Application Form

Position applied for
Vacancy reference
Applicant reference (office use only)

PART 1

PERSONAL DETAILS

Last name
First name(s)
Title / Mr / Mrs / Ms / Miss / Dr / Other:
Current address
Post code
Home telephone
Mobile telephone
Work telephone
E-mail address
Immigration status
(If you are shortlisted for this post you will be asked to provide identification documentation in accordance with the immigration, Asylum and Nationality Act 2006) / Are you currently eligible for employment in the UK?

Yes No
If yes, please write in any conditions (e.g. end date, Visa type):
UK National Insurance number

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Disability

The Equality Act 2010 define as a ‘Physical or mental impairment which has substantial and long-term adverse effect on a person’s ability to carry out normal day-to-day activities.

Do you have a disability as defined by the Equality Act 2013 /
Yes No
Easton & Otley College are ‘positive about disabled people’.
If you meet the essential criteria of the post would you like to be considered for a guaranteed interview under this scheme? /
Yes No
Do you have any requirements that would aid you at interview or at work? /
Yes No
If Yes, please give details:

Disclosure of Criminal Convictions and Police Cautions, Warnings and Reprimands including spent times

Unless documentation provided in this pack states to the contrary, this post is exempt from the provisions of section 4(b) of the rehabilitation of offenders act by virtue of the rehabilitation 1974 (exemptions) order 1975 because of the nature of work involved. You are therefore not entitled to withhold information and in the event of employment, any failure to disclose such convictions could result in dismissal or disciplinary action. We will be required to obtain a Disclosure Barring Service Check for individuals appointed to certain posts.

Have you ever been (i) cautioned (ii) convicted of a criminal offence or (iii) do you have any hearings pending? /
Yes No
If ‘YES’ please provide further information in a separate document

PART 2

EMPLOYMENT DETAILS

Most recent Employment details

Present/Last Employers Name and Address: / Position Held:
From: Until:
Salary (£):
Notice period:
Reason for leaving:
Duties, Responsibilities, Major Achievements etc:

CAREER HISTORY

Starting with the present, please give details of your career history (please list most recent first and provide a minimum of 10 years history where applicable). As well as employment, please include any periods of voluntary work, travel, career breaks and unemployment. Please continue of a separate piece of paper if necessary.

Start date / End
date / Employer / Job title and key responsibilities / Reason for leaving or notice period (where applicable)

EDUCATION, QUALIFICATIONS & TRAINING

Education and Training

Starting with the most recent, please give details of your education and any training which is relevant to your application. We may ask you to produce qualification certificates if we ask you to come to an interview. Please continue of a separate piece of paper if necessary.

School/College/University/
Institution, including address. / Start date / End
date / Qualification level (if applicable) / Subject / Grade (if applicable)

Other Training and Short Courses

Organising Body / Course and/or Subject / Date obtained

Professional Body Membership

Please give details of any professional body membership which you hold.

Professional body
Membership level
Start date
Professional body
Membership level
Start date

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PART 3

SUITABILITY FOR THE ROLE/ ADDITIONAL INFORMATION

Please review the requirements of the job description and person specification and provide evidence of how you meet these, using specific examples within the area below.

Please use this area to match your skills and qualifications against those detailed in the Essential criteria
Please use this area to match your skills and qualifications against those detailed in the Desirable criteria

Please provide details of two people who will each provide a work-related or academic reference.One of these referees must be your current or most recent employer. If you do not have a current or recent employer, please provide details of your lecturer/course tutor/unpaid work employer etc.

First reference

Name
Character or Business Reference
Position
Address
Telephone number
E-mail address
Can we contact this referee before the interview? / Yes No

Second reference

Name
Character or Business Reference
Position
Address
Telephone number
E-mail address
Can we contact this referee before the interview? / Yes No
Do you have any business or other interests, which would conflict with the duties of this post? /
Yes No
Do you hold a current clean driving license /
Yes No
Do you have use of a motor vehicle? /
Yes No

Post Specific

For Academic Posts

Please list the subjects you are able to teach, giving an indication of the level of work.

Subject / Level Of Work

For Part-Time Posts

Please tick availability.

Availability / Monday / Tuesday / Wednesday / Thursday / Friday / Saturday / Sunday
AM
PM

APPLICANT DECLARATION

I certify to the best of my knowledge, the information I have given on these application forms is true and accurate. I understand that any offer of employment is strictly subject to satisfactory references, medical clearance, college checks and Criminal Records Bureau disclosure, and that any false statement would render me liable to termination of employment. I understand that information given in this application will be held on computer and processed in accordance with the Data Protection Act 1998 and that I consent to the storage and use of such information for employment purposes.

Applicants Signature
Date

Please note the College will only accept applications on the standard College form.

For roles based at Easton campus, please return your application to: HR Department, Easton & Otley College, Easton, Norwich, NR9 5DX.

For roles based at Otley campus, please return your application to: HR Department, Easton & Otley College, Charity Lane, Otley, Suffolk, IP6 9EY

Please ensure correct postage by referring to the Post Office if necessary.