Specialists in finding the very best teachers and support staff for Primary, Secondary and Special Needs Schools across London
Please Upload a Photo showing ONLY your head and shoulders against a CLEAR WHITE background - the wall behind your head must be white or a pale off-white tone, no logos/ objects/ corners of rooms in backdrop - TAKEN TODAY (no passport photos please)
Please upload a photo or scan of your DBS that includes all 4 sides of the paper including your address at the top
Please upload your overseas Police Check if applicable
Please upload, if applicable, a scan of your VISA from your passport
Do not leave any box blank – please write – n/a if not applicable (such as driving licence number etc).
First names (including middle names):
Date of Birth:
Address & Postcode:
Date of Issue:
Teacher Reference Number/IFL Number (if applicable):
Do you have access to a car?
Driving Licence Number (if applicable):
Emergency Contact Name:
Emergency Contact Number:
What is their relation to you:
What is your expected daily rate (Before Tax/ NI)?
Is your DBS registered online – (you will have paid £13 for the update service within the last 12 months if so)
Is your DBS
Child checked only
Child and adult checked only
How did you hear about Active Recruitment Ltd?:
Do you have any holidays booked or are unavailable on certain days which you know about in advance?:
Do you agree to call Active Recruitment on 0208 508 7108 by 715am, or the previous day if you are unable to go to work due to sickness or any other reason?
Do you agree to call Active Recruitment on 0208 508 7108 if you leave the school at any time after arrival but before the end of the day? If you cannot make the call yourself you must ask another person to inform us by phone immediately.
Active Recruitment Ltd will not refund any expenses incurred by you in the course of your work unless you ask us for permission first before buying items such as textbooks, classroom items, food for school cookery, etc. It is essential that you both seek permission first and keep receipts. This request must be by email. Please tick to confirm that you agree with this.
Please select if you have a UK Passport
Biometric ID Card/ VISA Number if non EU (please write EU if from the European Union):
Have you completed overseas Police Checks for the last 5 years?
Do you have the right to work in the UK:
Visa Expiry Date:
In line with UKBA guidance on the prevention of illegal working we will need to verify and take a copy of your original ID documentation as evidence of your right to work in the UK if you are to be engaged by ACTIVE RECRUITMENT LTD for temporary work
References will only be taken up with your knowledge and agreement.
List present or most recent position first
Dates you knew this referee from:
Dates you knew this referee to:
Their work email address:
Your role/ job title (i.e. Teacher/ TA/ Student):
Their role/ job title (i.e. SLT/ HR/ Tutor):
Their place of work:
Reason for Leaving:
Can we apply straight away for a reference
Preferred subject to teach:
Preferred year group to teach:
Type of work:
How many days off sick have you required in the past year:
More than 5
Have you included a minimum of one work email for your references?
Have you asked permission first in the last 12 months from this person for a reference?
Please confirm which of the following you have experience of:
P-levels or Milestones
Hand on hand signing for deaf blind learners
British Sign Language
Team Teach or any other restraint training
Read write Inc
The following questions on health and disability are asked in order to find out your needs in terms of reasonable adjustments to access our recruitment service and to find out your needs in order to perform the job or position sought.
1.1. Do you have any health issues or a disability relevant which may make it difficult for you to carry out functions which are essential for the role you seek?
If yes, please specify
Do you consider yourself medically fit for teaching in the UK?
I declare that all the answers to the above questions are true and complete to the best of my knowledge.
I understand that any false statement or material omissions may lead to my removal from the register and/or refusal or any offer of work.
REHABILITATION OF OFFENDERS ACT 1974 (EXCEPTION ORDER 1975)
Assignments will involve you in close contact with pupils under the age of 18 or with students with learning difficulties or disabilities; your registration with ACTIVE RECRUITMENT LTD is therefore exempt from the provisions of the Rehabilitation of Offenders Act 1974 and its supporting regulations. Consequently you are NOT entitled to withhold information about convictions which for other purposes are “spent” under the Act.
ACTIVE RECRUITMENT LTD will check the information given in this section with the relevant authorities.
You will be required to apply for an enhanced disclosure level of police check through DBS (Disclosure & Barring Services).
Have you been convicted of a criminal offence other than a road traffic offence not involving injury to a 3rd Party, or a sentence of imprisonment?
If yes, please provide details below
All employees are required to provide relevant information about a person who lives in the same household as them, who may have influence over the employee working with children and who may therefore pose a risk to children i.e. “by association”.
You are therefore required to disclose:
Has anyone living in your household been barred from working with children by the DBS?
Has anyone living in your household been disqualified from working with children under the childcare Act 2006?
To the best of your knowledge, is anyone living at your address subject to the above?
If you have answered YES to any of the above, please provide further information below (you may provide an additional information sheet if necessary):
Any relevant information will be passed to OFSTED to make a decision as to whether the offence would lead to disqualification by association and you will be notified of their decision accordingly.
I confirm that the information I have declared above is correct and understand that I have duty to inform the Head teacher should any of this information change at any time during my employment with the school.
A check as to the existence and content of any relevant criminal record will be requested from the Disclosure and Barring Service after a person has been selected for appointment. Refusal to agree to a check being made could disqualify you from being considered for the appointment.
Under the Rehabilitation of Offenders Act 1974, you have the right not to disclose details of ‘spent’ convictions. However, for certain jobs, employers are allowed to ask about these offences. The Rehabilitation of Offenders Act 1974 (Exception Amendment) Order 1986 sets out details of all jobs to which this applies and the job you have applied for is included in the list. The amendments to the Exceptions Order 1975 (2013) provide that certain spent convictions and cautions are 'protected' and are not subject to disclosure to employers, and cannot be taken into account.
The filtering rules (which remove certain old and minor convictions and cautions, reprimands and warnings from a DBS Certificate) were developed by the Home Office and the Ministry of Justice and introduced with new legislation:
The legislation is:
For those 18 or over at the time of the offence:
An adult conviction will be removed from a DBS Certificate if,
Even then, it will only be removed if it does not appear on the range of offences which will never be removed from a certificate, which include serious sexua
l and violent offences. (see Exceptions to the Rules). If a person has more than one offence, then details of all their convictions will always be included.
An adult caution will be removed after six years have elapsed since the date of the caution – and if it does not appear on the list of offences relevant to safeguarding.
For those under 18 at the time of the offence:
For convictions, the same rules apply as for adult convictions, except that the elapsed time period is five and a half years.
For cautions, the same rules apply as for adult cautions, except that the elapsed time period is two years.
Exceptions to the Rules
Some offences will never be removed from a DBS Certificate. These include the most serious sexual and violent offences. You can view this specified list of offences at:
Further information is also available from:-
If you are unable to access the internet please contact the school who will be able to send this information to you direct.
You must provide details of any relevant criminal convictions that you may have. The disclosure of a criminal record may not necessarily prevent you from being appointed. The nature of the offence, how long ago it took place, your age at the time and any other relevant factors may be considered when a decision is made. Please note that some convictions are never considered ‘spent’ under the terms of the Act.
Have you ever been the subject of professional misconduct proceedings or suspensions from an employer, or such pending or threatened against you either in the UK or abroad.
If yes please give details attached to this application
The information you provide will be checked. If you are found to have provided false information your application will be terminated and you will be offered no assignments through ACTIVE RECRUITMENT LTD. Further action may be taken.
I declare that all the information I have provided is accurate, complete and true.
I have carefully read the Policy Statements published by and the Terms and Conditions and agree to be bound by them.
The information that you provide on this form and on any CV given will be used by ACTIVE RECRUITMENT LTD to provide you work finding services. In providing this service to you, you consent to your personal data being included on a computerised database and consent to us transferring your personal details to our clients.
We may check the information collected, with third parties or with other information held by us.
We may also use or pass to certain third parties information to prevent or detect crime, to protect public funds, or in other way permitted or required by law.
I hereby confirm that the information given is true and correct. I consent to my personal data and CV being forwarded to clients. I consent to references being passed onto potential employers.
If, during the course of a temporary assignment, the Client wishes to employ me direct, I acknowledge that ACTIVE RECRUITMENT LTD will be entitled either to charge the client an introduction/transfer fee, or to agree an extension of the hiring period with the Client (after which I may be employed by the Client without further charge being applicable to the Client).
Active Recruitment LTD operates a Refer a Friend Scheme. If you are happy to recommend our services then once your referral completes 30 days work for Active Recruitment you will be entitled to a bonus.
If you would like to recommend another Teacher, School support worker, TA, Nursery Nurse etc please fill in the box below and we will contact them.
Do you want to recommend a colleague or friend and receive up to £300?
Subject/Year Group specialism:
Your application will be reviewed by the Active team who will contact you shortly. If you did not attach any required item you can still do so to email@example.com. Many thanks for your time.