Registration Form

Personal Details

Title *

Name *

First

Last

Previous/Other Names (if applicable, please provide details)

Date of birth *

Current address *

Postcode *

Is your permanent address different to your current address? *

Yes
No

Country *

Contact number *

Email *

QTS number or relevant qualification (if applicable)

Current job title/job role you're looking for *

Where did you hear about Athona? *

How will you travel to work? *

Right to Work in the UK

Nationality *

I can confirm I am entitled to work in the UK, in line with the Home Office guidance on the prevention of illegal working on the following basis *

I am a UK citizen
I am a European citizen with pre-settled/settled status
I hold a current Visa/biometric card to work within the UK
None of the above

Next of kin

Name your next of kin *

Relationship to you *

Phone *

Professional references

IMPORTANT: Please read before completing. All applicants are required to provide details of at least two referees, which must cover at least the last two years and include two references from the most recent education establishments you have worked at. The referees must all be senior to you or hold a position of authority. If you do not have references matching this criteria please speak to your consultant.

First referee - education establishment *

Start date of employment *

End date of employment *

Was the referee in a more senior role? *

Yes
No

Referee name *

Referee's job title *

Referee's Contact Number *

Referee's email *

Please confirm we are able to contact this referee immediately?

Yes
No

Second referee - education establishment *

Start date of employment *

End date of employment *

Was the referee in a more senior role? *

Yes
No

Referee name *

Referee's email *

Referee's job title *

Referee's Contact Number *

Please confirm we are able to contact this referee immediately?

Yes
No

If you require more referees to cover the correct time period, please email us their details at educationcompliance@athona.com

Disclosure & Barring Service Checks

All public and private organisations request that an enhanced disclosure DBS is obtained. You must notify Athona if you are subject to any kind of police investigation or prosecution following the DBS check taking place.

Do you have a current DBS? *

Yes
No

Are you happy for Athona to check your online DBS status? *

Yes
No

Rehabilitation of Offenders Act 1974 - Order 1975

The position you are applying for is an ‘eligible position’ under the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 and, in certain circumstances, the Police Act 1997. Enhanced disclosures may also include other relevant police information where this is deemed relevant to the position. Protected convictions and cautions will not be disclosed in a DBS check. This position has been identified as a regulated activity under the Safeguarding of Vulnerable Groups Act (2006) (as amended by the Protection of Freedom’s Act 2012) an enhanced DBS disclosure will include information which is held on the Children’s and/or Adults barred list(s), as applicable to the position. For more information, please visit: www.gov.uk/government/publications/new-guidance-on-the-rehabilitation-of-offenders-act-1974

Do you have any convictions or cautions (excluding youth cautions, reprimands or warnings) that are not ‘protected’ as defined by the Ministry of Justice? *

Yes
No

I understand that I must inform Athona Education in the event that I am subject to any investigation or prosecution relating to a criminal act and/or could lead to a conviction after my recent DBS/update service check was undertaken. *

Yes
No

Keeping Children Safe in Education

As part of our safeguarding checks we are required to check whether you are ‘disqualified’ from carrying out relevant roles. This only applies to work seekers who work with those under the age of eight years old or are working in an environment where those under the age of eight are present. Please visit https://www.gov.uk/government/publications/disqualification-under-the-childcare-act-2006/disqualification-under-the-childcare-act-2006 to see the disqualification criteria.

Please sign here to confirm you have read the DfE guidance, are not disqualified on any of the grounds set out in the DfE guidance and you will notify Athona Education Ltd immediately if any of the above changes. *

Date signed *

If you are unable to confirm all of the above, please provide further details below:

When did you last receive safeguard training?

If it has been more than 12 months, we recommend you applying for our free online training.

International Clearance

In line with the DfE legislation ‘keeping children safe in education’, can you confirm if you have lived or worked abroad for six months or more in the last five years. *

Yes
No

Medical Questionnaire

The following questions on health and disability are asked in order to find out your needs in terms of reasonable adjustments and to perform the job sought through our recruitment services. If you answer YES to any of the below, we may need for you to provide a letter from your GP confirming you are fit to be working with children.

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? *

Yes
No

Do you have a disability? *

Yes
No

Have you ever had a or received treatment for a psychological disorder? (e.g. depression or anxiety) *

Yes
No

Have you ever been dependent on alcohol or drugs? *

Yes
No

Are you currently or do you regularly take any medicines, tablets, injections or adhere to a special diet which may make it difficult for you to carry out functions essential for the role you seek? *

Yes
No

Payment Details

Please specify which payment method you would prefer to be paid via: *

PAYE
Umbrella company

National Insurance Number (please leave blank if you do not have one)

Account in the name of *

Will you be emailing your P45 to Athona? *

Yes
No

Is a Starter Declaration required? *

Yes
No

Declarations

Data Protection Statement *

Yes I hereby give Athona Education Ltd consent in order to process and store my data (including personal data) for recruitment purposes in line with the privacy policy.
No, I do not give my consent for Athona Education Ltd to process and store my data (including personal data) for recruitment purposes in line with the privacy policy.

In line with our privacy notice, the information you provide Athona Education Ltd either via this form or through any given CV will be used solely to provide you with work. You also have the right to be forgotten and withdraw your consent to Athona Education Ltd at any time, if you wish to do so please contact dpo@athona.com Please take the time to read the following terms and conditions before you proceed: https://www.athona.com/wp-content/uploads/2021/12/Athona-Education-Candidate-PAYE-June-2021-2.pdf (please copy and paste this link into a new tab to read them in full)

Please sign the following declaration to confirm you have read the full terms & conditions and to confirm that you agree that these terms are governed by the law of England & Wales and are subject to the exclusive jurisdiction of the Courts of England & Wales: *

Please enter your full name

Date *

Please select all of the types of work you are currently seeking: *

Primary
Secondary

I am seeking to work as a: *

I can confirm that I have read this registration form fully and that all the information given to Athona Education is correct and to the best of my knowledge. I consent to my personal data and CV being forwarded onto clients and 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 Athona 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). I will inform Athona should anything change that might alter my position and I understand the information given on this form will be processed by computer and used for registration purposes, under the Data Protection Act. I also consent to the agency processing my personal data with third parties including the REC for the purposes of audits and investigations carried out on the agency to ensure that the agency is complying with all relevant laws and obligations. Please print your name above to confirm you agree.

Please sign here to confirm you agree with the above declaration:

education@athona.com

01277 245 840

Athona Education Registration Form