ASEND Registration Form

ASEND thoroughly vets and clears all candidates registering for work. We employ the highest standards set down by REC (Recruitment Employers Confederation), Department for Education (DfE) and the Home Office when preparing a candidate for work in schools. ASEND can confirm that the following checks have been completed and holds proof on file, housed in confidential folders.

Personal Information

First Name *

Last Name *

Street Address *

Address Line 2

City *

Post Code *

Home Phone

Mobile *

Email Address *

Date of Birth +

NI Number *

Next of Kin Name *

Next of Kin Phone No. *

Professional Information (where applicable)

Teacher Reference No.

Classification

Qualification 1

Qualification 2

Qualification 3

Qualification 4

Please attach proof of relevant qualifications

CV - WORD Document ONLY (include any gaps and GCSE/A-Level or equivalent)

Other Information

Child Protection Information

We will need to see your original DBS and seek your permission to undertake status checks.

Enhanced DBS Disclosure No.

Issue Date

DBS Registered on the update service?

Yes

DBS Update Service No.

DBS Certificate/Update Service Confirmation

Safeguarding Certificate

Identification Checks

Are you legally authorised to work in the United Kingdom? *

Yes

Proof of Right to Work Share Code (if applicable)

Share Code Expiry Date (if applicable) +

Here is a link with the accetable forms of documentation:

https://www.gov.uk/government/publications/acceptable-right-to-work-documents-an-employers-guide

Acceptable forms of documentation:

ID Proof of Address (no digital/online copies)

Passport Utility Bill or Bank Statement (dated in the last three months)

This years Council Tax Bill

Passport

Proof of Address (it has to be a photo of a paper copy, we do not accept digital documents)

Photograph (head & shoulders) - this photo will also be used for your ID card.

Employment Status

Self Employed *

Yes

If yes please complete below.

Complete as appropriate

	UTR/Registered No.	Professional Indemnity Insurance Policy No.	Company Name
Self Employed	UTR/Registered No.	Professional Indemnity Insurance Policy No.	Company Name
Limited Company	UTR/Registered No.	Professional Indemnity Insurance Policy No.	Company Name

References

Please indicate below if we can request references immediately or if they should only be sent upon application to a job. *

Now

Later

Reference 1

Name

Last Name

Position Held

School or Company Name

Phone

Professional Email Address

Reference 2

First Name

Last Name

Position Held

School or Company Name

Phone

Professional Email Address

Health Declaration

Equality Act 2010

The following questions on health and disability are asked in order to find out your needs in terms of reasonable adjustments to access our recruitment service and to find out your needs in order to perform the job or position sought. If you declare a condition that we consider may affect your ability to teach we will require a doctor's letter.

Do you have any health issues or a disability relevant to the role which may make it difficult for you to carry out functions which are essential for the role you seek? *

Yes

If yes, please specify

If you have a disability, what are your needs in terms of reasonable adjustments in order to access this recruitment service and to attend interview, or to take aptitude tests etc.?

Disqualification

Rehabilitation of Offenders Act 1974 (Exceptions Order) 1975 Childcare Act 2006 and the Childcare (Disqualification) Reg 2018

Under the Rehabilitation of Offenders Act 1974, ex-offenders are not required to disclose information about criminal convictions after a ‘rehabilitation period’. These are known as ‘spent convictions’. However, under the exceptions order of 1975, people working with children and in the field of education have to disclose details of spent and unspent convictions irrespective of the amount of elapsed time.

Do you have and spent or unspent offences or declared convictions that are not subject to the filtering rules? *

Yes

If ‘Yes’ please give a detail description:

The Childcare Act 2006 and the Childcare (Disqualification) Regulations 2018

Please find attached a copy of the Department for Education Disqualification under the Childcare Act 2006 – statutory guidance. It sets out the circumstances in which individuals are disqualified from undertaking certain childcare work (relevant childcare work) under the relevant statutory provisions. As part of our safeguarding checks we are required to check whether any candidates who are seeking work that involves relevant childcare work are ‘disqualified’ from carrying out that type of work. Individuals may be disqualified because they have either been convicted of a relevant offence or are subject to a relevant order. Please review the statutory guidance which provides further details and sign below if you can confirm the following:

I confirm that:

• I have read the statutory guidance

• I am not disqualified on any of the grounds set out in the statutory guidance

• I will notify ASEND immediately if any of the above changes

We are required to notify you that is a criminal offence for you to work in a relevant childcare role or to be directly concerned with the management of such provision if you are disqualified under the relevant statutory provisions.

If you are disqualified we will not be able to place you/supply you into a role that involves relevant childcare work. However, as set out in the statutory guidance you may be able to apply to Ofsted for a waiver of disqualification and you should contact Ofsted directly for details of the application process.

I declare that to the best of my knowledge all the information I have given is correct. I understand that false information could lead to police investigation and removal from the ASEND database. I agree that my registration will only be complete on the receipt of satisfactory references and a cleared check from the Disclosure and Barring Service. I will inform you immediately if I am engaged in permanent employment after ASEND's introduction or temporary placement. I agree to ASEND holding all personal information received about me on file and that no information will be passed to any third parties other than prospective employees or agents of ASEND engaged in finding you employment.