Ref NO:

Application for Employment

RSME, Brompton Barracks, Chatham, KentME4 4UG

Tel: 01634 822144 Fax: 01634 847294

Job Title: / No:

All personal information given is considered strictly PRIVATE & CONFIDENTIAL

All sections should be completed. State NIL or NONE where applicable

Personal Details (Please use BLOCK CAPITALS)

Miss | Mrs | Ms | Mr | Dr | Rev / Surname:
Forename: / / Former Name: /
Tel No. Home: / / Mobile No: /
Other Tel No: / / NI Number: /
Email Address:
Permanent Address:
Dates at this address: FROM: / To:
Temporary Address:
Dates at this address: FROM: / To:

How did you learn of this vacancy?


Please answer the questions below

If you answer ‘Yes’ to any of the questions with a Yes|No option, please give full details of the circumstances on a separate sheet of paper attached to the application form

Have you ever been dismissed or asked to leave a job? YES/NO (delete appropriate) if yes please give details

Would you require a work permit to take up this appointment? Yes/No (delete appropriate)

(UK & EEA do not require work permits)

Work Permit Number:

Please state how many weeks (if any) you have taken for parental leave:WEEKS

Do you own or have use of a car? YES/NO Do you have a current driver’s license? YES/NO

How long is your notice period?

What are the dates of any holiday you have booked?

If you have previously been interviewed for employment with MKC, please state when, the

details of the post and where it was located:

Disability:

The Disability Discrimination Act (2005) defines a person as disabled if they have a physical or mental impairment,

which has a substantial and long-term adverse effect on their ability to carry out normal day to day activities.

Do you consider yourself to have a disability as defined by the Disability Discrimination Act? YES/NO

Please indicate the nature of your disability and outline any adjustments to the work place you may need

to assist you for the purpose of (a) the interview, (b) the job.

Health:

Please list any serious illnesses/disabilities from which you have suffered in the last 5 years:

How many days sickness absence have you taken in the last 12 months of employment?DAYS

In the use of VDUs, have you ever suffered neurological or physical ailments?YES/NO

Do you require any help/adjustment for the interview (e.g. use of sign language)YES/NO

Do you smoke?YES/NO

Permanent Employment History

Please start with your most recent employer

Employer’s Name and Address / Dates
From/To / Job Title and main
responsibilities/achievements / Reason for leaving / Salary on leaving

Education and Training

Secondary Education:

Schools Attended / From (date) / To (date) / Examinations Passed / Date / Grade

Further/Higher Education:

Name of University
Or Awarding Body / Date of
Award / Title of
Award / State whether
Passed or Honours / State Class
or Division / Main Subjects
(Principal Subject First)
Period of Study: FROM: M M Y Y TO: M M Y Y Full Time/Part Time (delete appropriate)
Period of Study: FROM: M M Y Y TO: M M Y Y Full Time/Part Time (delete appropriate)
Period of Study: FROM: M M Y Y TO: M M Y Y Full Time/Part Time (delete appropriate)

Other Professional Qualifications and Membership of Professional Institutes:

Name of University
Or Awarding Body / From Date / To Date / Qualification/Level of
membership obtained / Date Membership or
Certificate granted

Please list any other training which you feel is relevant to the post:


Supporting Statement and Additional Information

Use this space to briefly state your reasons for applying for this post and what you feel you have to offer the College.

Please also add any additional information which you feel is relevant to your application:

Attach a continuation sheet if necessary

Availability

(To be completed by candidate applying for session teaching positions only)

Subject(s) / Level(s) (if applicable) / Days available
(delete unavailable days) / Evenings available
M / T / W / T / F / S
/ YES/NO
M / T / W / T / F / S
/ YES/NO

References

Oral references may be taken before an offer is made. Please give the names of two references unrelated to you. At least one should be your most recent employer. If you have never been employed you should give details of a teacher or university lecturer of whom has known you forat least two years.

Name and Address Name and Address

Rehabilitation of Offenders Act 1974

In accordance with the provisions of the Rehabilitation of Offenders Act 1974 (Amendment order 1986) MKC has a duty to ensure that a Criminal Records Bureau check for possible criminal convictions is undertaken for all those who apply for positions that give substantial access to children and young people up to an age of 18 years. In this connection please indicate if you have been found guilty of any offence by any Court (even if you were only placed on probation, absolutely or conditionally discharged, or bound over by a court of law). If so please give details of Court, charge and sentence. All applicants will be subject to a CRB disclosure.

Answering the above does not necessarily bar you from appointment. (Every application is considered on its own merits). Please confirm that you would have no objection to a Police check being carried out. A refusal could prevent further consideration of your application.

Under Schedule 3 of the Data Protection Act 1998, MKC needs the explicit consent of its applicants to obtain, record, or hold sensitive personal data and to carry out any operation of the data. Examples of personal data are an individuals racial or ethnic origin, or a physical or mental health condition. The information collected will be maintained both manually and electronically for a period of six months, and will be evaluated at regular intervals by the HR section.

I certify that to the best of my knowledge this application is a true and accurate record, and I give permission for a Police check to be carried out. I understand that if any statement is subsequently found to be false or misleading, I may be dismissed.

SIGNED:DATE:

PLEASE RETURN YOUR APPLICATION TO MKC TRAINING SERVICES, BROMPTON BARRACKS

CANVASSING WILL DISQUALIFY