Your personal details
These fields are all mandatory.
Title
Mr
Mrs
Miss
Ms
First Name
Middle Name(s)
Surname
Telephone No
Mobile
E-mail
Date of Birth
(DD/MM/YYYY)
NI No.
Address
please use a permanent home address
House Name / No
Street
Town
County
Postcode
More about you...
Are there any restrictions on
you taking up employment in the UK?
Yes
No
If Yes please detail:
Transport:
Do you currently hold a
full UK driving licence, or another licence that allows you to drive in the
UK?
Yes
No
Do you own/have access to
your own transport
Yes
No
If Yes please detail:
Education History
Please detail your education and qualifications gained
Schools
Colleges/ universities
Other training
Employment History
Please detail your recent employment history
Employment 1
Job Title
From
To
Salary
Name & address of employer
Duties
Employment 2
Job Title
From
To
Salary
Name & address of employer
Duties
Employment 3
Job Title
From
To
Salary
Name & address of employer
Duties
Disciplines
Instrument 1
Instrument
Grade achieved
Board
Instrument 2
Instrument
Grade achieved
Board
Instrument 3
Instrument
Grade achieved
Board
Working environment
SCAMPS tutors work in 5 main areas. Please choose your specific areas of interest
1. Key stages 1+2 education 7- 11 year old school children
2. Key stages 3+ 4 education 11 – 18 year old school children
3. Adult education
4. Corporate work place team building events
5. Corporate functions eg bands and corporate events
Hours of work
Would you be looking for a full or part time position?
Full Time
Part Time
Please choose preferred working time
09:00 – 18:00
18:00 – 24:00
If successful with this post how many hours a week would you ideally like to work?
hours per week
Band or performance details
Do you perform in a function band or are you a soloist
What style of music do you perform?
How often do you perform over a calendar month?
Do you have a web site link?
References
Please detail the names and addresses of two persons from whom we can obtain both character and work experience references. Full postal address is required.
Reference 1
Reference 2
Leisure
Please detail your leisure interests, sports and hobbies, other pastimes etc.
Criminal Records
Criminal Records Bureau: Many of our posts involve
unsupervised work with children and successful applicants will be required
to submit an application to Criminal Records Bureau for an enhanced
disclosure through our umbrella body (CRB reg no 22310600000). PLEASE SEE
POINT 3 IN THE DECLARATION BELOW .
Do you have a criminal record?
Yes
No
If Yes please detail:
General comments
Please detail your specific reasons for this application, your main achievements to date and the strengths you would bring to this post.
Health details
Do you have a physical or mental impairment which has a substantial and long term effect on your ability to carry out day to day activities
Yes
No
If Yes please specify any special arrangements for work associated with any impairment.
Please specify any special arrangements you will need to attend an interview
Please list any diseases, disorders, allergies, muscular or musculoskeletal injuries from which you have suffered or do suffer.
Please detail any form of medicine, drugs or treatment you are currently and/or regularly receiving.
Please list all absences from work in the last 12 months and the reasons for such absences
Attach your CV
Declaration
1.
I confirm that the above information is complete and correct and that any untrue or misleading information will give my employer the right to terminate any employment contract offered.
2.
I agree that the organisation reserves the right to require me to undergo a medical examination. (Should we require further information and wish to contact your doctor with a view to obtaining a medical report, UK law requires us to inform you of our intention and obtain permission prior to contacting your doctor). I agree that this information will be retained and my personal file during employment and for up to six years thereafter and understand that information will be processed in accordance with the Data Protection Act.
3.
I agree that should I be successful in this application, I will, if required, apply to the Criminal Records Bureau/Scottish Criminal Records Office for an enhanced disclosure. Teaching positions with SCAMPS involve unsupervised work with children, and as such, are exempt from the 1974 Rehabilitaion of Offenders Act, requiring applicants to give full details of any criminal record including spent convictions. I understand that any offer of employment that is made for such posts as a result of this application will be subject to a satisfactory response from the Criminal Records Bureau and reference checks.
I have read and understood the above declaration