail how the skills, knowledge, experience and personal qualities you have meet the selection criteria. You should also demonstrate that you meet the requirements of the job by giving examples of work done in the past.
Supporting Statement
Outline how the experience, skills and training you have gained both inside and outside paid work or through study meet the selection criteria for the post you have applied for. Please make full use of this section as short listing is conducted on the basis of the application form and statement only. (Maximum 700 words)
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References
References will be taken up for short-listed candidates. Please give the name and addresses of four referees here. One must be your present, or most recent, employer, another must be a recent employer. These referees must be members of senior leadership/management. If you have more than one job, it will be necessary for you to provide details of all your employers even if there are more than two. The other two referees must be individuals of social standing due to their professional or community role, who know you well. For example, these can be a community leader you have met with often, an imam of a masjid you frequent, a GP that you see frequently, an accountant that you have had dealings with and so on.
Referee name
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Position held
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Relationship to you
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Organisation
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Address
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Telephone
Invalid phonenumber!
Invalid phonenumber!
Postcode
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Field is required!
E-mail
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Field is required!
REHABILITATION OF OFFENDERS ACT
Please read carefuIIy
Because of the nature of the work for which you are applying, this post is exempt from the provision of the Rehabilitation of Offenders (Exceptions) (Amendments) Order 1986. Applicants are, therefore, not entitled to withhold information about convictions which for other purposes are “spent” under the Provisions of the Act and, in the event of employment, any failure to disclose such convictions could result in a dismissal or disciplinary action by the school. Any information given will be kept completely confidential and will be considered only in relation to any application for positions to which the Order applies. You are asked to note that a check will be carried out on Police records for details of any criminal offence.
Have you ever been convicted of a criminal offence?
Responses will be kept private and confidential.
- select a option -
Yes
No
- select a option -
Field is required!
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Date
Select a date
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REHABILITATION OF OFFENDERS ACT
Please read carefuIIy
'Disqualified' individuals are not permitted to work in a setting providing care for children aged 8 and under, unless they apply for, and are granted, a waiver by Ofsted. A person is 'disqualified' if, for example, s/he has committed offences involving violence or a sexual offence against children or adults, including murder, manslaughter, kidnapping, false imprisonment, ABH and GBH; or offences such as those against children (including those that result in inclusion on the Children’s Barred List); or a Sexual Offence Prevention Order (SOPO); or possession of indecent photographs of children. A person can also be 'disqualified by association', if they are living with someone who has been convicted of a serious crime, such as those listed above, and the conviction is 'unspent'.
Has a Prohibition Order ever been made against you?
- select a option -
Yes
No
- select a option -
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Field is required!
Are you Disqualified to work with children By Association or otherwise?
- select a option -
Yes
No
- select a option -
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Field is required!
Are you living with someone who has been barred from working with children (through the DBS)?
- select a option -
Yes
No
- select a option -
Field is required!
Field is required!
Are you living with someone who has been barred from working with children (through the DBS)?
- select a option -
Yes
No
- select a option -
Field is required!
Field is required!
Are you living in the same household as someone who has been disqualified from working with children under the childcare Act 2006?
- select a option -
Yes
No
- select a option -
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Field is required!
Please confirm whether you have ever been the subject of a child protection concern either in your work or personal life, or have been the subject of any disciplinary action, including any which are time expired.
- select a option -
Yes
No
- select a option -
Field is required!
Field is required!
Are you on the Barred list database or have you ever been Disqualified from working with children or been subject to any sanctions imposed by a regulatory body (e.g. the DfE)?
- select a option -
Yes
No
- select a option -
Field is required!
Field is required!
Field is required!
Field is required!
Date
Select a date
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Document upload
Please upload the following documents
1 proof of ID
Upload your documents...
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2 proofs of address
Upload your documents...
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Qualification certificates
Upload your documents...
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Field is required!
DBS certificate
Upload your documents...
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Field is required!
Relevant CPD certificates
Upload your documents...
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DECLARATION
I hereby certify that, to the best of my knowledge and belief, the information given in this application is true and accurate. I understand that if the information is false and misleading it will disqualify me from appointment or could lead to dismissal or disciplinary action after appointment.
Should any of the particulars furnished in answer to any questions in this form be found to be false within the knowledge of the candidate or should there be any wilful omission or suppression of any material fact, the candidate will, if appointed, be liable to be dismissed.
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Field is required!
Date
Select a date
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GENERAL DATA PROTECTION REGULATIONS
In order to process your application you are requested to complete and return this application form. Unique Academy (UA) will treat the information you have provided in accordance with the provisions of the General Data Protection Regulations, including ensuring it is kept confidentially, is not passed onto to a third party without your consent and, for unsuccessful candidates, is erased within 12 months.
EQUAL OPPORTUNITES STATEMENT
Unique Academy (UA) complies with the provisions of the Equality Act 2010
ADDITIONAL INFORMATION FOR MONITORING PURPOSES
DISABILITY
The Disability Discrimination Act 1995 (DDA) protects people with disabilities. The DDA defines a person as disabled if they have a physical or mental impairment, which has a substantial and long term (i.e. has lasted or is expected to last at least 12 months) and has an adverse effect on the person’s ability to carry out normal day-to-day activities.
Do you consider yourself to have a disability according to the terms given in the DDA?
- select a option -
Yes
No
- select a option -
Field is required!
Field is required!
Please let us know how we can support you at the interview.
[{"field":"field_dsNOG","logic":"equal","value":"Yes","and_method":"","field_and":"","logic_and":"","value_and":""}]
Field is required!
Field is required!
Please select if any of the following types of disability apply to you. People may experience more than one type of disability, in which case select all the types that apply. If your disability does not fit any of the types, please mark ‘Other’ and state your disability.
Sensory impairment, such as being blind, having a serious visual impairment or being deaf or having a serious hearing impairment.
- select a option -
Yes
No
- select a option -
Field is required!
Field is required!
Physical impairment, such as difficulty using your arms or mobility issues, which means using a wheelchair or crutches.
- select a option -
Yes
No
- select a option -
Field is required!
Field is required!
Learning disability (such as down’s syndrome or dyslexia) or cognitive impairment (such as autism or head injury).
- select a option -
Yes
No
- select a option -
Field is required!
Field is required!
Mental health condition, such as depression.
- select a option -
Yes
No
- select a option -
Field is required!
Field is required!
Any other disabilities
Field is required!
Field is required!
ETHNICITY
Please select one category below and then tick the appropriate box within that section to indicate your ethnic background. If you are ticking one of the ‘Any other’ boxes please state your ethnicity in the space provided.
Ethnic group
- select an option -
White
Mixed
Asian or Asian British
Black or Black British
Chinese or other Ethnic group
- select an option -
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Field is required!
British
Irish
Other White background
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Field is required!
Other White background
[{"field":"white_options","logic":"equal","value":"Other White background","and_method":"","field_and":"","logic_and":"","value_and":""}]
Field is required!
Field is required!
[{"field":"main_ethnic","logic":"equal","value":"White","and_method":"","field_and":"","logic_and":"","value_and":""}]
White & Black Caribbean
White & Black African
White & Black Asian
Other mixed background
Field is required!
Field is required!
Other mixed background
[{"field":"{mixed_options}","logic":"equal","value":"Other mixed background","and_method":"","field_and":"","logic_and":"","value_and":""}]
Field is required!
Field is required!
[{"field":"main_ethnic","logic":"equal","value":"Mixed","and_method":"","field_and":"","logic_and":"","value_and":""}]
Indian
Pakistani
Bangladeshi
Other mixed background
Field is required!
Field is required!
Other mixed background
[{"field":"asian_options","logic":"equal","value":"Other mixed background","and_method":"","field_and":"","logic_and":"","value_and":""}]
Field is required!
Field is required!
[{"field":"main_ethnic","logic":"equal","value":"Asian or Asian British","and_method":"","field_and":"","logic_and":"","value_and":""}]
Carribean
African
Other mixed background
Field is required!
Field is required!
Other mixed background
[{"field":"black_options","logic":"equal","value":"Other mixed background","and_method":"","field_and":"","logic_and":"","value_and":""}]
Field is required!
Field is required!
[{"field":"main_ethnic","logic":"equal","value":"Black or Black British","and_method":"","field_and":"","logic_and":"","value_and":""}]
Chinese
Other background
Field is required!
Field is required!
Other background
[{"field":"other_ethnic_bg","logic":"contains","value":"Other background","and_method":"","field_and":"","logic_and":"","value_and":""}]
Field is required!
Field is required!
[{"field":"main_ethnic","logic":"equal","value":"Chinese or other Ethnic grou","and_method":"","field_and":"","logic_and":"","value_and":""}]
MEDIA
Where did you hear about the vacancy?
- select a option -
School website
TES
Other website(s)
School employee/trustees
- select a option -
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Field is required!
Other website(s) please state
[{"field":"media_heard_about_vacancy","logic":"equal","value":"Other website(s)","and_method":"","field_and":"","logic_and":"","value_and":""}]
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Field is required!
School employee/trustees. Please state the name
[{"field":"media_heard_about_vacancy","logic":"equal","value":"School employee\/trustees","and_method":"","field_and":"","logic_and":"","value_and":""}]
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