Salford Diocesan Schools Commission

Teacher Recruitment Scheme

To see more information about the recruitment process.

1. Personal Details

Title	Mr. Mrs. Ms. Miss.
Fornames		Surname
Tel. Home		Tel. College
Date Of Birth
Permanent Address		Term-Time Address

2. Education, Training and Qualifications

Secondary School (Name and type of school)	Dates		Examinations Passed (with grades)	Date
	To	From
Higher Education (including courses currently being undertaken)
Other Relevant Courses

Subjects Offered :

Main
Others

Age Groups Trained For (please check the appropriate boxes) :

Nursery
Infant
Junior
Primary
Secondary

Preferred Age Range/National Curriculum Year :

Will you have a Catholic Religious Education Certificate ? Yes No

3 Schools Experience.
Please give details of any previous experience in schools, including SCHOOL BASED TRAINING.

Name And Type Of School	Age group Involved With	Level Of Involvement	Dates

4. In which localities of the Diocese of Salford would you particularly wish to teach? (See information pack and map for details)

Are you willing to teach in other areas of the Diocese? If so which?

Please indicate the approximate date you will be available to commence employment.

5. Supporting Statement

You are requested to make a statement describing your achievements, those aspects of teaching practice which have interested you most and your hopes in relation to your first post in a Catholic school. Please include any other information you feel would be helpful.

6. References
Please give the names and addresses of two referees, one of whom should be a clergy reference.

Name		Name
Address		Address
Post Code		Post Code
Telephone Number		Telephone Number
Status		Status

7. Declaration

I agree to the information provided being distributed to all Catholic schools within the Diocese of Salford. I also agree to notify the Salford Diocese Recruitment Scheme when I am appointed to a teaching post either within or outside the Diocese.
Name of person submitting the form: Date :