FOR

OFFICE USE ONLY:

APPLICANT No:

NAME:

APPLICATION FORM

FOR TEACHING STAFF

Mar14 Rev2

APPLICATION FORM

Position applied for: Teacher of Physical Education

Section 1 Personal details

Title:

Forename(s):

Surname:

Miss

Amy
Catrin

Massey

Date of birth:

Former name:

22/11/1992

Address:

53
Chapman Avenue

Maidstone
Kent

ME158EJ

Preferred name:
National Insurance number:
Jw771343d
Are you currently eligible for employment in the UK?

Yes No

Please provide details, including any restrictions on

your right to work in the UK:

Telephone number(s):

Teacher's RP number (if applicable):

Home:

Work:

Are you registered with the Teaching Agency?

Mobile:

07713057552

Email address: amy_massey@outlook.com

Yes No
Do you have Qualified Teacher status?

Yes No

Are you related to or do you maintain a close relationship with an existing employee, volunteer, pupil, Governor or
Trustee of the School? If so, please provide details.

No

Section 2 Education

Please start with the most recent. Please continue on an official continuation sheet if necessary.
Dates (From/To)

Name of Institution

7/09/15
10/06/16

University
of

Brighton

PGCE

Result

PGCE
in
n/a


Secondary

Physical
Education

Date

Awarding Body

n/a

n/a

Dates (From/To)

Name of University

Masters/PhD

Result

Date

Awarding Body

Dates (From/To)

09/11-06/15

Name of University

Degree

Southampton
Solent Sport
Studies


University

Result

2:1

Date

21/11/

14

Awarding Body

Dates (From/To)

09/08-07/10

Name of
School/College

The
Cornwallis

School

A Level/ AS Level or
equivalent

Sport
BTEC

English Literature
Media Studies

Result

Disctin


ction
D
C

Date

Awarding Body

Section 2 Education continued

Dates (From/To)

09/04-07/08

Name of School

The
Cornwallis

School

GCSE Level or
equivalent

Physical
Education

English Literature
English Language
Maths
Science
Performing Arts
BTEC
Media

Result

A
B
B
C
D
Merit
B

Date

Awarding Body

Section 3 Other vocational qualifications, skills or training

Please provide details of any vocational qualifications or skills that you possess or training that you have received
which you consider to be relevant to the role for which you have applied.

3 Day High Challenge Course Training/Assessment- I was trained on how to operate and
work on the ropes course which included learning about ropes and how to tie knots and

work
safetly on the rock wall, how to belay people and what to do if you are belaying
someone who is heavier than you. I also recieved training in Zip Lining as well as Outdoor

Adventure
health and safety and mountain biking.

BOX
(England boxing)- Level 1

Volleyball- Level 1

SAQ- Level 1

Section 4 Employment
Current/most recent employer:

Current/most recent employer's address:

Maidstone
Grammar School

Barton
Road

Maidstone
Kent

ME15 7BT

Current/most recent job title:

Date started:

Trainee
Physical Education Teacher

28/09/15

Brief description of responsibilities:

Date employment ended (if

applicable):

I am currently PGCE student at the University of Brighton.

At
university I have been trained how to teach aquatic activities,

alternative activities, artistic activities and aesthetic activities.
Some
of these activities included swimming, dance,

gymnastics, korfball, kinball plus many more. These activities
have
helped develop my pedagogically and improve as a

trainee teacher. My first placement is at Maidstone Grammar
where
I am currently working at the moment. My main duties at

the school are planning well thought and structured lessons

where
a lot of consideration is put into differentiation and
ensuring I have exciting, engaging and educational lessons to

teach
pupils. I also run several extra-curricular classes.
Current
salary/salary on
leaving:

$900

No

Do you/did you receive any employee benefits? If so, please provide details of these.

Reason for seeking other employment:

I am curently understaking my PGCE so next year will be my QTS year.

Please state when you would be available to take up employment if offered:

1/09/16

Section 5 Previous employment and/or activities since leaving secondary education

Please continue on an official continuation sheet if necessary.
Dates
From:

Name and address of

employer

Position held and/or duties

Reason for leaving

Camp
Poyntelle Lewis
Village
584 Cribbs Rd,
Poyntelle, PA 18454

My
main duties were
My
contract finished and
working on the ropes
the camp closed for the
course where I received summer.
full training on high ropes
and zip lining. I was also
in charge of a bunk of 13
15 year old girls and
taking care of them.

Cornwallis
Academy
Hubbards Lane,
Maidstone, Kent
ME17 4XH

I did work experience at

Cornwallis Academy
where I observed
lessons and assisted
when needed. I had the
opportunity to see
excellent teaching and
behaviour management.

02/15

Ski
World
3 Vencourt Pl, London
W6 9NU

To:

I was based in la
Rosiere, France.

I was a chalet host
The
season ended.
where my main
responsibilities were
taking care of my 10-13
guests, making them
breakfast, afternoon tea
and dinner, plus cleaning
the chalet.

14/6/15

To:

16/8/15

From:

05/15

To:

06/15

From:

04/15

From:

Ski
Amis

I was a Seasonal Sales

Co-ordinator and I was
responsibile for booking
ski holidays for my
company and a

My
contract ended.

10/14

To:

02/15

From:

To:

Section 6 Gaps in your employment

If there are any gaps in your employment history, e.g. looking after children, sabbatical year, please give details
and dates.

Section 7 Interests
Please give details of your interests, hobbies or skills and, in particular, any which could be of benefit to the School
for the purposes of enriching its extracurricular activity.

I am a keen skier and have been skiing for 12 years as well as working a ski season. I can
snowboard as well, but I have only had a weeks practice.

I have been playing competitive netball since I was 10 and currently play for two local

leagues
as well as for my university first team.

I am fully trained in high ropes, low ropes and other outdoor adventure activities. I worked
for three months at a summer camp in Pennsylvania where my daily routines were working

on the rock climbing wall supporting and teaching kids rock climbing, abseiling, zip lining and
high
ropes. I also spent a lot of my time mountain biking and hiking.

Section 8 Suitability
Please give your reasons for applying for this post and say why you believe you are suitable for the position. Study
the job description and person specification and describe any experience and skills you have gained in other jobs
or similar environments which demonstrate your ability and aptitude to undertake the duties of the post.
Continue on a separate sheet if necessary.

Godolphin
& Latymer's excellent reputation for its teaching and learning environment, and
innovative curriculum, are factors towards this application. My own ambitions and

determination
to further develop as an outstanding and innovative teacher, are shared by the
departments vision for excellence, and I feel that this environment can only be an advantage
achieving this. I believe the role as Physical Education teacher at your school would be a
in
great place to undertake my NQT year.

The PGCE and my teaching placements have provided me with an opportunity to approach

PE in a new and innovative way. I have observed and implemented a range of teaching
strategies
and opportunities, in order to allow pupils to become more independent learners.

I strongly believe in giving students a choice, and through a structured approach, providing
opportunities
for them to take responsibility for, and enhance their own learning experience,

within Physical Education. I hold the belief that Physical Education builds character and
confidence
and there should be opportunities for all pupils to access this at their own

individual level.

Throughout my placement, I have further increased my knowledge and understanding of the

practical,
theoretical and assessment elements of PE. Effective summative and formative
assessment strategies have enabled me to make informed decisions about future planning,
order to meet the needs of the pupils. As a result, I have challenged myself to think of
in
new and innovative methods, including extensive use of ICT, to deliver the curriculum in

order
to differentiate and challenge pupils of varying abilities and offering alternative learning
opportunities. I would relish the opportunity to further develop these learning strategies at

your school.

I feel that Godolphin & Latymer's range of extra-curricular opportunities plays a major role in
enabling
pupils to lead a healthy, active lifestyle. I have a committed approach to

extra-curricular provision and the skills learnt through my CPD qualifications have been an
important
part of my own teacher development. This has meant that I can provide a range of

enriched opportunities, in both traditional and alternative activities, for a wider range of
students.
In particular, I have a vast amount of experience in netball as I play regularly at a

competitive level in two different local leagues and I have coached extra-curricular netball at

school
for pupils aged 11-16. I believe extra-curricular activities will increase the likelihood of
pupils leading healthy lifestyles and I hope to incorporate these within your extra-curricular

programme.
important role at Godolphin & Latymer school is to be a caring community and my role as
An
form tutor has provided me with an opportunity to demonstrate this. This role has allowed

me
to connect with pupils and liaise with pastoral staff and parents outside of the PE
department, in order to promote and ensure the development and well-being of individual

students.


Having
shown evidence of outstanding practice across many different areas throughout my
PGCE placement, I feel that this post at Godolphin & Latymer would be a great platform from

which
to develop my teaching career. I will bring energy, creativity and commitment to the
Department and would like the opportunity to be part of further developing the Departments

and
the schools reputations.

Thank you for considering my application. I look forward to the opportunity to discuss the
position and my experience with you.

Section 9 Criminal records

An offer of employment is conditional upon the School receiving an Enhanced Disclosure from the Disclosure and
Barring Service (DBS) which the School considers to be satisfactory. The School applies for an Enhanced Check for
Regulated Activity from the DBS (which includes a check of the Children's Barred List) in respect of all positions at the
School which amount to regulated activity. It is unlawful for the School to employ anyone who is barred from working
with children. It is a criminal offence for any person who is barred from working with children to attempt to apply for a
position at the School. If you are successful in your application you will be required to complete a Disclosure &
Barring Service Application Form. Any information disclosed will be handled in accordance with the Code of
Practice published by the DBS (a copy of which is available from the School on request).
The School is exempt from the Rehabilitation of Offenders Act 1974 and therefore all convictions, cautions,
reprimands and final warnings (including those which would normally be considered "spent" under the Act) must
be declared, subject to the DBS filtering rules referred to at the end of this form. If you have a criminal record this
will not automatically debar you from employment. Instead, each case will be assessed fairly by reference to the
School's objective assessment procedure (a copy of which is available from the School on request).
Before answering these questions, please see the information on Spent Convictions and the DBS filtering rules at
the end of this form.
Have you been convicted by the courts of any criminal offence? Yes No
Is there any relevant court action pending against you? Yes No
Have you ever received a caution, reprimand or final warning from the police? Yes No
If 'YES' to any of the above, please provide details on a separate sheet and send this in a sealed envelope marked
"confidential" with your Application Form.

Section 10 References
Please supply the names and contact details of two people who we may contact for references. One of these must
be your current or most recent employer. If your current/most recent employment does/did not involve work
with children, then your second referee should be from your employer with whom you most recently worked with
children. Neither referee should be a relative or someone known to you solely as a friend. The School intends to
take up references from all shortlisted candidates before interview. The School reserves the right to take up
references from any previous employer.
Referee 1(Must be current Head of School)

Referee 2

Name:

Name:

Occupation:
Organisation:
Address:


Email Address:

Gary Stidder

Principle Lecturer
University of Brighton

Hillbrow Building
Denton Road
Eastbourne
BN20 7SR
G.Stidder@brighton.ac.uk

Telephone number: +44 (0)1273 643778

Occupation:
Organisation:
Address:


Email Address:

Mike Hall

Physical Education Teacher

Maidstone Boys Grammar

Barton Road
Maidstone
Kent
ME15 7BT
Mike.Hall@mgs-kent.org.uk

Telephone number: 01622 753680

Section 11 Recruitment
It is the School's policy to employ the best qualified personnel and to provide equal opportunity for the
advancement of employees including promotion and training and not to discriminate against any person because
of their race, colour, national or ethnic origin, sex, sexual orientation, marital or civil partnership status, religion or
religious belief, disability or age. All new appointments are subject to a probationary period.
The School is committed to safeguarding and promoting the welfare of children and young people and expects all
staff and volunteers to share this commitment.
A copy of the School's Safeguarding and Recruitment Policy is enclosed with this Application Form. Please take the
time to read it.
If your application is successful, the School will retain the information provided in this form (together with any
attachments) on your personnel file. If your application is unsuccessful, all documentation relating to your
application will normally be confidentially destroyed after six months.

Section 12 Declaration

I confirm that the information I have given on this Application Form is true and correct to
the best of my knowledge.

I confirm that I am not on the Children's Barred List, disqualified from working with
children or subject to sanctions imposed by a regulatory body.

I understand that providing false information is an offence which could result in my

application being rejected or (if the false information comes to light after my appointment)
summary dismissal and may amount to a criminal offence.

I consent to the School processing the information given on this form, including any
'sensitive' information, as may be necessary during the recruitment and selection process.

I consent to the School making direct contact with the people specified as my referees to
verify my reference.

Signature ....................................... Date ..

Should you be invited to interview, you will be asked to sign and date this form.

Spent convictions and the DBS filtering rules

Spent convictions

Sentence

Rehabilitation period (in all cases

the period commences from the
date of the conviction)

Aged over 18 at
time of the
conviction

Aged under 18
at the time of
the conviction

Prison sentence for a term exceeding 6 months but less than 2.5
years

10 years

5 years

Prison sentence for a term of 6 months or less

7 years

3.5 years

Fines, probation, compensation, community service, reparation

orders, curfew orders

5 years

2.5 years

6 months

6 months

Absolute discharge

Prison sentences of more than two and a half years are never considered spent
Filtering rules
You are not required to disclose information about spent criminal convictions if you were over 18 years of age at
the time of the offence and:

11 years have elapsed since the date of conviction;

it is your only offence;
it did not result in a custodial sentence; and
it does not appear on the list of "specified offences".

You are not required to disclose information about a spent caution if you were over 18 years of age at the time of
the offence and six years has elapsed since the date it was issued, and provided it does not appear on the list of
"specified offences".
You are not required to disclose information about a spent criminal conviction if you were under 18 years of age
at the time of the offence and:

five and a half years have elapsed since the date of conviction;
it is your only offence;
it did not result in a custodial sentence; and
it does not appear on the list of "specified offences".

You are not required to disclose information about a spent caution if you were under 18 years of age at the time of
the offence and two years has elapsed since the date it was issued, and provided it does not appear on the list of
"specified offences".
The list of "specified offences" that will always be disclosed can be found at:
https://www.gov.uk/government/publications/dbslistofoffencesthatwillneverbefilteredfromacriminal
recordcheck