Classroom Assistant

Classroom Assistant - Level 2 Supporting Teaching & Learning Apprentice
Classroom Assistant
Job ID
175516
Organisation
Northumberland County Council - Apprenticeships
Contract Type
Salary
3.70
Weekly hours
37
Subject
n/a
Applicant - 426192
Personal Details
Action for Equality

Northumberland County Council aims to ensure that no job applicant or employee receives less favourable treatment than another on grounds of sex, race,
colour, ethnic origin, religion, belief, marital status, sexuality, disability, age(within the context of normal retirement age) or any other factor unrelated to the
requirements of the job and which are not restricted by legislation.
Personal Details
Title
Miss
Forename(s)
Stephanie
Surname
Emsley
Address 1
20 St Ronans Drive
Address 2
Seaton Sluice
Address 3
City / Town
Whitley Bay
Post code / Zip Code

NE26 4JQ
Country
England
Do you have a National Insurance (NI) Number?

Yes
If Yes please state

JT 39 92 02 C
Disability
Do you have a disability?
No
Please list here any reasonable adjustments you may required to attend for an interview and/or to help you in this vacancy
Contact Details (Provide details then select preferred means)

Email Address
stephemsley37755@gmail.com
Home Phone
0191 6591078
Work Telephone
Mobile Phone
07860870438
SMS
Preferred means of contact

Mobile Phone
Employment
Employment Details
Are you currently in employment?
Yes
Job title
Assistant Manager
Name Of Employer
Jill Santonastaso
Employer Address line 1

99 Bedford Street
Employer Town or City

North Shields
Employer Country
England
Employer Postcode
NE29 6QJ
Phone Number
07572434408
What is the relationship with your employer?

Employed directly
Other relationship
Type of Contract
Permanent
Other type of contract
Working hours
Full Time
Other working hours
Start date of Contract/Service

04/06/2017
Current Salary (£/Sterling equivalent)

8.50
Allowance(s) received
None
Period of notice required

1 Week
Reason for seeking to leave

Career development
Other reason for seeking to leave
Briefly outline duties

Day to day running of a learning development centre for children between the age of new born to about 6 years old. Delivering a
profitable centre which has expanded and continues to thrive. I implement the jobs which need to be carried out for that day. I am in
charge of staff supervision and the quality of service they deliver. Throughout the day I spend my time dealing with enquires from
parents and any problems which may arise ensuring the children have a safe quality learning experience.
Other Work Experience (Please list most recent first)

Please provide a full history in chronological order since leaving secondary education, including periods of any post-secondary education or training, and part-
time and voluntary work as well as full-time employment, with start and end dates. You must explain any periods not in employment, education or training,
and reasons for leaving employment.
Any employment with an Agency must show the Agency as the employer and not the organisation where the work was carried out. Please use "Add Another" to
include more than one role. This may be a previous role at the same organisation.
Job Title
PA to Director
Name of Employer
Gwen Jordon Business

Herons Close

Morpeth
Employer Country
England
Employer Postcode
NE61 3DN
Employer Phone Number

01670 516292
Type of Contract
Fixed Term

01/02/2017
End date of Contract/Service

01/06/2017
Salary (£/Sterling equivalent)

7.50
Reason for leaving

End of contract term
Other reason for leaving

Please provide a full history in chronological order since leaving secondary education, including periods of any post-secondary education or training, and part-
time and voluntary work as well as full-time employment, with start and end dates. You must explain any periods not in employment, education or training,
and reasons for leaving employment.
Any employment with an Agency must show the Agency as the employer and not the organisation where the work was carried out. Please use "Add Another" to
include more than one role. This may be a previous role at the same organisation.
Job Title
Enabling and Befriending Coordinator
Name of Employer
AgeUK North Tyneside

13 Saville Street

North Shields
Employer Country
England
Employer Postcode
NE29 6QP
Employer Phone Number

0191 280 8484
Type of Contract
Permanent

01/01/2016
End date of Contract/Service

31/01/2017
Salary (£/Sterling equivalent)

19,000
Reason for leaving

Competition from other employers
Action for Equality

Northumberland County Council aims to ensure that no job applicant or employee receives less favourable treatment than another on grounds of sex, race,
colour, ethnic origin, religion, belief, marital status, sexuality, disability, age(within the context of normal retirement age) or any other factor unrelated to the
requirements of the job and which are not restricted by legislation.
Education and Qualifications
Applicants may be required to provide proof of qualifications either at interview or prior to appointment.
Education details (Further/Higher Education)

Educational establishment name
University of Sunderland
Country of establishment
England
Date attended from

September 2007
Date attended to
July 2010
Qualification awarded
Business Management
Date of Award/ Expected

June 2010
Grade or class or level

Second Class Honours Degree

Tyne Metropolitan College
England
Date attended from

September 2006
Date attended to
July 2007
BTEC Level 3 National Certificate in Business-

June 2007

Double Merit (B, B) A Level

England
Date attended from

September 2005
Date attended to
July 2006
BTEC National Business Award

June 2006

Distinction A-Level

England
Date attended from

September 2006
Date attended to
June 2007
Level 2 Key Skills in Application of Number

June 2007

A

England
Date attended from

September 2006
Date attended to
June 2007
Level 2 in Key Skills in Communication

June 2007

A

England
Date attended from

September 2006
Date attended to
June 2007
Level 2 Key Skills in Information and Communication Technology

June 2007

A

England
Date attended from

September 2006
Date attended to
June 2007
Level 2 Key Skill in Improving Own Learning and Performance

June 2007

A
Education details (Secondary - MOST RECENT FIRST)

Cottingham High School
England
Date attended from

September 2000
Date attended to
July 2005
Qualifications achieved with dates

GCSE’s all achieved in June 2005.
Mathematics
Double Science
Textiles
Business Studies
ICT
Art
English Language
RE
English Literature
Relevant Training & Qualifications
Relevant Training and Qualifications

Current undertaking Level 2 Certificate in Understanding Behaviour that Challenges.
When completed I will then begin Level 2 Certificate in Dyslexia and other specific learning disabilities.
Fire Safety 2018

First aid 2018
Food hygiene 2018
Supporting Statement
Further details in support of your Application

Skills and Experience
When I was at primary school I loved the feel of community. When my daughter began nursery I increasingly became involved at
the school. I spent my days off from my job helping in the classroom. I volunteered at PTA events, alongside teachers and parents.
I’ve always been creative, having my own ideas and really enjoyed helping the children create Easter chicks. Watching and helping
a child achieve something is so rewarding. The smile on their face when they had finished their art work filled me with happiness
and my desire to teach them more.
I began research into teaching; I read an article which increased my passion. The article claims ‘90%-95% of brain growth happens
in the first 5 years’, making these the most crucial years of a child’s learning. I find this so important for a child to have the right
start in life and I believe I would give my all for each and every child in my class. I want to be the one to encourage these
developments, through creativity learning, role play through different scenarios and team building. I also want to play a part in the
children’s desire to learn and to enjoy learning. I’ve learnt how each age group develops with age and experience in learning to
understand new concepts and keeping them interested with refreshing topics. I leant children learn when they enjoy the topic. This
can be extended from a simple game through taking turns keeping the game fresh and interesting maintains interest and the brain
developing.
Having personally struggled with learning, as I am dyslexic, I can relate to how a child with learning difficulties may feel and
understand their struggle. When playing a counting game one on one, I came across a few children who really found the game
difficult. I found them unable to count up to ten, as many of the others did. I simply broke down the game into steps i.e. reading
through the numbers first to help them recognise each number. Then repeated the numbers over and over to help the child recognise
the sounds of numbers in two stages for example 1-5 then 6-10. I found this encouraged the child and for the game to be less
overwhelming.
I feel responsibility is important in keeping order within the classroom ensuring all children are behaving and on task. Children need
to respect each other and the staff. Over the years through working in different environments with many different individuals, I’ve
gained skill in communication. I can modify my approach to suit the circumstances. I completely understand not all children
communicate in the same way. I’ve learnt to work with the individual on a one to one basis to find a way to help them understand.
A school teacher I have observed has a great method of attracting all the children’s attention. Through simply clapping her hands in
a rhythm, the children stop and clap the same rhythm back. I found this very effective when applied in her classroom.
I would excel in producing a good relationship with parents to encourage the direction of the child’s learning. I would also be united
with parents to help manage behavioural concerns.
Over the years I've learnt how to plan, record and monitor progression to achieve objectives. I can factor in an ever-changing
environment. In teaching I would hope these skills would help to manage a child’s development and ensure I reflect for each their
needs throughout the year. I believe I will be a credit to the teaching department and aspire to achieve my high potential in
practising quality teaching in providing care, support and fun.
References
Please give the name of at least two referees applicable to the role for which you are applying. One should be your current or most recent employer (or teacher
or tutor if you have recently left school/college). References will not be accepted from relatives or from people writing solely in the capacity of friends. The
Council reserves the right to request further references.
Please give the names, addresses and telephone numbers of two referees. One must be your current employer or, if you are currently out of work, your last
employer. School leavers should use the school.
Referee 1
Title
Miss
Firstname
Jill
LastName
Santonastaso
Referee Position
Director
What Employer is this reference for?

The Family Hub
Referee Type
Current employer
Other type
Referee Address Line 1

12 Capheaton Way

Seaton Delaval
Referee Town/City
Whitley Bay
Referee Country
England
Referee Postcode
NE25 0FE
Referee Telephone
07572434408
Referee Email
jillsantonastaso@gmail.com
Can this referee be contacted prior to interview?

Yes
Referee 2
Title
Mrs
Firstname
Gwen
LastName
Jordon
Referee Position
Owner
What Employer is this reference for?

Gwen Jordon Business
Referee Type
Previous employer
Other type

The Hemmel

Herons Close
Referee Town/City
Morpeth
Referee Country
England
Referee Postcode
NE61 3DN
Referee Telephone
01670 516292
Referee Email
gwenjordon395@btinternet.com
Can this referee be contacted prior to interview?

Yes
Declarations & Disclosure
Criminal Records & Rehabilitation of Offenders Act 1974

For this post you are required to give details of any previous convictions, even if they are normally considered 'spent' under the above Act. Any offer of
employment is subject to a criminal records check by the Disclosure and Barring Service before we confirm appointment. Only the successful candidate is asked
about criminal records.
Criminal Records Declaration - For posts marked with an X in Vacancy Number only
Having an unspent conviction will not necessarily bar you from employment. This will depend upon the circumstances and background to your offence(s).
Criminal records will only be taken into account when the conviction is relevant. A letter X in the vacancy number indicates that the post for which you are
applying is exempt from the provisions of the Rehabilitation of Offenders Act 1974. For these posts the successful candidate will be required to disclose any
'spent' convictions and any offer of appointment is conditional upon the successful candidate producing and acceptable Criminal Records disclosure. Further
information on the disclosure of convictions can be found here.
I confirm that I am not on Section 142 of the Education Act, and/or disqualified or barred from working with children and/or
disqualified or barred from working with children and/or vulnerable adults, or have been subject to sanctions imposed by a
regulatory body and/or have 'spent' or 'unspent' convictions, cautions, reprimands, warnings or bind-overs.
Yes
Canvassing
If you are the parent, grandparent, partner, child, stepchild, adopted child, grandchild, brother, sister, uncle, aunt, nephew or niece,
of an existing councillor, senior officer, Headteacher or School Governor of a Northumberland County Council school or the partner
of such persons, please give details below. (please note canvassing will disqualify applicants).
Declarations
I declare that the information given above is correct to the best of my knowledge. I understand that deliberately giving false or
incomplete answers could disqualify me from consideration, or, in the event of my appointment, make me liable to summary
dismissal and possible referral to the police. If appointed I give my consent under the data Data Protection Act 1988 for the County
Council to make reasonable use of of the personal information I have provided.
Yes
NB - If you are not notified in writing within six weeks of the closing date for applications, you may assume that you have not been selected for interview on
this occasion.
Equal Opportunities
It is important to us to understand how representative our workforce is of our wider community and to check that our processes and practices are accessible and
fair to all staff. We also have a legal duty to collect and publish data on this. Therefore, the following questions are intended to help us gather this information,
and we are asking all our staff to help us by filling in this form. The information you give us will be stored confidentially on the secure staff database. It will not
influence individual employment decisions and will be kept separate from any job applications. Choosing to complete or not complete this information will not
affect your employment opportunities. Thank you.
Gender
Are you?
Female
Marital Status
Marital Status
Co-habitating
Disability
Do you consider yourself to have a disability?
No
If yes, please indicate the type of disability or illness you have. Please tick all those that apply. If none apply please tick 'Other' and give details.
Physical Impairment such as difficulty using your arms or mobility issues

No
Sensory Impairment such as being blind / having a serious visual impairment or being deaf / having a serious hearing impairment
No
Mental Health Condition such as depression or schizophrenia

No
Long-standing illness or health condition such as cancer, HIV, diabetes, chronic heart disease or epilepsy
No
Learning disability / difficulty (such as Down's syndrome or dyslexia) or cognitive impairment (such as autistic spectrum disorder)
No
Other (please specify)

No
If other, please specify
Caring Responsibilities
Do you have any caring responsibilities?
No
If yes, do you
Ethnicity
Ethnicity
White - English / Welsh / Scottish / Northern Irish / British
Religion
Religion
Christian (including Church of England, Catholic, Protestant and all other Christian denominations)
Sexual Orientation
Which of the following options best describes how you think of yourself?
Heterosexual or straight
Include Page Breaks

Classroom Assistant - Level 2 Supporting Teaching & Learning Apprentice
Classroom Assistant
Job ID 175516
Organisation Northumberland County Council - Apprenticeships
Contract Type
Salary 3.70
Weekly hours 37
Subject n/a
Applicant - 426192
Action for Equality
Northumberland County Council aims to ensure that no job applicant or employee receives less
favourable treatment than another on grounds of sex, race, colour, ethnic origin, religion, belief,
marital status, sexuality, disability, age(within the context of normal retirement age) or any other
factor unrelated to the requirements of the job and which are not restricted by legislation.
Personal Details
Title Miss
Forename(s) Stephanie
Surname Emsley
Address 1 20 St Ronans Drive
Address 2 Seaton Sluice
Address 3
City / Town Whitley Bay
Post code / Zip Code NE26 4JQ
Country England
Do you have a National Insurance (NI) Number? Yes
If Yes please state JT 39 92 02 C
Disability
Do you have a disability? No

Please list here any reasonable adjustments you may required to attend for an interview and/or to
help you in this vacancy
Contact Details (Provide details then select preferred means)
Email Address stephemsley37755@gmail.com
Home Phone 0191 6591078
Work Telephone
Mobile Phone 07860870438
SMS
Preferred means of contact Mobile Phone
Employment Details
Are you currently in employment? Yes
Job title Assistant Manager
Name Of Employer Jill Santonastaso
Employer Address line 1 99 Bedford Street
Employer Town or City North Shields
Employer Country England
Employer Postcode NE29 6QJ
Phone Number 07572434408
What is the relationship with your employer? Employed directly
Other relationship
Type of Contract Permanent
Working hours Full Time
Other working hours
Start date of Contract/Service 04/06/2017
Current Salary (£/Sterling equivalent) 8.50
Allowance(s) received None
Period of notice required 1 Week

Reason for seeking to leave Career development
Other reason for seeking to leave
Briefly outline duties Day to day running of a learning development centre for children between the
age of new born to about 6 years old. Delivering a profitable centre which has expanded and
continues to thrive. I implement the jobs which need to be carried out for that day. I am in charge of
staff supervision and the quality of service they deliver. Throughout the day I spend my time dealing
with enquires from parents and any problems which may arise ensuring the children have a safe
quality learning experience.
Please provide a full history in chronological order since leaving secondary education, including
periods of any post-secondary education or training, and part-time and voluntary work as well as
full-time employment, with start and end dates. You must explain any periods not in employment,
education or training, and reasons for leaving employment.
Any employment with an Agency must show the Agency as the employer and not the organisation
where the work was carried out. Please use "Add Another" to include more than one role. This may
be a previous role at the same organisation.
Job Title PA to Director
Name of Employer Gwen Jordon Business
Employer Address line 1 Herons Close
Employer Town or City Morpeth
Employer Postcode NE61 3DN
Employer Phone Number 01670 516292
Type of Contract Fixed Term
End date of Contract/Service 01/06/2017
Salary (£/Sterling equivalent) 7.50
Reason for leaving End of contract term

Please provide a full history in chronological order since leaving secondary education, including
periods of any post-secondary education or training, and part-time and voluntary work as well as
full-time employment, with start and end dates. You must explain any periods not in employment,
education or training, and reasons for leaving employment.
Any employment with an Agency must show the Agency as the employer and not the organisation
where the work was carried out. Please use "Add Another" to include more than one role. This may
be a previous role at the same organisation.
Job Title Enabling and Befriending Coordinator
Name of Employer AgeUK North Tyneside
Employer Address line 1 13 Saville Street
Employer Town or City North Shields
Employer Postcode NE29 6QP
Employer Phone Number 0191 280 8484
Type of Contract Permanent
End date of Contract/Service 31/01/2017
Salary (£/Sterling equivalent) 19,000
Reason for leaving Competition from other employers
Action for Equality
Northumberland County Council aims to ensure that no job applicant or employee receives less
favourable treatment than another on grounds of sex, race, colour, ethnic origin, religion, belief,
marital status, sexuality, disability, age(within the context of normal retirement age) or any other
factor unrelated to the requirements of the job and which are not restricted by legislation.
Applicants may be required to provide proof of qualifications either at interview or prior to

appointment.
Educational establishment name University of Sunderland
Country of establishment England
Date attended from September 2007
Date attended to July 2010
Qualification awarded Business Management
Date of Award/ Expected June 2010
Grade or class or level Second Class Honours Degree
Educational establishment name Tyne Metropolitan College
Qualification awarded BTEC Level 3 National Certificate in Business-
Grade or class or level Double Merit (B, B) A Level
Qualification awarded BTEC National Business Award
Grade or class or level Distinction A-Level
Date attended to June 2007
Qualification awarded Level 2 Key Skills in Application of Number

Grade or class or level A
Qualification awarded Level 2 in Key Skills in Communication
Qualification awarded Level 2 Key Skills in Information and Communication Technology
Qualification awarded Level 2 Key Skill in Improving Own Learning and Performance
Education details (Secondary - MOST RECENT FIRST)
Educational establishment name Cottingham High School
Qualifications achieved with dates GCSE’s all achieved in June 2005.

Mathematics
Double Science
Textiles
Business Studies
ICT
Art
English Language
RE
English Literature
Relevant Training and Qualifications Current undertaking Level 2 Certificate in Understanding

Behaviour that Challenges.
When completed I will then begin Level 2 Certificate in Dyslexia and other specific learning
disabilities.
Fire Safety 2018
First aid 2018
Food hygiene 2018
Further details in support of your Application
Skills and Experience When I was at primary school I loved the feel of community. When my
daughter began nursery I increasingly became involved at the school. I spent my days off from my
job helping in the classroom. I volunteered at PTA events, alongside teachers and parents. I’ve
always been creative, having my own ideas and really enjoyed helping the children create Easter
chicks. Watching and helping a child achieve something is so rewarding. The smile on their face
when they had finished their art work filled me with happiness and my desire to teach them more.
I began research into teaching; I read an article which increased my passion. The article claims ‘90%-
95% of brain growth happens in the first 5 years’, making these the most crucial years of a child’s
learning. I find this so important for a child to have the right start in life and I believe I would give my
all for each and every child in my class. I want to be the one to encourage these developments,
through creativity learning, role play through different scenarios and team building. I also want to
play a part in the children’s desire to learn and to enjoy learning. I’ve learnt how each age group
develops with age and experience in learning to understand new concepts and keeping them
interested with refreshing topics. I leant children learn when they enjoy the topic. This can be
extended from a simple game through taking turns keeping the game fresh and interesting maintains
interest and the brain developing.
Having personally struggled with learning, as I am dyslexic, I can relate to how a child with learning
difficulties may feel and understand their struggle. When playing a counting game one on one, I
came across a few children who really found the game difficult. I found them unable to count up to
ten, as many of the others did. I simply broke down the game into steps i.e. reading through the
numbers first to help them recognise each number. Then repeated the numbers over and over to
help the child recognise the sounds of numbers in two stages for example 1-5 then 6-10. I found this
encouraged the child and for the game to be less overwhelming.
I feel responsibility is important in keeping order within the classroom ensuring all children are
behaving and on task. Children need to respect each other and the staff. Over the years through
working in different environments with many different individuals, I’ve gained skill in
communication. I can modify my approach to suit the circumstances. I completely understand not all
children communicate in the same way. I’ve learnt to work with the individual on a one to one basis
to find a way to help them understand. A school teacher I have observed has a great method of
attracting all the children’s attention. Through simply clapping her hands in a rhythm, the children
stop and clap the same rhythm back. I found this very effective when applied in her classroom.
I would excel in producing a good relationship with parents to encourage the direction of the child’s
learning. I would also be united with parents to help manage behavioural concerns.
Over the years I've learnt how to plan, record and monitor progression to achieve objectives. I can
factor in an ever-changing environment. In teaching I would hope these skills would help to manage
a child’s development and ensure I reflect for each their needs throughout the year. I believe I will
be a credit to the teaching department and aspire to achieve my high potential in practising quality
teaching in providing care, support and fun.
Please give the name of at least two referees applicable to the role for which you are applying. One
should be your current or most recent employer (or teacher or tutor if you have recently left
school/college). References will not be accepted from relatives or from people writing solely in the
capacity of friends. The Council reserves the right to request further references.
Please give the names, addresses and telephone numbers of two referees. One must be your current
employer or, if you are currently out of work, your last employer. School leavers should use the
school.
Referee 1
Title Miss
Firstname Jill
LastName Santonastaso
Referee Position Director
What Employer is this reference for? The Family Hub
Referee Type Current employer
Other type
Referee Address Line 1 12 Capheaton Way

Referee Address Line 2 Seaton Delaval
Referee Town/City Whitley Bay
Referee Country England
Referee Postcode NE25 0FE
Referee Telephone 07572434408
Referee Email jillsantonastaso@gmail.com
Can this referee be contacted prior to interview? Yes
Referee 2
Title Mrs
Firstname Gwen
LastName Jordon
Referee Position Owner
What Employer is this reference for? Gwen Jordon Business
Referee Type Previous employer
Other type
Referee Address Line 1 The Hemmel
Referee Address Line 2 Herons Close
Referee Town/City Morpeth
Referee Country England
Referee Postcode NE61 3DN
Referee Telephone 01670 516292
Referee Email gwenjordon395@btinternet.com
Can this referee be contacted prior to interview? Yes
Criminal Records & Rehabilitation of Offenders Act 1974
For this post you are required to give details of any previous convictions, even if they are normally
considered 'spent' under the above Act. Any offer of employment is subject to a criminal records
check by the Disclosure and Barring Service before we confirm appointment. Only the successful
candidate is asked about criminal records.
Criminal Records Declaration - For posts marked with an X in Vacancy Number only
Having an unspent conviction will not necessarily bar you from employment. This will depend upon
the circumstances and background to your offence(s). Criminal records will only be taken into
account when the conviction is relevant. A letter X in the vacancy number indicates that the post for
which you are applying is exempt from the provisions of the Rehabilitation of Offenders Act 1974.
For these posts the successful candidate will be required to disclose any 'spent' convictions and any
offer of appointment is conditional upon the successful candidate producing and acceptable Criminal
Records disclosure. Further information on the disclosure of convictions can be found here.
I confirm that I am not on Section 142 of the Education Act, and/or disqualified or barred from
working with children and/or disqualified or barred from working with children and/or vulnerable
adults, or have been subject to sanctions imposed by a regulatory body and/or have 'spent' or
'unspent' convictions, cautions, reprimands, warnings or bind-overs. Yes
Canvassing
If you are the parent, grandparent, partner, child, stepchild, adopted child, grandchild, brother,
sister, uncle, aunt, nephew or niece, of an existing councillor, senior officer, Headteacher or School
Governor of a Northumberland County Council school or the partner of such persons, please give
details below. (please note canvassing will disqualify applicants).
Declarations
I declare that the information given above is correct to the best of my knowledge. I understand that
deliberately giving false or incomplete answers could disqualify me from consideration, or, in the
event of my appointment, make me liable to summary dismissal and possible referral to the police. If
appointed I give my consent under the data Data Protection Act 1988 for the County Council to
make reasonable use of of the personal information I have provided. Yes
NB - If you are not notified in writing within six weeks of the closing date for applications, you may
assume that you have not been selected for interview on this occasion.
It is important to us to understand how representative our workforce is of our wider community and
to check that our processes and practices are accessible and fair to all staff. We also have a legal
duty to collect and publish data on this. Therefore, the following questions are intended to help us
gather this information, and we are asking all our staff to help us by filling in this form. The
information you give us will be stored confidentially on the secure staff database. It will not
influence individual employment decisions and will be kept separate from any job applications.
Choosing to complete or not complete this information will not affect your employment
opportunities. Thank you.
Gender
Are you? Female
Marital Status
Marital Status Co-habitating
Disability
Do you consider yourself to have a disability? No

If yes, please indicate the type of disability or illness you have. Please tick all those that apply. If
none apply please tick 'Other' and give details.
Physical Impairment such as difficulty using your arms or mobility issues No
Sensory Impairment such as being blind / having a serious visual impairment or being deaf / having a
serious hearing impairment No
Mental Health Condition such as depression or schizophrenia No
Long-standing illness or health condition such as cancer, HIV, diabetes, chronic heart disease or
epilepsy No
Learning disability / difficulty (such as Down's syndrome or dyslexia) or cognitive impairment (such
as autistic spectrum disorder) No
Other (please specify) No
If other, please specify
Caring Responsibilities
Do you have any caring responsibilities? No
If yes, do you
Ethnicity
Ethnicity White - English / Welsh / Scottish / Northern Irish / British
Religion
Religion Christian (including Church of England, Catholic, Protestant and all other Christian
denominations)
Sexual Orientation
Which of the following options best describes how you think of yourself? Heterosexual or straight
Include Page Breaks

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Classroom Assistant - Level 2 Supporting Teaching & Learning Apprentice

Action for Equality

Post code / Zip Code

Do you have a National Insurance (NI) Number?

If Yes please state

Contact Details (Provide details then select preferred means)

Preferred means of contact

Employer Address line 1

Employer Address line 2

Employer Address line 3

Employer Town or City

What is the relationship with your employer?

Other type of contract

Other working hours

Start date of Contract/Service

Current Salary (£/Sterling equivalent)

Period of notice required

Reason for seeking to leave

Other reason for seeking to leave

Briefly outline duties

Other Work Experience (Please list most recent first)

Employer Address line 1

Employer Address line 2

Employer Address line 3

Employer Town or City

Employer Phone Number

Other type of contract

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End date of Contract/Service

Salary (£/Sterling equivalent)

Reason for leaving

Other reason for leaving

Other Work Experience (Please list most recent first)

Employer Address line 1

Employer Address line 2

Employer Address line 3

Employer Town or City

Employer Phone Number

Other type of contract

Start date of Contract/Service

End date of Contract/Service

Salary (£/Sterling equivalent)

Reason for leaving

Other reason for leaving

Action for Equality

Education and Qualifications

Education details (Further/Higher Education)

Date attended from

Date of Award/ Expected

Grade or class or level

Education details (Further/Higher Education)

Date attended from

Date of Award/ Expected

Grade or class or level

Education details (Further/Higher Education)

Date attended from

Date of Award/ Expected

Grade or class or level

Education details (Further/Higher Education)

Date attended from

Date of Award/ Expected

Grade or class or level

Education details (Further/Higher Education)

Date attended from