Application Form

Position: Visiting Piano Teacher

School: King’s High School

Section 1: Personal Details

Section 1 will kept within HR during the recruitment process, all other sections will be seen by Shortlister’s/interviewing panel

Title: Mr Forenames: Simone Surname:Damiani

Date of birth:26/02/1993 Preferred name: Former name:

Qualified Teacher Status provide TRN number National Insurance number:ST947527D

(if applicable):

Address:14 Summer Lane Home phone number:

Birmingham (UK) Work number:
B193QA Mobile number:+393473440699
Email address:[email protected]

Are you eligible for employment in the UK? Yes x No

If no, please provide details:

Do you hold a current driving licence? Yes x No

Do you have endorsements? Yes No x

If yes, please provide details:

What class of vehicle are you licensed to drive? B

Do you know/are you related to any person at Warwick Yes No x

Independent Schools Foundation?

If yes, please provide details:

Where did you learn about this vacancy? Rhinegold Jobs website

Title: Mr Forenames:Simone Surname:Damiani

 Section2: Education
Please start with most recent

Name of Dates of Examinations

school/college/university attendance
Subject Result Date Awarding body
Royal Conservatoire of From: 15 / 09/ 2018 MA piano performance Passed University College
Antwerp (Belgium) cum lude AP

Class of Polina Leschenko To: 07 / 07 / 2020

Liszt Ferenc Academy of From: 10 / 09 / 2017 Weingarten Scholar Weingarten

Music (Budapest, Hungary) Foundation
(Fully funded course in
To: 20 / 06 / 2018 piano performance and
chamber music)

Royal Birmingham From: 25 / 09 / 2013 BMus (Hons) in piano First Birmingham City
Conservatoire performance Class University

Class of Robert Markham To: 07 / 06 / 2017

and Daniel Browell

Section 3: Other vocational qualifications, skills or training

Please provide details of any vocational qualifications or skills you possess or training you have received
which you consider to be relevant to the role for which you have applied.

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I have performed internationally, solo and chamber music recitals, in Italy, Hungary, Sweden, Belgium, UK, Germany,
Switzerland, Austria.

I performed in Masterclasses for eminent classical music artists: Peter Donohoe, Vladimir Ovchinikov, Orit Wolf, Pascal
Nemirowski, Mikhail Kazekevich, Robert Levine, Barnabas Kelemen, Peter Jablonski.

I have participated as masterclass active participant and as a performing artist in renowned International Music Festivals such
as “Imola Summer School and Academy”, “Ferrara Piano Festival”, “Corato international Piano Festival”, “Aurora Music
Festival”.

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 Section 4: Employment

Current/Most Recent Employment

Name and address of employer: The Piano School, Coventry CV36FL
Current/most recent job title: Piano tutor
Brief description of responsibilities: Teach students of various skills and age, starting from age 6, in solo and
group lessons; deliver Musical Discovery lessons to students 4 to 6 years
old.
Date commenced employment: 7th September 2020
Date employment ended (if
applicable):
Salary/salary on leaving:
Do you/did you receive any other Yes No x If yes, please provide details
employee benefits?
Reason for seeking other
employment:

Previous Employment History and/or Activities Since Leaving Secondary Education

Dates Name and address of Position Held Reason for leaving
employer
To From

Section 5: Gaps In Employment

If there are any gaps in your employment history, e.g. looking after children, sabbatical year, please give details and dates

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 Section 6: Interests
Please give details of your interests, hobbies or skills,
in particular any which could be of benefit to the organisationfor the purposes of enriching its extra-curricular activity.

Section 7: Suitability
Please give your reasons for applying for this post and say why you believe you are suitable for the position. Study the job description and person
specification and describe any experience and skills you have gained in other jobs or similar environments which demonstrate your ability and aptitude to
undertake the duties of the post. Continue on a separate sheet if necessary.

Section 7 continued:

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 Section 8: Criminal record

An offer of employment is conditional upon the organisation receiving an Enhanced Disclosure from the Disclosure and Barring Service
(DBS) which the organisation considers to be satisfactory. The Enhanced Check for Regulated Activity from the DBS will include a check of
the Children's Barred List, in respect of all positions, which amount to regulated activity. It is unlawful for the organisation to employ anyone
who is barred from working with children, and it is a criminal offence for any person who is barred from working with children to attempt to
apply for a position. If you are successful in your application you will be required to complete an online DBS Disclosure Application Form.
Any information disclosed will be handled in accordance with any guidance and / or code of practice published by the DBS.

The organisation is exempt from the Rehabilitation of Offenders Act 1974 and therefore all convictions, cautions, reprimands and final
warnings, including those which would normally be considered "spent" under the Act, must be declared, subject to the DBS filtering rules.

If you have a criminal record this will not automatically debar you from employment. Instead, each case will be assessed fairly by reference
to the organisation’s objective assessment procedure.

Before answering these questions please refer to the DBS information on filtering and spent convictions
https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/266493/Filtering_rules_for_criminal_record_check_ce
rtificates_v2.2.pdf
Have you been convicted by the courts of any criminal offence? Yes No

Is there any relevant court action pending against you? Yes No

Have you ever received a caution, reprimand or final warning from the Yes No
police?

If answering "YES" to any of the above, please provide details on a separate sheet and send this in a sealed envelope marked
"confidential" with your application form.

Section 9: References
Please supply the names and contact details of two people who we may contact for references. One of these must be your current or most
recent employer. If your current / most recent employment does / did not involve work with children, then your second referee should be
from your employer with whom you most recently worked with children. Neither referee should be a relative or someone known to you
solely as a friend. The organisation reserves the right to take up references from any previous employer. The organisation may take up
references from all shortlisted candidates before interview, unless otherwise informed otherwise.
Referee 1 Referee 2

Name: Name:

Organisation: Organisation:

Address: Address:

Telephone number: Telephone number:

Email address: Email address:
Relation to you: Relation to you:

Occupation: Occupation:

May we contact prior to Interview? Yes No May we contact prior to interview? Yes No

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 Section 10: Recruitment
It is the organisation’s policy to employ the best qualified personnel and to provide equal opportunity for the advancement of employees
including promotion and training and not to discriminate against any person because of their race, colour, national or ethnic origin, sex,
sexual orientation, marital or civil partnership status, religion or religious belief, disability or age. All new appointments are subject to a
probationary period.

The organisation is committed to safeguarding and promoting the welfare of children and young people and expects all staff and volunteers
to share this commitment.

A copy of the organisation’s Child Protection Policy can be found on the relevant school’s website and is available for download. Please
take the time to read it as it will be referred to during any interview that you might be invited to attend.

If your application is successful, the organisation will retain the information provided in this form (together with any attachments) on your
personnel file. If your application is unsuccessful, all documentation relating to your application will normally be confidentially destroyed
after six months.

Section 11: Declaration

1. I confirm that the information I have given on this application form is true and correct to the best of my knowledge.
2. I confirm that I am not on the Children's Barred List, disqualified from working with children or subject to sanctions
imposed by a regulatory body.
3. I understand that providing false information is an offence which could result in my application being rejected or (if the
false information comes to light after my appointment) summary dismissal and may amount to a criminal offence.
4. I consent to the organisation processing the information given on this form, including any 'sensitive' information, as may
be necessary during the recruitment and selection process.
5. I consent to the organisation making direct contact with the people specified as my referees to verify the reference.

Signed:
Date:

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