Specialist Teaching Staffing Agency - Birmingham West Midlands

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Mr, Mrs, Miss, Ms: ^* First Name(s): ^* Last Name: ^* Previous Names: Telephone: ^* Mobile: E-mail: ^*	Address ^* Postcode: Date of Birth: ^* Teacher Reference Number: National Insurance Number: ^*

Please specify the role and phase to which this application refers by clicking on the appropriate box(es)
Teacher: Foundation Stage: Key Stage 3:	Teaching Assistant: Key Stage 1: Key Stage 4:	Clerical Assistant: Key Stage 2: Post 16:
Special:	If Secondary, are you prepared to do general cover:

Main Subject:

Subsidiary Subject:

Availability
Do you have your own transport?: ^* Yes No How far are you prepared to travel? Please indicate your general availability for work?: On which date do you wish to start work?:

Committed to safeguarding and promoting the welfare of children and young people and expects all team members to share in and support this commitment.

Committed to Equal Opportunities in Employment and positively welcome your application irrespective of your gender, race, disability, colour, ethnic or national origin, marital status, religion or age.

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