Temporary Post Application 2014 – Fast Track Only those who worked for us in 2013 are eligible to complete the Fast Track application form.

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Application Details

Surname Forename(s)

Position applied for

Centres: please list in order of preference and indicate whether you require accommodation (Y/N). Please note these choices cannot be guaranteed.

1. 2. 3.

Accommodation required Accommodation required Accommodation required

If there is no work available at your preferred centre(s), would you be willing to work elsewhere? (Y/N)

Specific dates available for work

Days off needed in the summer and reason (please note that

we look into each request individually, but during busy weeks, may not be able to accommodate your request)

Please indicate when/where/which post(s) you have previously held with SHSH, e.g. 2011, Cheltenham, AL

Please add any relevant information regarding your preference or availability

Personal Details

Gender (M/F) Nationality

Permanent Address, including postcode Current Address, including postcode (if different)

Date from Date to

Email Telephone (including code)

Skype Mobile (including code)

Do you have the right to work in the UK? If you need to apply for a permit, answer no. (Y/N)

If you have a visa or permit to work in the UK, please state what this is and the expiry date.

Qualifications and Experience Qualifications update since summer 2013. Please include all Lifeguarding and First Aid qualifications, even if this information has been provided previously. Continue on a separate sheet if necessary.

Name of Institution (e.g. International House; Canterbury

College)

Qualification and Subject (e.g. CELTA; First Aid at Work)

Awarding Body (e.g. Uni. Cambridge; British Red Cross)

Dates and mode of study (e.g. 3/9/12-28/9/12, full time; 7th Nov.

2011, one day course)

Temporary Post Application 2014 – Fast Track Only those who worked for us in 2013 are eligible to complete the Fast Track application form.

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EFL Teaching Experience (if applicable; calculate up to June 2014). This information will be passed on to the centre.

No. of Years Teaching Adults Teenagers Children (8-12)

UK

Abroad

Total number of years full-time (post-CELTA/Trinity Cert. TESOL) EFL teaching experience

Employment update since summer 2013. Continue on a separate sheet if necessary.

Name and Address (including country) of Employer

Position Held Main Duties and Responsibilities From To

Do you hold a Disclosure and Barring Service (DBS), Criminal Records Bureau (CRB) or Protection of Vulnerable Groups (PVG) disclosure certificate? (Y/N)

Are you registered with the DBS update service? (Y/N)

If yes to either question please state the type of check, the date, the reference number and the organisation that carried out the check

Temporary Post Application 2014 – Fast Track Only those who worked for us in 2013 are eligible to complete the Fast Track application form.

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Further information

Please tell us about your experience with us last year, what you contributed to the programme, what you learnt, and what you feel you can contribute this year. Please also tell us more about any additional experience or skills you have gained since last year.

Non-management only: please indicate which of the following sports and activities you would be able to assist with (A), teach (T), or are qualified to coach (QC). This information will be passed on to the centre management team. Note: we provide full support and training for all activities and excursions.

Football Swimming

Tennis Drama

Badminton Dance

Volleyball Art and Craft

Basketball Fitness classes

Table Tennis Other (please specify)

Management only: As a manager, you may be required to work for an average of more than 48 hours per week. Would you be willing to sign an opt-out agreement pertaining to working time regulations to allow for this? (Y/N)

Temporary Post Application 2014 – Fast Track Only those who worked for us in 2013 are eligible to complete the Fast Track application form.

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Reference As part of our ongoing commitment to child protection, we are now asking that all returning staff provide one reference. Please give the name of a professional referee who can comment on your work since your last contract with Stafford House Study Holidays.

If you have worked with children since your last SHSH contract, please include a referee from this employment.

If you have not been in employment since your last contract with SHSH, please provide the contact details of a referee who has known you through voluntary work or in an academic capacity in this timeframe.

References from friends and family are not acceptable.

Please use company email addresses wherever possible.

Name of referee:

Organisation: Relationship to you:

Address:

Tel.: Fax:

Email: May we approach now (Y/N):

Applicant Declaration

Please answer ‘yes’ to each statement to confirm your acceptance

I declare that I have read and understood the job description. I also declare that the information I have given on this form and elsewhere in connection with my application is true and correct and that misleading statements may be sufficient for cancelling any agreements made. I am in possession of the certificates which I claim to hold and agree that if offered a post, I will provide copies of these when returning the contract.

I declare that I have the right to work in the UK and that I will provide evidence of this when returning the contract. I understand that if I fail to provide this I may forfeit my right to work with Stafford House.

I understand that data contained on this form may be disclosed to trusted third parties, including British Council inspectors, and agents that Stafford House Study Holidays works with, for quality assurance and inspection purposes.

Your personal details will be recorded on our computers in accordance with our registration under the Data Protection Act 1998. If you are not happy for us to contact you about vacancies for the next three years, please answer no here.

Signed: Date:

(By typing your name here you confirm that the above information is true and correct. Please note you will be asked to return a signed copy of this declaration with your contract)

Temporary Post Application 2014 – Fast Track Only those who worked for us in 2013 are eligible to complete the Fast Track application form.

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Declaration of Suitability to Work with Children Our Child Protection Policy Stafford House Study Holidays is committed to providing a safe and comfortable environment for juniors in our care. We achieve this by:

Adhering to safer recruitment of staff practices as per NCSL guidelines

Having clear code of conduct for all staff working at our centres

Adopting child protection policies and procedures as per NSPCC guidelines

Having clearly visible and accessible Anti-Bullying Policy and Student Complaints procedure Please see our Staff Handbook for full information.

Because of the sensitive nature of the duties you will be expected to undertake, you are required to disclose details of any criminal record and a DBS check or Disclosure Scotland may be processed. Disclosure may not necessarily be a bar to obtaining a position as only relevant convictions and other information will be taken into account, however you must disclose all convictions, cautions, reprimands and final warnings that are not "protected" as defined by the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (as amended in 2013 by SI 2013 1198). Please visit the following website to read up on the Rehabilitation of Offenders Act: http://www.legislation.gov.uk/uksi/2013/1198/pdfs/uksi_20131198_en.pdf.

Full Name

Home Address

Date of Birth

Have you ever: (Y/N)

Been convicted of any offence against a child?

Had a child removed from your care by the order of a court?

Had a prohibition order or injunction imposed on you at any time?

Been proven negligent whilst supervising under-16s on activities or courses organised by any other organisation?

Had a conviction, caution, reprimand or final warning given by the police that is not protected as defined above?

As far as you are aware, had any police enquiries undertaken following allegations made against you, which may have a bearing on your suitability for this post?

Been on List 99, disqualified from work with children or subjected to sanctions imposed by a regulatory body?

If you have answered ‘yes’ to any of the above questions, please supply the dates and circumstances

I declare that I have not withheld any information relevant to the above and understand that an enhanced DBS or Disclosure Scotland check may be requested in the event of a position being offered.

Signed: Date:

(By typing your name here you confirm that the above information is true and correct. Please note you will be asked to return a signed copy of this declaration with your contract)

Please return your completed form to Recruitment Coordinator, Stafford House Study Holidays, 19 New Dover Road, Canterbury, Kent CT1 3AS or recruitment@staffordhouse.com