GDPR Consent I agree to the Terms and Conditions(Required) I agree to receive marketing communications(Required) I agree to the processing of my personal data with third parties including the REC, NTP & CCS for the purposes of audits of Connex compliance to applicable laws and obligations(Required)
Next of kin - Emergency contact details Their name(Required)
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Health & disability Do you have any health issues or a disability relevant to the position or role you seek?(Required) As you've indicated you have a disability, are there any reasonable adjustments that you need in order to access this recruitment service, attend interviews or assessments?(Required) Please specify what these adjustments are(Required)
Please confirm your fitness to teach by selecting one of the three statements.(Required)
Qualified Teacher Status Are you a Qualified Teacher?(Required) Pay scale(Required)
Agency Workers Regulations 2010 In order to ensure you receive your full rights under the Agency Workers Regulations 2010, have you in the past six weeks been hired by a recruitment agency to carry out work in schools or nurseries?(Required) If yes, please specify the schools you have worked in, the location and your job title(Required)
Rehabilitation of Offenders Declaration Do you have any unspent conditional cautions or convictions under the Rehabilitation of Offenders Act 1974?(Required) Do you have any adult cautions (simple or conditional) or spent convictions that are not protected as defined by the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (Amendment) (England and Wales) Order 2020?(Required) Please provide details here(Required)
Disqualification Please confirm that you are not disqualified on any grounds set out in the statutory guidance(Required)
DBS Update Service Checks Please confirm that you consent to Connex monitoring your update service status in line with the safeguarding policy(Required)
Vetting statement You should read the following guidance notes carefully as they explain the vetting procedures Connex Education Partnership will carry out during your
registration.
Confidentiality Statement: I will keep secret and confidential all information made available to me about any educational establishment member of staff or pupil whilst on assignment.
I will keep any such information secure and will not disclose this nor allow it to be disclosed to any unauthorised person. I understand that the above
undertakings are terms of my assignment and should I break these, this may result in action, not excluding Civil or Criminal Prosecution being taken against me. This includes the Data Protection Act 1988 and any variations that may be made to this in the future. It is an offence for anyone who has been convicted of certain specified offences, or included on lists of people considered unsuitable by the Department for Education (DfE) & the Department
of Health (DoH) to apply for work with young people under the age of 18. I am therefore required to declare any details of any criminal record that I may have including pending prosecutions, convictions, cautions and bind overs. The information I give will be regarded as confidential and will only be disclosed in relation to appointment in schools.
The disclosure of a criminal record or other information will not debar you from appointment unless Connex Education Partnership considers, or is advised by the Department for Education or the TRA (Teaching Regulation Agency), that this renders you unsuitable for employment. In making the decision, Connex Education Partnership will consider the nature of the offence and how it occurred, what age you were when it was committed and any other factors which may be relevant. We are required by the Department for Education to share any Enhanced Disclosure information with Headteachers, Principles or designated persons prior to employment.
Failure to declare any pending/unspent prosecution, conviction, caution (excluding youth cautions, reprimands or warning) or bind over including those regarded as spent that are not protected as defined by the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (Amendment) (England and Wales) Order 2020 is an offence and may disqualify you from appointment, or result in your appointment being terminated when the discrepancy comes to light with possible referral to the police and Teaching Regulations Agency (TRA).
Disclosure and Barring Service (DBS): Unless you hold an original Enhanced Disclosure that is registered on the update service, Connex Education Partnership will arrange for an Enhanced Disclosure check to be carried out by the Disclosure and Barring Service. A cost will apply for the Enhanced Disclosure but it will belong to you and can be used for assignments.
Any work or travel abroad within the last five years for a period of six months or more must be covered by copies of an appropriate police check or a letter of good conduct. Only original or properly certificated police checks/certificates of good conduct can be accepted. A UK Enhanced Disclosure is also required.
Please confirm that you've read, understood and agree with this Vetting Statement(Required)
Safeguarding at Connex
Applicant's declaration and consent I consent to 3rd party audit checks(Required) I consent to Connex Education Partnership sharing my information with other companies within Bluestones Investment Group and payroll providers.(Required) By consenting, I allow Connex Education Partnership to process my application using the information that I provided in accordance with the requirements of the Data Protection Policy and in keeping with the Data Protection Act 1998 and The General Data Protection Regulation (GDPR)
Special Needs Interest Connex Education Partnership, supplies special educational needs schools as well as mainstream schools. Would you be interested in working with our SEND pupils?(Required)
Please, therefore, complete our further SEND questions SEND schools previously worked at Do you hold any SEND qualifications or have you undertaken any SEND training?(Required) Training could include: Team Teach, Makaton, PECs and BSL
List(Required) Please indicate any previous SEND experience(Required) Please select any that apply
Would you be happy to carry out personal care within our SEN schools?(Required) Do you have experience with PEG feeding or hoisting?(Required)
Bank information
Signing and submitting Your name(Required)
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Connex Branch(Required) Please select Birmingham Derbyshire Liverpool London Manchester North East/ Middlesbrough Northampton Nottingham Sheffield Stevenage Wales Warrington Yorkshire
Please review the entries on this form and if you're happy that everything is accurately completed, sign and submit the form.
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