APPLICATION FORM Part 2: Confidential Section

DETAILS
Title, First and Last Name:
Vacancy Ref No. / Title: / /
Where did youfirst see the vacancy advertised?
Are you currently employed by the University of Sunderland? (please delete) / Yes / No
ELIGIBILITY INFORMATION - Mandatory

This sectionis used to assess eligibility for employment in line with UK law. This must be completed in full in order for your application to be considered. For a discussion about any of the information below please contact Human Resources on (+44) (0) 191 5152429.

Eligibility to Work in the UK

In order to be employed you must be eligible to work in the UK or be capable of meeting the requirements of the UK Points Based Immigration scheme.

Are you an European Economic Area / EU citizen? / Yes / No
If not, are you eligible to work in the UK without restriction? / Yes / No
Please provide details e.g. what type of visa do you have/what is the expiry date (mandatory, if applicable):

Criminal Convictions

Criminal convictions disclosed on this form will only be taken into account in so far as they are assessed to be relevant by the University. Spent convictions will only be taken into account where the job is exempt from the Rehabilitation of Offenders Act 1974 (this will be stated in the job advert where relevant).
Have you ever been convicted of a criminal offence or do you have prosecutions pending? / Yes / No
If ‘yes’ please provide details:
EQUAL OPPORTUNITIES MONITORING INFORMATION

For more information please see

This section is used to monitor our policies and will NOT be used in the selection of candidates.If you do not wish to provide this information it would assist our monitoring process if you could tick “Prefer not to say” rather than leave the question blank.

Gender:
Marital Status:
Date of Birth:
Nationality:

How would you describe your ethnic origin? (tick one)

White – British / Chinese
White – Irish / Other Asian background
Other White background / Mixed - White and Black Caribbean
Gypsy or Traveller / Mixed - White and Black African
Black or Black British – Caribbean / Mixed - White and Asian

Black or Black British – African

/ Other Mixed background
Other Black background / Arab
Asian or Asian British – Indian / Other Ethnic background
Asian or Asian British – Pakistani / Prefer not to say
Asian or Asian British – Bangladeshi

Do you consider yourself to have a disability or disabilities? (tick one or more)

No known disability
Specific learning disability (e.g. dyslexia or dyspraxia)
General learning disability (e.g. Down's syndrome)
Cognitive impairment (e.g. autistic spectrum disorder or resulting from head injury)
Long-standing illness or condition (e.g. cancer, HIV, diabetes, chronic heart disease, epilepsy)
Mental health condition (e.g. depression or schizophrenia)
Physical impairment or mobility (e.g. wheelchair / crutches / difficulty using arms)
Deaf or serious hearing impairment
Blind or serious visual impairment
Other type of disability:
Prefer not to say

If you require any arrangements to enable you to attend for interview please also complete the section on Access Requirements and Facilities in Part 1 of the Application Form.

What is your sexual orientation? (tick one)

Bisexual

/ Gay woman/lesbian / Prefer not to say
Gay man / Heterosexual

What is your religion? (tick one)

No religion / Jewish / Any other religion or belief
Buddhist / Muslim / Prefer not to say
Christian / Sikh
Hindu / Spiritual

This is the end of Part 2 of the Application Form. Please also complete Part 1.

How to Apply

  • Please see Part 1 of the form for how to apply and further information.