Confidential
ApplicationforEmployment
PostTitle:
Postno:
Service:
Location:
Completedformsshouldbereturnedto:
Human Resources, EastHerts Council,
Wallfields,PegsLane,Hertford,Hertfordshire,SG138EQ
NotestoCandidates
Before completingthisapplicationform,pleasereadtheenclosedGuidancetoApplicantsleaflet.
PleasecompleteALLsectionsofthisform,deletinginformationasappropriate. PleaseuseBLOCKCAPITALSonthispageand writeinblueor blackinkor type.
If anyspaceprovidedis inadequate, pleaseuseasupplementarysheet andattachittothisform.
Post Title:Post no:
Service:Location:
PersonalDetails
Surname:
FirstName:
Address:Title:
NatInsNo:Daytime TelNo:
Postcode:
EveningTelNo:
Email:
MobileTelNo:
General Information
Doyouhaveacurrentdrivinglicense?YesNoDoyouwishtojob-sharethispost?YesNo
If job-shareorpart-time,pleaseindicate
AreyourelatedtoaCouncilloror
employee of East HertsCouncil?YesNo
If yes,pleaseprovidedetails:
Name:
thedays ortimesofdayyouwouldprefer:
Relationship:
Membership
Pleaseindicatemembershipofprofessionalbodiesrelevanttothisjob.
Nameof organisation / Typeof membership / Dateof membershipRelevant employment history(most recentfirst)
Pleasecontinueonaseparatesheet ifnecessary
Job Title:Reason for leaving:
Employer:Datestarted:
Address:
DateLeft:
Postcode:
Keyrole/responsibilities:
Job Title:Reason for leaving:
Employer:Datestarted:
Address:
DateLeft:
Postcode:
Keyrole/responsibilities:
Job Title:Reason for leaving:
Employer:Datestarted:
Address:
DateLeft:
Postcode:
Keyrole/responsibilities:
References
Pleasegivedetailsoftworeferees,oneofwhichmustbeyour currentormostrecentemployer.
Name:
Name:
Position:
Position:
Address:
Address:
Telephone No:
If youdonotwishthisreferencetobetaken upuntil anofferofemploymentis made, pleasetickbox
Telephone No:
If youdonotwishthisreferencetobetaken upuntil anofferofemploymentis made, pleasetickbox
Educationand Qualifications
Pleasedetailanyqualificationswhicharerelevanttothejoband/orspecifiedontheperson specification.Pleasecontinueonaseparatesheet ifnecessary.
ExaminationBodyi.e. NVQ / Subject / ResultRelevant training
Pleasedetailanycoursesyouhaveattendedwhicharerelevanttothejoband/orspecifiedonthe personspecification.Pleasecontinueonaseparatesheet ifnecessary.
OrganisingBody / Course Title / YearExperience, skillsand other informationinsupportof yourapplication
Pleasedetailexperience andskills whichdemonstrateyour abilitytocarry outthisjoband/or specifiedonthepersonspecification.Pleasecontinueonaseparatesheet ifnecessary.
Consent and declaration of details
Informationsuppliedonthisapplicationformwillbeused tomonitortheeffectiveness ofEastHerts policiesandpractices,in particularitsEqualOpportunitiesPolicy.Thismonitoringis forstatistical purposesonly andyour namewillnotbeidentifiablefromthisprocess.Tohelp us effectivelymonitor theEqualOpportunitiesPolicy,wealsoask youtocompleteourmonitoringform.Thisis a confidentialdocumentused foranalytical purposesonly. Itis detachedfromyour applicationby Human Resourcesbeforeitis senttotherecruitingdepartment.
InaccordancewiththeDataProtectionAct,applicationformsofunsuccessfulcandidateswillbe destroyedafter one yearfromthedatethepostis appointedto.
•Ideclarethattheinformationcontainedin thisapplicationformis correct.
•Ihaveread, signedandreturnedtheenclosedCriminal Declaration formincludedin thepack.
Yourapplicationwillnotbeconsideredwithoutthisform.
Signature:Date:
CVswillnotbeaccepted. Applicantswillberequiredtosigne-mailedapplicationsatinterview
Declarationof Unspent and Spent CriminalOffences
Beforecompleting thisform, please readthefollowingnotes carefully:
EastHerts Policystatesthatsuccessfulapplicantsfornominatedpostshavetodisclosecertain informationonanypreviouscriminalrecordthattheymay hold.Thisdoesnotmeanthatpossession ofacriminalrecordwillautomaticallypreventyoufromworkingwiththeCouncil,rather, aspartof therecruitmentprocesssuchinformationwillonly beconsideredin lightofitsrelevancetothepost forwhichyouareapplying.Inmany cases, aparticularconvictionwillbeofnorelevanceandsocan bediscountedforthepurposesofyour application.Inassessingyour suitabilityforapostthe CouncilcomplieswiththeCodeofPracticerecommendedbytheDisclosureandBarring Service (DBS),acopyofwhichcanbeobtainedonrequest.
Youmustgivedetailsonthisformofanyconvictionsorcautionsyouhaveoranycourtcasesthat youhavepending.Under theprovisionofTheRehabilitation ofOffenders Act1974, jobapplicants do nothavetodiscloseinformationoncertainconvictionsafter asetperiodoftime,i.e.when they become‘spent’.Thenominatedpostshavebeenidentifiedafter ariskassessment andanapplicant willbeadvisedwhichlevelofdisclosureis required.Theeligibilityguidancecanbeviewedon
•Standardchecks–Tobeeligible foraStandardlevelDBScheckthepositionmustbeincluded in theRehabilitation ofOffenders Act(ROA)1974 (Exceptions)Order1975.
•Enhancedchecks–Tobeeligible foranEnhancedlevelDBScheck,thepositionmustbe includedin boththeROAExceptionsOrderandin Police ActRegulations.
•EnhancedcheckswithChildren’sand/orAdults’Barredlistcheck(s)–Tobeeligible torequest acheckoftheChildren’sorAdults’Barredlists,thepositionmustmeet thenew definitionof RegulatedActivity.Thereareasmall numberofotherpositionsforwhichwecanalso request listchecks.
Wherethepostappliedforinvolvesworkingwithchildrenorvulnerableadultsin apositionoftrust asoutlinedbytheDBSweareallowedbyvirtue oftheExceptionsOrdertotheRehabilitation of Offenders Acttorequestapplicantstorevealtheir fullcriminalhistory(including ‘spent’convictions) duetothenatureofthedutiesandresponsibilitiesoftheposition.
OnlythosepositionsthatrequireEastHerts toask anexemptedquestionareeligible toapplyfora disclosure.TheCouncilwillusetheinformationprovidedbytheDBSwhen assessingyour suitability forsuchjobs.Intheevent ofemploymentbeingoffered,anyfailuretodisclosesuchconvictions couldresult in dismissal ordisciplinaryactionbytheCouncil.Anyinformationyougivewillbekept confidentialandwillonly beconsideredin relation tothejobforwhichyouareapplying.Thereforeif youhavebeenconvictedofacriminaloffencein then past(including anyconvictionsin acourtof law outsideGreatBritain)youmustgivedetails(convictions,dateandsentence)below.
Declarationof CriminalOffences
Using theguidelines, pleaselistallyour unspentandspentcautionsandcriminaloffences. Do notforgettoincludeanypendingconvictionsandindicatethattheyarepending.
Ifyouhavenoconvictionsplease write‘None’ and signtheform. Ifyouhaveanyqueries about thecompletion of theform, please contactHuman Resources.
Natureof Offence(s) / Nameof Court and Dateof Conviction / Sentence(s)Allinformationwillbetreatedin thestrictestconfidence.Followingreceiptofthisformyoumay be contactedtodiscusstheinformationyouhavegiven.
Icertifytothebestofmyknowledge,theinformationonthisformis trueandaccurate.
IunderstandthatiftheinformationIhavesuppliedis false,misleading orincompletein anyway,
itmay automaticallydisqualifyme fromtheappointmentormay renderme liabletoinstantdismissal withoutnotice.
Please completethisform and return it withyourapplication to:
Human Resources,East HertsCouncil, Wallfields,Pegs Lane, Hertford,SG138EQ
Signed:
Date:
Name(PleaseprintinCAPS):
Post AppliedFor:
PolicyStatementontheRecruitment of Ex-offenders
•Asanorganisationusing theDisclosureandBarring Service(DBS)toassessapplicants’suitability forpositionsoftrust,TheCouncilcompliesfullywiththeDBSCodeofPracticeandundertakes to treatallapplicantsforpositionsfairly. Itundertakes nottodiscriminateunfairly against any
subjectofaDBScheckonthebasis ofaconvictionorotherinformationrevealed.
•TheCouncilis committedtothefair treatmentofitsstaff,potentialstafforusersofitsservices, regardlessofrace, gender, religion, sexualorientation,responsibilitiesfordependants,age, physical/mentaldisabilityoroffendingbackground.
•Thiswrittenstatementontherecruitmentofex-offenderswillbemade availabletoallDBS
applicantsattheoutsetoftherecruitmentprocess.
•TheCouncilactivelypromoteequalityofopportunityforallwiththerightmixoftalent,skills andpotentialandwelcomeapplicationsfromawiderangeofcandidates,includingthose withcriminalrecords. TheCouncilselectallcandidatesforinterview basedontheir skills, qualificationsandexperience.
•ADBScheckis only requestedafter areviewoftheJobDescription;wherethereviewindicates thatoneis bothproportionateandrelevanttothepositionconcerned. Forthosepositionswhere aDBScheckis required,allapplicationforms,jobadvertsandrecruitmentdetailswillcontaina statementthataDBScheckwillberequestedin theevent oftheindividualbeingofferedthe position.
•WhereaDBScheckis toformpartoftherecruitmentprocess,theCouncilencourages all applicantscalledforinterview toprovidedetailsoftheir criminalrecord. Thisinformationshould beprovidedonthemonitoringformandtheCouncilguaranteethatthisinformationwillonly be seenbyManpowerandHuman Resources.
•UnlessthenatureofthepositionallowstheCounciltoask questionsaboutapplicant’sentire criminalrecord,theCouncilwillonly ask about‘unspent’convictionsasdefinedin the Rehabilitation ofOffenders Act1974.
•TheCouncilensuresthatallthoseinvolved in theappropriaterecruitmentstages havebeen suitablytrainedtoidentifyandassesstherelevanceandcircumstancesofoffences. TheCouncil providesstaffwiththeappropriateguidanceandtrainingin therelevantlegislation relating tothe employmentofex-offenders,e.g. theRehabilitation ofOffenders Act1974.
•TheCouncilwillensurethatanopenandmeasureddiscussiontakes placeonthesubjectofany offencesorothermattersthatmightberelevanttotheposition. Thisdiscussionwillbeleadby the ChairoftheInterview PanelandHuman Resources.Failuretorevealinformationthatis directlyrelevanttothepositionsoughtcouldleadtowithdrawalofanofferofemployment,advice willbesortfromtheDBS.
•TheCouncilmakes everysubjectofaDBSawareoftheexistence oftheDBSCodeofPractice andcanmake acopyavailableonrequest.
•TheCouncilundertake todiscussanymatterrevealedin aDBScheckwiththepersonseeking thepositionbeforewithdrawingaconditionalofferofemployment.
Havingacriminalrecordwillnot necessarilybaryoufromworking withus.
Thiswill dependon the natureofthe positionandthe circumstancesandbackgroundofyouroffences.