Bullsmoor Lane, Enfield, Middlesex
EN1 4RQ
Tel: 08456 122122 Fax: 01992 707028
E-mail: Website: www.capel.ac.ukApplication for Appointment
Please refer to the ‘Notes of Guidance for Completing Application Forms’
The information you supply may be processed by Computer. The system is registered in accordance with the requirements of the Data Protection Act 1984/1998 and will be used for the sole purpose of the recruitment process. For the successful applicant the application form will be kept as part of the employment record and some information may form the basis of payroll records. Application forms for unsuccessful applicants are retained for 6 months (unless applicants specially request otherwise).
The College operates an Equality and Diversity Policy
POST APPLIED FOR
1. PERSONAL DETAILS
Surname Preferred Title (Mr, Mrs, Miss, Ms, Dr, etc)
Forename(s)
/Permanent Address
/ / Address for Correspondence (if different)Postcode / / Postcode
Daytime Telephone Number / / E-mail Address
Mobile/Evening Telephone Number
2. CURRENT EMPLOYMENT
Present or most recent post
/ Salary/GradeName and Address of Employer/Organisation
/ Date Appointed/ Date of Leaving
Brief description of duties
/ Reason for leaving / wishing toleave
Full time or Part time Position
Full time Part time ______(If part-time please state fraction or hours worked) / Notice Required
3. PREVIOUS EMPLOYMENT
(a) Name and Address of Employer
/ Position held & Salary / Dates (from/to) / Hours / Reason for Leaving(b) Name and Address of Employer
/ Position held & Salary / Dates (from/to) / Hours / Reason for Leaving(c) Name and Address of Employer
/ Position held & Salary / Dates (from/to) / Hours / Reason for Leaving(d) Name and Address of Employer
/ Position held & Salary / Dates (from/to) / Hours / Reason for Leaving(e) Name and Address of Employer
/ Position held & Salary / Dates (from/to) / Hours / Reason for Leaving4. EDUCATION, TRAINING AND QUALIFICATIONS
(4.1) Secondary EducationName of School
Qualifications gained with grades if applicable
(4.2) Further and Higher Education
(a) Name of College or University / Dates Attended (from/to)
Course Title / Qualification gained
(b) Name of College or University / Dates Attended (from/to)
Course Title / Qualification gained
(c) Name of College or University / Dates Attended (from/to)
Course Title / Qualification gained
(d) Name of College or University / Dates Attended (from/to)
Course Title / Qualification gained
(4.3) Short courses attended/other relevant training undertaken
/ Dates Attended (from/to)
(4.4) Studies/Training in progress / Length of course
(4.5) Membership of Professional Associations
(Please continue on a separate sheet for any question, if necessary.)
PLEASE NOW GO ON TO COMPLETE APPLICATION FORM PART 2
APPLICATION FORM PART TWO
Capel Manor College
POST APPLIED FOR
Dates not available for interview5. SUPPORTING STATEMENT
Please outline below why you are interested in this post, and describe how your skills, knowledge & experience are applicable (please address each item of the Person Specification order, noting the number you are addressing). Please read section 5 of the application guidance before completing this statement.
For successful applicants the application form will be kept as part of the employment record. Application forms for unsuccessful applicants are retained for 6 months (unless applicant specifically request otherwise).
6. REFERENCES. References may be taken up for all short listed candidates before interview.If you object please mark ‘X’ in the box provided.
Name
Position / Address
Telephone Number:
Email Address:
Name
Position / Address
Telephone Number:
Email Address :
Name
Position / Address
Telephone Number:
Email Address :
NB: One of your references should be your last or most recent employer
7. EMPLOYMENT HISTORY (to be completed in support of CV where part one not completed)
Name of Employer / Position held & Salary / Dates from/to / Hours / Reason for Leaving8. ADDITIONAL DATA
Please explain any gaps in your career & employment giving full details and reasonsDO YOU REQUIRE A WORK PERMIT?
Yes No
IFL No. (if applicable) / / DES Reference Number (if applicable)
Do you have any additional needs for which we can make adjustments during the recruitment process (interviews & tests)?
No
Yes (state details) ______
______
9. SUPPORT DURING RECRUITMENT
10. DECLARATION(a) Are you related to a member of the Governing Body, Councillor, Senior Officer of Capel
Manor College or any member of the College staff? Failure to disclose such a
relationship may disqualify the candidate.
Please tick Yes No
(b) Canvassing of any person connected to the appointment will disqualify the candidate.
(c) PROTECTION OF CHILDREN & VULNERABLE ADULTS:
All college staff are required to undertake a “Disclosure” (Criminal Record Check) as part of the recruitment process. An Enhanced Disclosure will be requested for those posts that involve a greater degree of working with children or vulnerable adults. An Enhanced Disclosure includes a check on local police records. Where local police records contain additional information that might be relevant to the post the applicant is being considered for, the Chief Officer or police may release information for inclusion in the Enhanced Disclosure. The College is exempt from the Rehabilitation of Offenders Act 1974 as it is a further education institution.
The details given on this application are correct to my knowledge and belief. I understand that my application may be rejected or that I may be dismissed for withholding relevant details or giving false information. By signing and returning this application form, I consent to the employer using and keeping information about me provided by me or by third parties such as referees relating to my application or future employment. Such information includes details relating to any criminal record.
Signed: ______Date: ______Capel Manor College
REHABILITATION OF OFFENDERS ACT 1974
In accordance with the Rehabilitation of Offenders Act and the relevant Home Office and Criminal Records Bureau guidance, Capel Manor will not discriminate in its employment decisions against ex-offenders with criminal records. Only relevant convictions or other information will be taken into account so disclosure need not necessarily be a bar to obtaining the post applied for. If you declare a criminal record and we believe this to have a bearing on the requirements of the post, we will discuss the matter with you at interview. If we do not raise the record with you it is because the panel has taken the view that it should not be taken into account in deciding your suitability for the post. A full copy of our policy on employing people with criminal convictions can be obtained on request to Capel Manor from the Human Resources Department.§ For all Capel Manor posts involving the direct provision or management of services to our students/learners, spent and unspent convictions must be disclosed by all applicants on the form below.
§ For all other posts, only unspent convictions must be declared.
This form will be confidential to the panel members and HR staff, and the contents will be used in compliance with the provisions of the Data Protection Act 1998.
Your Name: / Post Applied For:
Have you ever been convicted by the courts or cautioned, reprimanded or given a final warning by the Police?
¨ Yes ¨ No If ‘Yes’ please give details of offences, penalties and date:
Conviction/Caution / Dates / Sentence (please indicate whether this is current or spent)
Are you aware of any police enquires undertaken following allegations made against you, which may have a bearing in your suitability for the post you are applying for?
¨ Yes ¨ No If ‘Yes’ please give details:
DECLARATION
I declare that the information given on this form is correct to the best of my knowledge and belief and I understand that any false statements on this form or the Disclosure form will justify my dismissal should I be successful in my application.
Signature: / Date:Z:\Payroll (Rita)\Forms\Application Form (Draft).doc
/Bullsmoor Lane, Enfield, Middlesex
EN1 4RQ
Tel: 08456 122122 Fax: 01992 707028
E-mail: Website: www.capel.ac.ukEqual Opportunities – Recruitment Monitoring Sheet
For completion by all applicants
Capel Manor College is committed to a policy of Equal Opportunities & Equality in our employment practices and selection procedures. To help us find out how far we are succeeding in providing equal access to our jobs, it would be helpful if you could complete this form and return it with your application. This information will only be used to check how effectively our recruitment procedures are working. The form will be separated from your application as soon as we receive it and will not be passed on to anyone involved in the recruitment decision.
NAME ______
POST TITLE ______
HOW DID YOU FIND OUT ABOUT THE VACANCY? ______
1. Please tick the description which you feel is the most appropriate of your ethnic origin (one box only)
A WHITE / B MIXEDBritish / ¨ / White & Black Caribbean / ¨
Irish / ¨ / White & Black African / ¨
Other European / ¨ / White & Asian / ¨
Any Other (please state) / ______/ Other (please state) / ¨ / ______
C ASIAN OR ASIAN BRITISH / D BLACK OR BLACK BRITISH
Indian / ¨ / Caribbean / ¨
Pakistani / ¨ / African / ¨
Bangladeshi / ¨ / Other (please state) / ¨ / ______
Other (please state) / ¨ / ______
E CHINESE / F ANY OTHER BACKGROUND
Chinese / ¨ / Any other background / ¨ / ______
Other (please write in) / ¨ / ______/ Prefer not to say / ¨
2. Please indicate your sex: ¨ Male ¨ Female
3. Do you identify as: 4. Which of the following, if any is your religion:
¨ Lesbian/Gay ¨ Atheism ¨ Jainism
¨ Heterosexual ¨ Baha’i ¨ Judaism
¨ Bisexual ¨ Buddhism ¨ Rastafarianism
¨ Don't wish to state ¨ Christianity ¨ Sikhism
¨ Hinduism ¨ Zoroastrianism (Parsi)
¨ Islam (Muslim) ¨ No Religion
¨ Don’t wish to state ¨ Gypsy/Traveller/Roma
¨ Other (Please specify) ______
5. Do you have a disability? ¨ No ¨ Yes (please state) ______
6. Age: ¨ 16-24 ¨ 25-34 ¨ 35-44 ¨45-54 ¨ 55-59 ¨60+ Date of birth: ______
I declare that the information given out on this form is correct to the best of my knowledge and belief I understand that any false statements on this form or the Disclosure form will justify my dismissal should I be successful in my application.Signed: Date: ______
/
Bullsmoor Lane, Enfield, Middlesex
EN1 4RQ
Tel: 08456 122122 Fax: 01992 707028
E-mail: Website: www.capel.ac.uk/
Bullsmoor Lane, Enfield, Middlesex
EN1 4RQ
Tel: 08456 122122 Fax: 01992 707028
E-mail: Website: www.capel.ac.ukNOTES OF GUIDANCE FOR COMPLETING APPLICATION FORMS
Please read through the guidelines which will help you to complete your application
If you choose to fill in the Application Form (PARTS ONE AND TWO):
o Complete all sections of the form (parts one and two).
o Always proof read before you send it.
o Please address each item of the Person Specification in section 5, noting the number you are addressing
If submitting a CV
o Ensure the Education section of your CV states grades where applicable
o Complete all of PART TWO of the application form
o Ensure your supporting statement (section 5) addresses each item of the Person Specification, noting the number.
Please note, Capel Manor College welcomes applications from diverse candidates
o Any disabled applicant who is assessed at the short-listing stage and meets the essential criteria will be invited to the interview and test stage.
In all cases:
o Type or write clearly in black ink
o Please email your completed application (full applications or CV and part two of the application form) back to Sharron Probert
o Ensure you clearly state the post you are applying for on the application form
APPLICATION FOR APPOINTMENT SECTION OF THE FORM (part one)
1. PERSONAL DETAILS - Ensure you clearly state the post you are applying and dates not available for interview.
2. CURRENT EMPLOYMENT – If you are not working at the present time, please give details of your most recent employment. If your current/previous employment is part-time, please provide the number of hours worked.
3. PREVIOUS EMPLOYMENT – Give full information as to your previous work including voluntary or community work, which you have done in the past. Please make sure the dates are correct, in chronological order and you have stated whether previous work has been full-time or part-time. If part-time please provide the number of hours or the fraction of full-time. Please state ‘reason for leaving’ this may be checked.
4. EDUCATION, TRAINING & QUALIFICATIONS - Pay particular attention to qualifications gained and state the grades if applicable, including whether any degree is a pass or honours degree. Also give details of membership of any professional associations and of any other training including relevant specialist courses. At the conditional offer stage you will need to provide Human Resources with sight of your teaching qualification(s) certificate(s). If you have not yet achieved any form of teaching qualification you will need to provide sight of certificates that confirm your highest academic qualification to date.