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Teaching Assistant Courses
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Registration Form
Personal Details
EMERGENCY CONTACT DETAILS
REFERENCES
As part of our clearance process, we must obtain at least 2 satisfactory references, one must be from your most recent employer. Please provide details below:
I give permission for you to obtain references from the above as part of the interview process.
HEALTH AND DISABILITY
Do you have any health issues or a disability that we need to be aware of for you to carry out the role you have applied for?
Please advise us what reasonable adjustments we need to request the school to make in order for you to carry out the role applied for:
CRIMINAL RECORD CHECK
LXP Specialists is committed to safeguarding, which requires all applicants to disclose relevant criminal history if shortlisted for a position. The post you are applying for is exempt from the Rehabilitation of Offenders Act 1974 which means you are required to self-disclosure any relevant information and agree to an enhanced DBS check being carried out.
Have you ever been convicted or cautioned by the police for an offence?
Yes
No
Do you have any pending convictions, cautions, reprimands or final warnings?
Yes
No
Please note, if you are convicted of a criminal offence during your time working for LXP Specialists it is your duty to inform us of any charges made against you.
DBS Update Service Checks
I confirm that the DBS certificate number:
- presented is the original certificate and has not been amended. I give permission to LXP Specialists to take a copy of the certificate and to carry out the online update service check. I agree to keep my subscription live and understand that if I do not, I will need to pause any work given to me and await a new DBS application. I understand that if in the process of the online check being carried out that if further information has been added since the date of issue then I am required to submit a new DBS application form and I am responsible for meeting the cost of this myself.
Applicants Declaration
By signing this document, I confirm that I have read and fully understood the statements above and agree to abide by them. I also declare that all information I have given is true and accurate to the best of my knowledge.
I certify that I have answered all questions on this form fully and accurately, and that I possess the qualifications I claim I hold
I certify that I am not on the Barred list, or disqualified from working with children
I certify that I am not subject to sanctions imposed by the Teaching Regulations Agency
I am not currently suspended from work or awaiting the outcome of a disciplinary enquiry
I am legally eligible to work in the UK
I am aware that physical contact with pupils is not permitted under any circumstances
I agree to support LXP Specialists commitment to Child Protection and Equal Opportunities
I certify that my criminal convictions statement is truthful
I understand that if I have knowingly given false information, omitted or concealed any relevant fact about my eligibility to work, I will be removed from LXP Specialists register and will be reported to the Department for Education, which could lead to barring from work within education and possible police referral.
Child Protection Guidelines
All members of staff in a school, even on a supply basis, have a positive role to perform in the safeguarding of children. Every staff member can play a part in the prevention of abuse and neglect through their awareness of child protection polies and procedures. Always check what the policy is with the school you are in. As a general guide, if you have a concern about a child, it is important that you report it without delay to the Headteacher or the safeguarding lead at the school.
If a child chooses to disclose to you that he/she has been or is the subject of some form of abuse, it is vital that you listen to the disclosure and not interview the child or ask the child to repeat the account. Avoid asking leading questions as they may invalidate your evidence (and the child’s) in any later prosecution. Finally, never examine the child. Do, however, explain what is going to happen next i.e., that you are going to have to inform the Headteacher of the designated safeguarding lead. You should never promise confidentiality where an allegation of abuse has been made.
LXP Specialists has a no physical contact policy and any form of physical contact with pupils must be avoided. If your role requires you to carry out personal care duties within a SEND setting you must not be left alone during this procedure. You must never touch or hold a pupil in a way that might be considered indecent. In such situations, always communicate clearly and enlist support from other staff members.
Ensure you ask the school to see their procedures. Make yourself aware of these procedures and follow them. Please inform LXP Specialists and the school of any accident or incident that occurs while you are with pupils.
I understand all of the above and agree to complete the relevant safeguarding training, if I do not already hold a certificate
Confidentiality & GDPR Statement
I will keep secret and confidential all information made available to me about any education establishment and their members of staff and pupils whilst on assignment. I understand that the above undertakings are terms of my assignment and should I break these this may result in action taken against me.
I agree to allow LXP Specialist to process my application using the information that I have provided. I give consent to use my information for the application process, payroll and related services that LXP Specialists need to acquire and retain certain information about me as an individual. I agree to you sharing my information with People Group who carry out payroll services.
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