Application for Employment (Please use black ink or type)

Application for the post of : / Partnership Manager - The Wessex Group of Sixth Form Colleges

PART 1 – Personal Information – (Private and Confidential)

Title by which you wish to be known: Dr / Mr / Mrs / Ms / Miss

Surname : / Forename(s)
Address: / Telephone details
Home:
Work (if it may be used)
Mobile:
Post code / E-mail address:
Nat. Ins no. / DfEE No: (teachers only)


PART 2 – Education and Qualifications

Details of Secondary Education
(School or College) / From / To / Qualifications Obtained
Details of Further/Higher Education
(Establishment) / From / To / Qualification / Grade / Class / Subject(s)
Membership of Professional Bodies / Year Obtained

PART 3 – Present or Most Recent Appointment

Name of Employer (School/College & LEA if appropriate) :
Post held:
Full/part time / Date appointed / Current/final salary
Notice required/date available / Reason for leaving
Type and size of institution
Age range of students taught
Main responsibilities (including subjects taught if applying for a teaching post)

PART 4 – References

Please give details of two referees, one of whom must be your present or most recent employer. The other should have knowledge of your work experience. Friends or relatives are not acceptable. Referees may be approached if shortlisted unless ‘X’ is marked in the box.

Name : / Name :
Title :
In what capacity do they know you :
Address :
Post Code :
Telephone No : / Title :
In what capacity do they know you :
Address :
Post Code :
Telephone No :

PART 5 – Previous Employment

(Please list most recent first)

EMPLOYER
(Please state nature of business) / JOB TITLE, MAIN RESPONSIBILITY, SALARY / REASON FOR LEAVING / FROM / TO


PART 6 – Outside Interests

(Please include membership of any clubs / societies / other bodies)

Do you hold a full driving licence? / Do you own or have use of a car?

PART 7 – Statement

(Please complete the separate page)


Part 7 – Statement

The information in this section plays an essential part in the selection procedure. It enables you to provide us with further information in support of your application, such as, details of all experience relevant to the post.


(Please include details of relevant training / development activities.)

Signature :




Name : Date :

PART 8 – State what appeals to you about this particular post


PART 9 – General Information

Depending on the work for which you are applying, this post may be exempt from the provisions of Section 4(2) of the Rehabilitation of Offenders Act 1974 (Exemptions) Order 1975. Applicants are, therefore, not entitled to withhold information about convictions which for other purposes are ‘spent’ under the provisions of the Act, and, in the event of gaining employment, any failure to disclose such convictions could result in dismissal or disciplinary action by the Corporation.
Any information given will be completely confidential and will be considered only in relation to an application for positions to which the Order applies. The successful applicant will be required to be registered with the Independent Safeguarding Authority and to authorise a Disclosure through the Disclosure & Barring Service, to establish any criminal record, upon offer of appointment. Your signature at the end of this form will be regarded as signifying your agreement that this may be done. Such Disclosures will not be used unfairly and a criminal record will not necessarily be a bar to obtaining a position. You should indicate whether you have any convictions as follows :

Have you ever been convicted of a criminal offence : Yes No
If Yes, please give details of the conviction and the date(s) on a separate sheet and attach to this form.

PART 10 – Declaration



I understand that if I am appointed, personal information about me will be computerised for personnel / employee administrative purposes, including analysis for management purposes and statutory returns. The College is registered under the Data Protection Act.
I confirm that, to the best of my knowledge, the information on this form is correct and complete and can be treated as part of any subsequent contract of employment. I accept that false information may result in my application being disqualified and, if engaged, I will be liable to be dismissed. I understand that my appointment may be subject to a satisfactory medical examination.
Signature of Candidate : Date :


EQUAL OPPORTUNITIES MONITORING FORM

We wish to secure genuine equality of opportunity, whether required by legislation or not, in all aspects of its activities as an employer. Information that you provide on this form will help us monitor our Equal Opportunities Policy and make sure it is working in practice. Your participation in this monitoring is, of course, optional, but we would be grateful if you could complete the form overleaf as fully as possible.

Why monitor equal opportunities?

We are committed to a policy of equal opportunities in all aspects of employment. The information provided by equal opportunities monitoring will help us to comply with the law under the relevant Acts and to ensure that our employment policies and practices are fair and effective. It provides us with a profile of the College so that we can assess the representation of different groups and whether more needs to be done to achieve equality of opportunity for colleagues and job applicants.

What information will be collected?

This form asks your age and asks you to describe your ethnic group, gender, marital status, any disabilities and religion/belief. This data will then be added to the information that is held on the computerised system in Personnel.

What will happen to the monitoring form?

The form will be opened by a member of the Personnel team who will be responsible for the safe storage of the form until the data is entered onto the computer. Only Personnel colleagues have access to the computer system. The form will then be destroyed.

What will the information be used for?

This form will contain sensitive personal data which will only be processed in accordance with the Data Protection Act 1998.

Information is treated in strictest confidence; it is not seen by the appointing panel and forms no part of the selection process. The data will help us to review employment policies and practices, particularly where equality of opportunity is concerned.

A workforce analysis may be carried out periodically by the Personnel team and the person responsible for monitoring our Equal Opportunities Policy; individuals will not be identifiable on any reports or summaries.

Who can I contact for additional information?

Should you require any further information or advice, please contact a member of the Personnel team.

Please complete the form below

FULL NAME:
POST APPLIED FOR:
HOW DID YOU HEAR ABOUT THIS VACANCY?
Please name relevant publication, web site or person
PLEASE INDICATE YOUR ETHNIC ORIGIN / GENDER (Please specify)
I would describe myself as: / ______
Asian or Asian British / NATIONALITY:
o / Bangladeshi / ______
o / Indian / DATE OF BIRTH:
o / Pakistani / ______
o / Any other Asian background, please state below
Black or Black British / MARITAL STATUS
o / Black African / Please specify your marital status
o / Black Caribbean
o / Any other Black background, please state below
Chinese / ______
o / Any Chinese background
Mixed / If you wish, you may disclose information about
o / White and Asian / yourself in this section as to your:
o / White and Black African / RELIGION
o / White and Black Caribbean
o / Any other Mixed background, please state below
White
o / White British
o / Irish / SEXUAL ORIENTATION
o / Any other White background, please state below
Other
o / Any other ethnic group, please state below
______
DISABILITY
Would you describe yourself as having a disability? / o / Yes / o No
I have the following condition(s):
o / Aspergers Syndrome/Autism / o / Need personal care/support
o / Blind/partially sighted / o / Unseen disability e.g. asthma, diabetes, epilepsy
o / Deaf/hearing impairment / o / Wheelchair user/mobility difficulties
o / Dyslexia / o / Other (please specify) ______
o / Mental health difficulties

Thank you for completing this form