CONFIDENTIAL APPLICATION FORM

Pleaseensure you provide accurate information onthis

application form and email it to

Job Title / Job Reference
1.
2.
3.
How did you become aware of this vacancy?
If through a website/newspaper, please state which one:
If it was recommended to you by an employee of Career Connect, please give their full name here:
A1. PERSONAL DETAILS:
Family Name: / Title: Mr/Mrs/Ms/Miss
Forename(s): / Address:
Postcode:
Home Tel: / Mobile No:
Email address: / National Insurance No.
May we contact you by phone at work? Y / N / Work Tel:
A2. RELATIONSHIP to existing Career Connect staff? Please give details below:
(Please note, any approach to an employee to influence a selection decision will disqualify you)
B. EMPLOYMENT
Most current or recent employer: / Address:
Postcode:
Telephone:
Post held: / From MM/YY:
To MM/YY:
Current Salary: / Notice Period:
HR email address: / Your reason for leaving:
Please summarise the main duties and responsibilities in your current / most recent job:
C1. PREVIOUS EMPLOYMENT
Please give details of previous posts held since leaving school – with the most recent at the top.
Include voluntary or unpaid work and give details of any gaps in employment, stating the reasons
Employer(s) / Job title: / Main duties: / Dates from/ to: / Reason for leaving:
C2. GAPS IN EMPLOYMENT HISTORY
Please provide information on any gaps in your employment history and specify the reasons
C3. OTHER EMPLOYMENT It is a condition of employment with us that staff cannot hold any office, remunerated post, professional or employment which could conflict or compete with Career Connect duties without permission. Give details of any activities you would wish to continue:
D1. EDUCATION AND TRAINING (evidence of certificates will be requested at interview)
Please include below your professional qualifications, school / college/ university, most recent first
If currently working towards, please write expected achievement date in final column
Institution / Qualification / Level / Grade / Date achieved
D2. MEMBERSHIP OF PROFESSIONAL BODIES
Name of Professional Body / Membership Level / Registration number
D3. NON-ACCREDITED TRAINING RELEVANT TO THIS POST
Course / Delivered by / Date attended
E. ADDITIONAL INFORMATION IN SUPPORT OF YOUR APPLICATION (500 words max)
Please give details of your relevant skills, experience, knowledge and achievements, demonstrating how you meet the requirements of this post referring to the job description and the person specification.
Also state your reasons for applying and your interest in this position
F.Rehabilitation of Offenders Act 1974
The post is subject to satisfactory disclosure & clearance. You will be required to complete an online application for standard / enhanced disclosures via the Disclosure and Barring Service (DBS). Making a false declaration may disqualify you from employment
All posts within Career Connect are exempt from the Rehabilitation of Offenders Act 1974 and all subsequent amendments. You must declare any pending prosecutions or convictions you may have, even if they would otherwise be regarded as ‘spent’ under the Act.
You must also declare any cautions, reprimands, warnings or bind-over’s on this application
Please read the guidelines on the Rehabilitation of Offenders Act 1974 and answer the questions below giving details if applicable on the type(s) of offence(s), date(s), sentence(s), fine(s) imposed
F1. Have you been convicted of a criminal offence? Include cautions, warnings, reprimands, bind-overs
YES NO Delete as appropriate
F2. Do you have any criminal charges or summonses pending against you?
YES NO Delete as appropriate
F3. Please give full details below, including dates. Continue on a separate sheet if necessary OR
Place in a sealed envelope marked confidential, addressed to HR Manager
G. SAFEGUARDING CHILDREN AND VULNERABLE ADULTS This post is exempt from the Rehabilitation of Offenders Act and no information can be regarded as lapsed
I declare that I am not on List 99 or POCA (Protection of Children Act) and am not disqualified from work with children or subject to any sanctions imposed by a regulatory body or the Secretary of State.
YES NO Delete as appropriate
H. DISABLED APPLICANTS
The Equalities Act 2010 defines a disabled person as one who has or has had a physical impairment which has a substantial and long term effect on their ability to carry out normal day to day activities.
As a disability symbol employer this information is needed so that disabled applicants who meet the minimum criteria for this position are offered an interview.
  • Taking the definition into consideration, do you consider yourself to have a disability?
YES NO Delete as appropriate
H1. If YES, please describe any equipment or adaptions you may need to enable you to participate fully in the recruitment process, for example BSL signer or information in large print
H2. If you are shortlisted, please describe any special arrangements which you would like the Company to make at your interview, for example access at interview venues
I. SECTION 8 OF THE ASYLUM AND IMMIGRATION ACT 1966
Please refer to the Guideline for Applicants before answering these questions
To comply with the Asylum and Immigration Act 1996 all prospective employees will be asked to supply evidence of the ability to work in the UK. We will ask you to produce an appropriate official document. Non EU nationals will need to produce a permit to work. Further detail will be sent to you if selected
  • Do you have or are you entitled to obtain a National Insurance Number?
YES NO Delete as appropriate
  • If you have answered NO to the above question, do you have the right to work in the UK?
YES NO Delete as appropriate
J. REFERENCES
Please give names and addresses of TWO referees, not related to you. One of these must be your current or most recent employer or if you have not been employed, a referee related to relevant voluntary work or Head Teacher or lecturer/ tutor. We reserve the right to contact your present / last employer if an offer is made prior to your acceptance of the position.
  1. CURRENT / MOST RECENT EMPLOYER
Name and job title:
Business Name and Address:
Postcode:
Telephone No: HR Email Address:
  1. SECOND REFEREE
Name and job title:
Business Name and Address:
Postcode:
Telephone No: HR Email Address:
K. DECLARATION
  • I understand that an offer of appointment will be subject to references satisfactory to the company.
  • I understand that I must not take up any other employment, salaried or self-employment without the approval of Career Connect.
  • I understand that providing false or misleading information will disqualify me from appointment or if appointed will render me liable to dismissal without notice.
  • I declare that the information I have given is, to the best of my knowledge, true and complete.
  • I agree that the information given may be used for registered purposes under the General Data Protection regulations.
  • I understand the Career Connect is committed to Safeguarding and promoting the welfare of children and young people and expects all staff and volunteers to share this commitment
Signed:______Date:______
L. DATA PROTECTION ACT 1998
Information given on the form may be held at Career Connect. Strict confidentiality will be observed and the information will only be used for statistical and record keeping purposes. Personal information will not be passed to other organisations without your prior consent.

As part of Career Connect Equal Opportunities Policy, we aim to ensure that all applicants for posts receive equal treatment irrespective of their individual and diverse needs. The Equal Opportunities monitoring form will not be used as part of the selection process.

In order to monitor the effectiveness of the policy, please complete and return an equal opportunities monitoring form which is separate to this application form but can be downloaded from our website ‘work for us page’

Thank you for your interest in working for Career Connect!

Want to find out more about our work? Check out

Due to the high volume of applications we receive, we are unfortunately unable to respond to applicants that are not selected for interview. No feedback is provided on application stage.

If you have not been contacted by HR within two weeks of the vacancy close date, please assume that on this occasion you have been unsuccessful.

Career Connect

Privacy Notice – For Applicants

As you have applied for a post with Career Connect, Career Connect holds data about you, and so in terms of Data Protection legislation (the General Data Protection Regulations) you are a data subject of Career Connect. This Privacy Notice tells you what information we collect about you, and what we do with it.

If you have any questions about Data Protection please speak to the HR Department and if they cannot help you please contact the Data Protection Officer.

The Data Protection Officer

The Data Protection Officer for Career Connect is:

Stewart Nicolson

Data Protection Officer

Career Connect

Exchange Flags

Walker House

Liverpool

L2 3YL

Telephone 0151 600 7821

Email

Purposes of Processing Data

We process the data for recruitment purposes.

Categories of Data Processed

We can do this because you have given your consent, and there is a possibility that you and Career Connect will enter into a contract of employment.

The types of data processed are:

  • Personal details
  • Training & education
  • Health
  • Racial or ethnic origin
  • Religious or philosophical beliefs
  • Trade union membership

Organisations that Career Connect Pass Data to.

Prior to employment we do not pass on data to anyone without your consent.

Certain organisations do specialist work for us, and we will pass your data to them so they can fulfil these functions:

  • HR Consultants (Currently Peninsula)
  • Disclosure & Barring Service (Currently GBG group)

There may be times when there is a legal obligation to pass on data about you – for example during TUPE negotiations.

If there is a risk to health and wellbeing to yourself or others, then information will be shared with appropriate agencies without consent. We also have the right to pass on data regarding criminal activities.

Retention of Data

We will keep your data for 6 months after an unsuccessful application. Then it will be deleted.

Your Rights

We want to make sure that the data we hold about you is correct and you are allowed to ask us to correct any errors.

You also have the right to see the data we hold about you by contacting the Data Protection Officer.

You can also ask us to give you a copy of your data in an electronic format.

You have a right to withdraw your consent for processing.

If you have a Complaint

If you are unhappy with what we do with your data, please contact the Data Protection Officer. If you are still not satisfied you have the right to raise the issue with the organisation that upholds information rights in the public interest, the Information Commissioners Office. The ICO can be contacted at

Telephone: 0303 123 1113

Web site: