Application Form

Job Title:Programme Assistant

Closing Date:Monday 30 October 2017 (9am GMT)

Instructions:

  1. Please complete the following application form, along with the equality monitoring form.
  2. Submit both documents, along with your CV, via email to recruitment the closing date. All application materials should be sent as attachments (Word document or PDF format) in one email. Please mark the subject line “Job Application –Sutton Trust US Programme.”

All information provided will be treated in strict confidence. Please note that due to the high level of interest we anticipate for this role, we have provided all of the information you should need to apply in the job description and application form available on our website: However, if you have enquiries beyond what is provided, email .

1. Personal Details:

Title (Mr/Mrs/Miss/Ms):
Full name:
Email address:
Home mailing address:
Daytime phone number:
Earliest start date:

Do you have the right to work in the UK, and what is your current immigration status?

Yes – I am a British passport holder

Yes – I am an EU passport holder

Yes – I have indefinite leave to remain

I am currently sponsored on a Tier 2 visa through another employer (provide details below including the visa issue and expiry date, employer, UKBA code of practice and details of previous visas / periods of stay for the UK)

No

Further details:

2. References:

Please provide details of two referees, one of whom should be your current or most recent employer. We will notify you before we contact references.

Referee 1 / Referee 2
Title (Mr/Mrs/Miss/Ms):
Full name:
Email address:
Job title:
Relationship to you:
Daytime phone number:

3. Professional experience:

Please provide details of your previous employment, staring with your current or most recent employment:

Dates (MM/YYYY – MM/YYYY) / Employer Name & Location (City, Country) / Job Title / Brief Description of Your Duties / Reason for Leaving

4. Educational background & training:

Please list and describe your postsecondary education. If appointed, you may be asked for proof of your qualifications.

Dates of study (MM/YYYY – MM/YYYY) / Institution and Location (City, Country) / Qualification Obtained / Field of Study / Final Results / Grade

For some roles, it is required or preferred that you have studied in the US or UK. Please mark with an X all categories that apply:

I have studied in… / Full undergraduate degree / Full postgraduate degree / Short-term study / High school level
US
UK

Please give details of any relevant work-related training you have undertaken.

Dates of study (MM/YYYY – MM/YYYY) / Provider and Location (City, Country) / Course Title

Please provide details for any relevant professional bodies of which you are or have been a member.

Dates of membership (MM/YYYY – MM/YYYY) / Professional Body and Location (City, Country) / Description

5. International experience:

For some roles, it is required or preferred that you have international experience. Please list and describe up to five international experiences you have undertaken which you believe to be relevant for the role (ie study abroad programmes, voluntary or work programmes, personal or educational travel, etc.)

Dates (MM/YYYY – MM/YYYY) / Type of Experience / Location / Brief Description

6. Additional information:

The interviews for this position are likely to beheld in November 2017. Are there any dates during this period when you are NOT available for interview?

No

Yes – please list:

If you have a disability, please tell us about any adjustments we may need to make to assist you at an interview:

If applicable, what is your notice period for your current position? ______

Have you ever been convicted of a criminal offense (declaration subject to the Rehabilitation of Offenders Act 1974)?

No

Yes

Where did you see this position advertised?

Have you ever applied for a job at the Fulbright Commission before?

No

Yes – please list:

7. Personal Statement

Please tell us why you are particularly suited to this job. Please limit your response to 500 words or less.

8. Declaration:

I can confirm that to the best of my knowledge, the above information is correct. I accept that deliberately providing misleading information could result in my dismissal.

Electronic signature of applicant:

Date: