Data Protection Act, 1998: The information provided by you in this application and the supporting documentation will be used to consider your suitability for the post. Following the exercise, the papers will be kept for 12 months and then destroyed.
Job title of the post you are applying for:
Full Name: / Pay/Staff Number:
DWP Business:
Current Job Title and Substantive Grade:
Current Office Address and telephone number:
Address of HR team and telephone number:
Please give a brief description of any skills, experience, knowledge and/or competencies you may have that is relevant to the post you are applying for, in no more than 250 words.
Applicant’s Signature / Date
- Is the applicant undergoing formal action due to unsatisfactory attendance or had a restriction of duties imposed as a result of disciplinary action?
YES / NO / If yes, please attach details on a separate sheet
- I agree that, if successful, this person can be released within 4 weeks of a post being offered.
Line Manager’s Signature / Tel no.
Print Name / Date / Grade
Reasonable Adjustments Information Form /
DWP is committed to the employment and career development of disabled people. To demonstrate our commitment we use the Disability Symbol. As symbol users, we have made a firm commitment to guarantee a place in the final assessment stage to all disabled applicants who:
• meet the minimum criteria at the application ; and
• have, or have had in the past, a disability or long term health condition which has (or had) a
substantial disadvantage on your day to day living; and
• the disability is likely to last at least 12 months.
What do we mean by disability?
If you wish to claim a guaranteed interview you must have, or have had in the past, a physical or mental impairment which has a substantial and long term adverse effect on your ability to carry out normal day to day activities. You should complete the declaration below and send it with your application form.
Declaration
I consider myself to have a disability as defined above and I wish to claim a guaranteed
interview.
Signed / DateParticular Arrangements for the next stage(s) of the exercise.
Please could you let us know if you require any particular arrangements (for example due to a disability, health problem, your religion or belief) to be made in order for you to attend an interview. These could be specific needs detailed below (please cross) or use the final box to state any other particular needs you may have:
Induction LoopCar parking
Sign language interpreter Assistance in and out of a vehicle
Someone with you at interview Wheelchair access
Any other assistance (please state):If you would like to discuss your needs in more detail, please contact the person in the advertisement.