Employment Application Form

Employment Application Form
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Choose from the dropdown the role you intend to apply for.
Are you known by any other name?
Previous Address (if resident at current address for less than 5 years)
Do you have evidence of your entitlement to live and work in the UK?
Do you require a Work Permit?
Have you applied for a job at Northfields Infants and Nursery School before?
List your qualifications and the dates you were awarded them.
From the most recent, outline your record of employment. Include the name of the employer, the address of your workplace, their phone number and your reason for leaving.
Medical Record
Will you provide a health declaration form should you
Tell us the dates attended, course titles and providers.
Reference 1's Name (most recent employer)
Reference 1's Address
Reference 2's Name
Reference 2's Address

The school/setting is required to give you the opportunity to voluntarily declare convictions, cautions, reprimands or final warnings that are not ‘protected’ as defined by the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (as amended in 2013 and 2020). You will be provided with a criminal self-declaration form by the school if you are shortlisted for the post. All posts in schools are exempt from the Rehabilitation of Offenders Act 1974. If you are appointed you will be required to have an up to date Disclosure and Barring Service (DBS) Certificate. The existence of a criminal background does not automatically mean that you cannot be appointed but it may do so. The DBS now offers an update service, which keeps DBS certificates up to date and allows employers to make an online check with an applicant’s consent. This applies where the type and level of check are identical and in the same workforce area (e.g. schools).

Please confirm if you currently subscribe to the update service.

Declaration – Do you have a close relationship with, and/or are you related to, anyone who works in the setting or who is part of the management structure?


In accordance with the Data Protection Act 1998, I agree that information I have provided may be held and used for personnel reasons.

Successful candidates will be subject to online checks.

I understand that an offer of appointment will be subject to satisfactory references, DBS clearance, proof of identity and right to live and work in UK, medical checks and relevant qualifications.

I understand that failure to disclose any relevant information, or the provision of false information, could result in the withdrawal of any offer of appointment, or my dismissal without notice at any time in the future, and possible criminal prosecution.

I hereby declare that information given on this form is complete and accurate.

Proof of confirmation

Childcare (Disqualification) Regulations 2009

The Department for Education (DfE) has revised its Statutory Guidance “Keeping Children Safe in Education”.

This update requires schools which provide care for pupils under the age of 8, to ensure that staff and volunteers working in these settings are not disqualified from doing so under the Childcare (Disqualification) Regulations 2009.

A person may be disqualified through

  1. having certain orders or other restrictions placed upon them
  2. having committed certain offences

Upon appointment an education setting may, therefore, require you to sign a declaration confirming that you are not disqualified under those Regulations from working in schools.