Tutor Form

2.Education
School Attended
School Name Date From Date To Qualifications achieved with grades and dates
College/Sixth Form Attended
College/Sixth Form Name Date From Date To Qualifications achieved with grades and dates
University Attended
College/Sixth Form Name Main Subject(s) Subsidary Subjects(s) Degree Pass/Hon Class & Div From/To Date Of Award

Experience
Relevant training e.g. short courses, personal development, special projects. Include examples from paid or unpaid work or other activities you have undertaken in your personal life that are relevant to the job you are applying for.
Click the + (on the right) button to add another row
*
Date Organising Body Brief Description Of Course Content

References
Please provide the names and addresses of two people who would be willing to supply a reference for you. Where possible both of these should be your two most recent employers. If this is not possible a suitable alternative would be a business associate or leader/organiser of a voluntary organisation. Please do not include friends or relatives.
Ref 1:
Title*
Name
Organisation
Occupation
Address*
Post Code
Telephone*
Fax Number
Email
Can we contact before interview?*
- Yes
- No
How do they know you?
Ref 2:
Title*
Name*
Organisation
Occupation
Address*
Post Code
Telephone
Fax Number
Email
Can we contact before interview?
- Yes
- No
How do they know you?

Criminal Convictions
The job you are applying for has been identified as involving supervising, caring for or otherwise connected with children and/or young people. In view of this, you must declare all * convictions, cautions, and/or bindovers for criminal offences, even where they are “spent” as defined by the Rehabilitation of Offenders Act 1974 and subsequent regulations. You are also required to give details of any reprimands or warnings that you may have received. An enhanced Disclosure & Barring Service (DBS) certificate with a check of the children’s barred list will also be required.
* 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. Guidance and criteria on the filtering of these cautions and convictions can be found at the Disclosure and Barring Service website, https://www.gov.uk/government/publications/dbs-filtering-guidance
I have considered the above and:
- I have nothing to declare
- I have information to declare
Please provide details below*

Health
Please provide information relating to any medical condition or disability which may require us to make a reasonable adjustment to the recruitment process in order to facilitate your application.
Details*

1.Personal Details