Exact Education Registration Process Step 1 of 19 5% Personal DetailsName* Prefix DrMissMrMrsMsProf.Rev. First Last Previous Surname if applicable Gender*FemaleMalePrefer Not to AnswerDate of Birth* Day Month Year Nationality National Insurance Number* Phone*Email* Address* House Number and Street Name City/Town County Postal Code Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Which education sectors would you like to work in? (select multiple if applicable) Early Years Primary Secondary Further Education SEN Job Role(s) Applying to Work as (select multiple if applicable)* Teacher Cover Supervisor Higher Level Teaching Assistant Teaching Assistant / Learning Support Assistant Nursery Nurse Tutor Admin/Clerical Teacher selected - What is your Teacher Reference Number (TRN) Consent - Data Protection Statement*Exact Education provides work-finding services to its clients and work-seekers. We must process personal data (including sensitive personal data) so that we can provide these services – in doing so, we act as a data controller. This is why we have asked for your personal data on this form. When we process your personal data we must do so in accordance with data protection laws. Those laws require us to give you a Privacy Statement to explain how we manage your personal data. Click this link to read our Privacy Policy I agree to the privacy policy. Upload your CVPlease upload your CV, preferably as a Word Document. If you do not have a CV, you can use our CV Template to create a CV to upload - CV TemplateFileAccepted file types: jpeg, jpg, png, pdf, doc, docx, Max. file size: 8 MB. Information for the Applicant and DeclarationsPlease read the information and complete the declarations as indicated in the following sections.Criminal Record DisclosureBefore completing this section please read our policy regarding candidates with criminal convictions. We are asking you to complete this form in relation to job roles which are not exempt from the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (2013 and 2020). For this reason you are only required to disclose information about unspent convictions. You are not required to disclose spent convictions on this form. Additionally, you are not required to declare any information about ‘protected’ offences – (offences to which the filtering rules apply). If you are unsure as to whether a conviction is unspent/spent or protected (filtered) please see the additional guidance or you can contact organisations such as NACRO or Unlock for further information. If you wish to be put forward for/if any role is identified which may be suitable for you but which is exempt from the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (2013 and 2020), meaning that you are required to disclose spent convictions, we will ask you to complete an additional criminal disclosure form. You are not required to complete that additional form if you do not wish to be put forward for that type of work. Do you have any unspent criminal convictions?* Yes No If yes, please provide the offence dates, dates of conviction/caution, offence types and sentences below.*If you have declared any convictions you are welcome to provide us with any additional information that you think may be relevant and which will help us to determine your suitability to be put forward for roles with our clients. This could include for example information about the circumstances of the offence, any work (paid or voluntary) or training that you have undertaken since, change in your circumstances etc. We will seek to put forward/supply the best possible candidates to our clients. Having a criminal conviction will not necessarily exclude you from the process. The information given will be treated in the strictest of confidence and only taken into account where, in our reasonable opinion, the offence is relevant to the post to which you are applying. Failure to declare a conviction may require us to exclude you from our register if the offence is not declared but later comes to light. If you are working in an assignment with a client at the time that we are made aware of a conviction that have not disclosed to us, we may be legally required to inform our client of that information and your assignment may be terminated. DBS CertificateDo you have a DBS Certificate?* Yes No If yes, please upload the certificate (all pages)Accepted file types: jpeg, jpg, png, pdf, doc, docx, Max. file size: 8 MB.Is the DBS registered on the DBS Update Service?* Yes No Overseas CheckHave you lived or worked abroad for more than six months within the last 5 years?* Yes No If yes, do you have an overseas police check? Yes No If yes, please upload the checkAccepted file types: jpeg, jpg, png, pdf, doc, docx, Max. file size: 8 MB. Childcare Disqualification Regulations (England only)Disqualification Under the Childcare Act 2006 Anyone intending to work with children under the age of 8 or in a primary setting in England is required by law to complete a Childcare Disqualification declaration. Do you intend to work with children under the age of 8 or in a primary setting in England?* Yes No If yes, please read the information and complete the declaration. Please click the link above to view a copy of Department for Education guidance on 'Disqualification Under the Childcare Act 2006', which outlines a list of relevant offences. As part of our safeguarding checks we are required to check whether you are ‘disqualified’ from carrying out relevant roles. Please review the DfE guidance and complete the declaration below if you can confirm the following: I confirm that:* a) I have read the DfE guidance on childcare disqualification requirements, b) I am not disqualified on any grounds set out in the DfE guidance and c) I will notify Exact immediately if any of the above changes Confidentiality AgreementIn return for Exact Education providing information to me in the course of my assignment as a Temporary Worker with Exact Education I promise to do the following in relation to the information given to me or obtained by me in the course of such placement (“the information”): I promise to hold the information in the strictest confidence, and to ensure that it is kept in a safe and secure place when not in use. I acknowledge that no information is to be removed from Customer(s) premises without the permission of the Customer(s); I promise to use the information only for the purpose of the work for which I have been given such information; I promise not to disclose it to any third party or to copy the information except as may be required in the course of my duties; I agree that any breach of this undertaking by me or any third party to whom I release the information may result in legal proceedings being commenced against me including a claim for the recovery of any losses or damages incurred by the Customer(s) as a result of that breach.Do you agree to abide by the above Confidentiality Agreement* Yes No Professional Body ChecksWe will check with the DFE Teacher Regulation Agency to determine whether or not there are any active professional misconduct sanctions in place against you. Please read and complete the declaration below:Are you currently under investigation by your former employer, the DBS or DFE Teacher Regulation Agency?* Yes No Do you have an existing professional sanction in place with the DFE Teacher Regulation Agency?* Yes No If yes, please specify:* Health and DisabilityWe want to ensure that we provide work finding services to all work seekers fairly and equally. 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. We will not divulge any medical condition to a client without first obtaining your written permission. This question does not form part of our recruitment decision. If answering “yes”, you will be able to specify the details and state if there are any reasonable adjustments that would assist you to carry out the the role. The 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.Is there any health information relevant to your ability to undertake the work applied for?* Yes No If yes, please specify and state if there are any reasonable adjustments that would assist you to carry out the functions of the role?*Emergency ContactPlease provide the contact details of your emergency contact in case we need to contact them on your behalfName* First Last Phone*Relationship to you (e.g. Partner, Parent etc.)* Safeguarding DeclarationAs part of your registration with Exact Education, we will keep you updated with any changes to the Education industry and in particular anything regarding safeguarding in order to keep your training/CPD current. As part of that we are asking you to read the documents “Keeping Children Safe in Education” and “Regulated Activity in Relation to Children” as they have been updated from September 2021. The information is for all school and college staff which includes supply workers. We recommend printing the Keeping Children Safe in Education document and keep it in a file should you ever need to refer to it in the future. Individual schools may have their own version of the guidance or their own safeguarding policies which if provided to you on a supply assignment you must follow. Please click the links below and read the information and then complete the declaration below: Keeping Children Safe in Education Regulated Activity in Relation to ChildrenI confirm I have read the guidance relating to Keeping Children Safe in Education 2021 and Regulated Activity in relation to Children and that I have understood them:* Yes ReferencesExact Education must obtain at least two satisfactory professional references and cover the last two years (if this requires more than two references please specify enough references to cover this period). One of these references must be from your current/most recent employer. References need to be addressed directly to us and pre-printed references will not be accepted unless we are able to contact the referee directly for verification. Emailed references must come from an official organisation/institution email address.Current/Most Recent EmployerName* First Last Job Title* Company Name* Phone Number*Email* Start Date* DD slash MM slash YYYY End DateLeave blank if still employed DD slash MM slash YYYY Previous EmployerName* First Last Job Title* Company Name* Phone Number*Email* Start Date* DD slash MM slash YYYY End DateLeave blank if still employed DD slash MM slash YYYY Previous EmployerName First Last Job Title Company Name Phone NumberEmail Start Date DD slash MM slash YYYY End DateLeave blank if still employed DD slash MM slash YYYY Do the above references cover the previous 2 years?* Yes No If No, please provide additional contact details using the space below: Document UploadsThe following section we ask you to provide documents to prove your Right to Work in the UK, Identity, and Qualifications.National Insurance NumberPlease upload proof of your National Insurance NumberAccepted Documents: Payslip - dated within last 3 months Letter about your tax, pension or benefits - dated within last 3 months P60 - dated within last 12 months You can save or print a letter confirming your National Insurance number from your Personal Tax AccountAccepted file types: jpeg, jpg, png, pdf, doc, docx, Max. file size: 8 MB. Right to Work in UKDo you have a UK Passport?*The passport must be in date at the time of submission. Yes No If yes, please upload a photo of your passportAccepted file types: jpeg, jpg, png, pdf, doc, docx, Max. file size: 8 MB.That's ok, do you have a Birth or Adoption certificate issued in the UK?* Yes No If yes, please upload a photo of your certificateAccepted file types: jpeg, jpg, png, pdf, doc, docx, Max. file size: 8 MB.Do you have another document to establish Right to work in the UK? E.g. Residence Permit, Biometric Immigration Document* Yes No We require alternative Right to Work documents in order to proceed. Please contact us on 0191 212 1111. Identity CheckThe documents required here are dependent upon what was submitted in the Right to Work section.Do you have a valid Driving Licence (full or provisional)?* Yes No If yes, please upload a photo of your driving licenceAccepted file types: jpeg, jpg, png, pdf, doc, docx, Max. file size: 8 MB.Do you have either of the following: Birth or Adoption certificate issued in the UK; Marriage/Civil Partnership certificate?* Yes No If yes, please upload a photo of your certificateAccepted file types: jpeg, jpg, png, pdf, doc, docx, Max. file size: 8 MB.We require alternative Identity documents in order to proceed. Please contact us on 0191 212 1111. Proof of AddressPlease upload a document as proof of your addressAccepted Documents: Bank Statement (issued in last 3 months) Credit Card Statement (issued in last 3 months) Utility Bill - not mobile telephone bill (issued in last 3 months) Benefit Statement, e.g. Child Benefit (issued in last 3 months) Mortgage Statement (issued in last 12 months) Council Tax Statement (issued in last 12 months)Accepted file types: jpeg, jpg, png, pdf, doc, docx, Max. file size: 8 MB. QualificationsPlease upload your highest/most relevant qualification certificate for the job role you are applying toAccepted file types: jpeg, jpg, png, pdf, doc, docx, Max. file size: 8 MB. Previous Name(s)Are any of the documents you have provided in a previous name?* No Yes If yes, please upload a photo of your name change document (e.g. marriage certificate)Accepted file types: jpeg, jpg, png, pdf, doc, docx, Max. file size: 8 MB. Photo of You!Please upload a professional photo of you. Head and shoulders, preferably with a white background. Smile! 🙂File*Accepted file types: jpeg, jpg, png, pdf, doc, docx, Max. file size: 8 MB. Applicant's Declaration I confirm that the information I have given is true and correct I consent to my personal data and CV being forwarded to clients I consent to Exact Education contacting the referees I have given. I also give permission to contact any education setting that I have worked within for a reference I consent to references being passed onto potential employers I certify that I possess the qualifications that I claim to hold I give Exact Education permission to provide work seeking services on my behalf If, during the course of a temporary assignment, the Client wishes to employ me direct, I acknowledge that Exact Education 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 certify that I am not on DBS Barred Children’s List nor disqualified from work with children I certify that I have read the Childcare Disqualification guidance and completed the declaration correctly I certify that I am not subject to sanctions imposed by the DFE Teacher Regulation Agency and I am not currently suspended from work or awaiting the outcome of any investigation I certify that I am legally entitled to work in the UK Name* First Last Signature*Today's Date* Day Month Year Who do you want to send this to at Exact Education?*AnyoneAlex ShanksAshleigh BeadlingBen ArcherCallum AstonChris ShawElle EverallPip NasebyRachel AirdRebecca PaylorRobert MeadScott ArmstrongTutoring TeamCAPTCHA
