This form follows safer recruitment guidance in Keeping Children Safe in Education (September 2025). Please complete every section. All fields except equal opportunities monitoring are required.
Full chronological history, most recent first. Please account for any gaps below.
Role 1
Qualification 1
Optional. E.g. NMC, GTC, professional body PIN.
Two required. Referee 1 must be your current or most recent employer. Where the role involves working with children, referee 2 must be from a previous role that also did.
Referee 1 (current or most recent employer)
Referee 2
All boxes must be ticked. Any 'yes' concerns should be explained in the box at the bottom.
This section is kept separate from shortlisting and is used only for monitoring.
Tell us why you're suitable, evidencing the person specification.
PDF or Word document, 5MB or smaller.
The information I have given is true and complete to the best of my knowledge. I understand that providing false information may result in withdrawal of any offer, dismissal, or referral to the police or DBS.
Date: 08/07/2026