Please Return This Completed Application Form, Along With
PLEASE TICK RELEVANT BOX / Yes / No
- Have you ever been convicted of a criminal offence other than petty motoring offences?
2. Do you have any criminal charges pending? / ☐ / ☐
3. Have you ever been dismissed from employment for a reason other than redundancy? / ☐ / ☐
4. Have you ever been suspended or subject to disciplinary action in any post you have held? / ☐ / ☐
5. Do you have the right to work unrestricted in the UK? / ☐ / ☐
6. Are you able to travel effectively and efficiently between college sites and to meetings in the UK? / ☐ / ☐
If you have answered YES to any of questions 1-4 or NO to questions 5-6, please specify on a separate sheet and enclose it in a sealed envelope marked Private & Confidential and attach it to this form.
Data Protection
The Data Protection Act (1998) aims to ensure that all organisations which collect, process and store information about individuals do so correctly (i.e. people about whom information is collected know of its existence and how to correct it if it is wrong).
• As part of the AoC Create’s management processes, and in order for AoC Create to process your application further; we need to collect, process and store the information about you as contained within the application form.
• Personal information contained within the application form will be used for the post applied for and no other purpose. The information will be kept confidentially by AoC Create and the prospective employer and used only by the assessment panel for the purpose of selecting the best candidate for the post.
• If an applicant is not appointed, then his or her information will be destroyed after one year.
• If an applicant is appointed to the post, AoC Create and the prospective employer will maintain his or her information. The college will maintain this for pay, contract and management purposes. Information will be held on computer and on paper. Any staff member has the right to see and if necessary update or correct the information held about them, by AoC Create and the prospective employer by contacting the respective Human Resources departments.
References
As a recruitment service we have an obligation to ensure that candidates’ backgrounds are thoroughly checked before an appointment is made. Please therefore supply us with the names and addresses of two referees who are in a position to provide relevant comment on your work performance. The reference from your current, or last, employer should be a senior person to whom you report and who knows your work.
Current Employer / Previous Employer
Name: / Name:
Job Title or Occupation: / Job Title or Occupation:
Dates Covered: / Dates Covered:
Address: / Address:
Telephone Number: / Telephone Number:
Email Address: / Email Address:
Can we contact this referee without further reference to you? / Can we contact this referee without further reference to you?
Yes ☐ / No ☐ / Yes ☐ / No ☐
Candidate Agreement
The statements made by me in this application, including the supplementary questions and any other details I have submitted, are true to the best of my knowledge and belief. I give permission to approach those referees that I have not embargoed. I also give permission for you to seek confirmation of the details supplied within my application. If successful, I understand that the prospective employer, or AoC Create, will undertake criminal records checks.
I am aware that it is a criminal offence for a barred person to apply for work that is regulated activity under the Safeguarding Vulnerable Groups Act 2006.
I give my consent to the processing of the information given on this form on the understanding that it will be used only for the purposes set out above and that my consent is conditional upon AoC Create and the prospective employer complying with their obligations and duties in accordance with their registrations under the Data Protection Act 1998.
Signed: / Date: dd/mm/yyyy.
Equality and Diversity Monitoring Form
AoC Create’s policy is to ensure that no job applicant or employee receives less favourable treatment on any of the protected characteristics under the Equality Act 2010: age, disability, gender reassignment, pregnancy and maternity, race, religion or belief, sex or sexual orientation. To help measure the impact of this policy, and continue to develop relevant personnel policies, we would encourage you to complete this form as fully as possible.The information you provide in this section will be treated in the strictest confidence. The information will only be used for statistical monitoring except in the case of disability where it will be used to identify reasonable steps we can take to help you through the selection process.
This form will be detached from the application form before the short listing and interview process begins and will not be available to the selection panel. The information is held and stored in accordance with the Data Protection Act 1998.
ETHNIC ORIGIN: (Please indicate response with an ‘X’):
Asian / Asian British – Indian
Asian / Asian British - Pakistani
Asian / Asian British - Bangladeshi
Other Asian Background
Black / Black British - African
Black / Black British - Caribbean
Black / Black British - Other
White - British
White - Irish
White - Other / Mixed - White and Asian
Mixed - White and Black African
Mixed - White and Black Caribbean
Mixed - Other
Chinese
Other
Prefer not to disclose
AGE: (Please indicate response with an ‘X’):
Under 21 years
22 – 34 years
35 – 44 years
45 – 54 years / 55 – 64 years
Over 65 years
Prefer not to disclose
GENDER: (Please indicate response with an ‘X’):
Male / Female
SEXUAL ORIENTATION: (Please indicate response with an ‘X’):
Heterosexual
Gay
Lesbian / Bisexual
Prefer not to disclose
RELIGION OR BELIEF: (Please indicate response with an ‘X’):
Christianity
Hinduism
Sikhism
Islam / Judaism
Buddhism
Other
Prefer not to disclose
DISABILITY: (Please indicate response with an ‘X’):
The Equality Act 2010 defines disability as ‘a physical or mental impairment which has a substantial and long-term adverse effect on a person’s ability to carry out normal day-to-day activities’.
Do you consider yourself to have a disability?
Yes No
If Yes, please give an outline of the nature of the disability:
If appropriate, what steps/equipment should be provided to make it easier for you to attend the selection process?
Please tell us where you saw the vacancy advertised?
**Please return this completed application form, along with
your CV to:
You will receive an acknowledgement of receipt of your application