CONFIDENTIAL

PLEASE COMPLETE ALL SECTIONS OF THE APPLICATION FORM

SECTION A- Personal Details
Section A will be detached before the short listing process

If you are applying for more than one post, then a separate application form must be completed for each post. Information on all job vacancies can be found on our website:

Post Applied For: / Job Reference Number: / Comic Relief use only:

1. PERSONAL

TITLE
(Mr, Mrs, Ms, Miss, Dr, Prof, Other)
SURNAME / FIRST NAME
Home Address
Telephone No. / Mobile No.
E-mail / Other Contact No./Email

2. ELIGIBILITY FOR EMPLOYMENT

Do you have a legal right to work in the UK? / Yes No
What is your National Insurance Number?

3. DISABILITY

If you feel you meet the essential criteria for the job and wish to be considered for a guaranteed interview, please state the type of disability you have.
If it is not obvious, please tell us how your disability affects you.
Please tell us whether you have special needs, which should be met to help you participate in the recruitment process.

Are there any needs in terms of access to equipment or facilities that you require to enable you to fully undertake the duties of the post for which you are applying? Yes No

If yes, please specify.

4. MEDICAL CONDITION

Do you have any medical condition/s, which may impede your ability to carry out this post? Yes No

If yes, please give details.

Are there any needs in terms of access to equipment or facilities that you require to enable to fully undertake the duties of the post for which you are applying? Yes No

If yes, please specify.

5. CRIMINAL CONVICTIONS AND CAUTIONS

If you have any unspent criminal proceedings pending against you, please give full details on a separate sheet of paper. This should be enclosed in an envelope marked “Private and Confidential” and will only be opened if your application is short-listed, otherwise it will be destroyed unopened.

6. REFERENCES

We contact referees once an offer has been made. However we will always check with you before contacting references. Please specify two people willing to provide an assessment of your suitability for this post. We reserve the right to request additional references if we consider it necessary.

FIRST REFEREE DETAILS (Must be most recent employer)
Referee’s
Full Name / Fax No.
Job Title / Contact No.
Full Company Address
E-mail Address / May we approach prior to interview? Yes No
SECOND REFEREE DETAILS
Referee’s
Full Name / Fax No.
Job Title / Contact No.
Full Company Address
E-mail Address. / May we approach prior to interview? Yes No

7. PLEASE READ

By submitting this application you are confirming that all the information supplied on this application form is true and declare all material relevant to the application. If these requirements are not followed and this is discovered following appointment, this would constitute grounds for dismissal. Comic Relief reserves the right to check any of the details provided in your application.

I have read the above and confirm that the details, which I have provided in all sections of this application form, are correct.

I agree to the information (which may include sensitive personal data) being used for legitimate purposes connected with recruitment and selection monitoring.

Signature: Date:

If submitting this application via email, please tick the box to confirm the above. This is an acceptable alternative to Comic Relief a signed copy.

SECTION B -Employment, Education and Training.
If you have applied through an agency, please state agency name: / Comic
Relief use only: / Reference: / GIS

8. PRESENT OR MOST RECENT EMPLOYER

Job Title
Date of Commencement / Date of Leaving
Full-time or Part-time / Reason for Leaving
Notice Period / Current/ most recent salary
Employer’s name and address
Give details of post

9. PREVIOUS EMPLOYMENT in date order, most recent first.

From
and To / Full / Part Time / Title and Brief Details of Post / Employer’s name and place of work

10. EDUCATION most recent first.

Full / Part Time / Name of institution and Course/s or Subject/s studied / Grade/s and level of Award

11. WORK RELATED DEVELOPMENT / TRAINING

Please list:

a)Other courses, seminars attended in last 5 years; and/or

b) Membership of Professional Bodies

Date (Year) / Organising Body / Title and Purpose of Event/s

12. RELEVANT SKILLS AND EXPERIENCE – SUPPORTING STATEMENT

Please state why you want this job, and show how you are able to meet the specific requirements of the person specification (this section will expand as you type).
SECTION C - Diversity Monitoring Information
Section C will be detached before the shortlisting process
Please state position applied for:
FIRST NAME / SURNAME
Gender / Male / Female / Transgender? / Yes No
Age at present (please choose)
Under 20 / 20-30 / 31-40 / 41-50 / 51-60 / Over 61
Please give your Nationality, e.g. British
Ethnic Origin (Thisrefers topeople whoshare the samecultural backgroundand identity, not countryof birthor nationality). / (please tick/ choose)
White
White – British
White - Irish
White – Other background (please specify)
Mixed
Mixed – White and Black Caribbean
Mixed – White and Black African
Mixed – White and Asian
Mixed – White and Chinese
Mixed – Other background (please specify)
Black or Black British
Black or Black British – Caribbean
Black or Black British – African
Black or Black British – Other background (please specify)
Asian or Asian British
Asian or Asian British – Indian
Asian or Asian British – Pakistani
Asian or Asian British – Bangladeshi
Asian or Asian British – Other background (please specify)
Chinese or Chinese British
Chinese or Chinese British
Chinese – Other background (please specify)
Other Ethnic Group
Other Ethnic background (please specify)
Religion or Religious Belief (This refers to any religion, religious belief or similar philosophical belief).
Name / (Please tick or choose) / Name / (Please tick or choose)
Baha’I / Jainism
Buddhism / Judaism
Christianity / Sikhism
Hinduism / No Religion
Islam / Other (please specify)
How did you learn of this vacancy? (Pleasespecify)
TYPE OF MEDIA / Please tick the box or name the media where appropriate
Word of Mouth
Comic Relief’s own Internal Intranet
Comic Relief’s own Website
Other External Website
Newspaper/ Magazine
Recruitment Agency
Other (please name)
  1. Do you consider yourself disabled? (please tick)

Yes / No
  1. How do you define your sexuality?

SEXUALITY / (please tick)
Heterosexual
Gay
Lesbian
Bisexual
Other
SECTION D -Recruitment Database
Section D will be detached before the short listing process

THE DATA PROTECTION ACT 1998

Comic Relief stores and processes personal data about applicants for appointment, for the purpose of recruitment and selection monitoring. Information will not be disclosed to anyone outside the organisation, except for the purpose of requesting references and checking the accuracy of the information provided. For successful candidates the information will form the basis of their personnel record. Data relating to unsuccessful candidates will be retained for six months and then destroyed.

Would you like to be kept informed of future employment opportunities at Comic Relief? If so, we will keep details on file for up to 6 months, after which we will delete them from our systems. We recommend that applicants frequently visit the comicrelief.com website to check the latest opportunities.

1. YES, I would like my details kept on file. Date:

Full Name
Email address
Pleasestate area of interest

2. NO, I would not like my details kept on file.

Completed application forms should be returned either by:

Email - as a Microsoft Word document to ;

Post - Recruitment, Comic Relief, 5th Floor, 89 Albert Embankment, London, SE1 7TP;

Fax - 020 7820-5500;

Minicom - 020 7820-5579;

Isdn - 020 7582-3604.

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