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Moor House Application Form (Therapy)

This form is also available in alternative formats.

This is your opportunity to tell us as much as possible about yourself and will help us to make a fair decision in the selection process. Please refer carefully to the information with which you have been provided for this post.

Please complete ALL sections of the application form.

Your application will be treated in the strictest confidence.

Documentary proof of your National Insurance number will be required before interview, if you are selected.

Suitable documents are a recent payslip, P60 or P45. If you do not possess any of the above documents, the School may require production of alternative forms of documentation.

N.B. The above information is required to fulfil the School's responsibilities under Section 8 of the Asylum and Immigration Act 1996.



Please indicate below two employers for reference purposes.

References will only be sought for shortlisted candidates. It is our policy to obtain references prior to interview. If you have concerns regarding this, please contact us.

The first referee provided must be your present or most recent employer, unless you have not been in employment before. If you are not currently working with children but have done so in the past, your second referee must be that employer.

If any of your references relate to your employment at a school or college your referee must be the Headteacher or Principal.

If you are currently working with children, your present employer will be asked about any disciplinary offences relating to children (whether current or time expired), whether you have been subject of any substantiated child protection concerns and, if so, the outcome of these investigations. If you are not currently working with children but have done so previously, these issues will be raised with your former employer.

Please do not name relatives or people acting solely in their capacity as friends as referees.

Other previous employers may also be approached for information, prior to interview, to verify details on your application form, such as particular experience or qualifications.

Further Qualifications

Secondary Education

Training & Development


If you are not applying for a Therapy role please skip to Employment History

Employment History

Please give details of all jobs held since leaving school, including education, employment, unpaid and voluntary work including reasons for any gaps in employment. Starting with your current or most recent employer- leaving no gaps.

When giving details of school employment, please include the age range, approximate school roll number and school type (i.e. maintained, independent, foundation).

Please upload details if there is not enough space in the box below. Please note that if all this information is not provided we cannot proceed with the application.

For each role please include:
Employer name and address
Dates (From/To)
Salary upon leaving (and any allowances)
Full or Part-Time
Reason for leaving
Job Title
Job Responsibilities

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Other skills and interests

Personal Statement

Using the person specification included in the application pack, please demonstrate using examples your suitability for the position that you are applying for. Please include your reasons for applying and interest in this position.

Please upload your statement if there is not enough space in the box.

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Protection of Children

Safeguarding Children at Moor House School & College.

This school is committed to safeguarding and promoting the welfare of children and expects all staff and volunteers to share this committment.

Disclosure Barring Service (DBS)

Disclosure of criminal background is required.

You are required to give details, as the post for which you are applying is exempt from the provisions of Section 4(2) of the Rehabilitation of Offenders Act 1974 by the virtue of the Rehabilitation of Offenders Act 1974 (Exceptions) (Amendment) order 1986. A subsequent offer of appointment will be dependent upon the completion of a satisfactory Disclosure Barring Service check.


The Equality Act 2010 protects people with disabilities from unlawful discrimination. To meet the Act's definition, a person must have a physical or mental impairment, which has substantial long-term effects on their ability to carry out normal day-to-day activities and which has lasted, or is likely to last more than 12 months. Should you be shortlisted for interview we will make adjustments or special arrangements, if required, to facilitate your attendance at the interview.

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Data Protection Statement

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