APPLICATION FOREMPLOYMENT



Please complete and return to: Human Resources, Northern College, Wentworth Castle, Stainborough, Barnsley, S75 3ET or

C.V.s WILL ONLY BE ACCEPTED IF PERSONAL DETAILS ARE OMITTED AND THIS FORM IS FULLYCOMPLETED

EDUCATION, QUALIFICATIONS ANDTRAINING

Name ofInstitution / Qualification and GradeAwarded / Start/EndDates

PRESENT/LASTAPPOINTMENT


PREVIOUSEMPLOYMENT

(Beginning with the mostrecent)

Name ofEmployer / JobTitle / DateFrom/To / Outline ofDuties

SUPPORTINGSTATEMENT


RELEVANTTRAINING

Pleasegivedetailsofanyrelevanttrainingeventattendedorcoursescompletedinthelastthree years

TrainingEvent / Outline ofTraining

PROFESSIONALBODIES

Please give details of membership of any professionalbodies

OTHERINFORMATION

REFERENCES

Please provide the names, addresses, telephone numbers, and occupation of two persons for reference. One of these must be your current employer. If currently unemployed or school leaver, use your most recent employer or Principal of EducationalInstitution.
Pleasenote:Referenceswillonlyberequestedifyouaresuccessfulinyourapplication.
Name: Company: FullAddress:


PostCode: TelNo: Professional Relationship toCandidate: / Name: Company: FullAddress:


PostCode: TelNo: Professional Relationship toCandidate:

PLEASE REMEMBER TO COMPLETE THE EQUAL OPPORTUNITIES MONITORING FORM SECTION. NON COMPLIANCE WITH THIS REQUIREMENT WILL BE VIEWED AS INDICATING A CANDIDATE’S IMPLIED OPPOSITION TO THE EQUAL OPPORTUNITIES POLICY AND TREATED AS GROUNDS FOR NON- SELECTION.

IF YOU HAVE NOT HEARD ANYTHING FROM US WITHIN SIX WEEKS OF THE CLOSING DATE, YOU SHOULD ASSUME THAT YOU HAVE BEENUNSUCCESSFUL.

EQUAL OPPORTUNITIES MONITORINGFORM



This portion of the application form will not form part of the short listing process to ensure Equal Opportunities for all applicants. Please return your application form intact, and complete allpages.

PERSONALDETAILS

Surname:Title:

FirstNames:

Address:

Post Code:HomeTel:

Work Tel:MobileTel:

EmailAddress

Date ofBirth:

Are you related to a Member of Staff at NorthernCollegeYESNO(*delete whereapplicable)

If yes, state name of Member of Staff andrelationship:_

DECLARATION/DATA PROTECTION ACT1998


Northern College is committed to a policy of ensuring equality of opportunity in employment for all, and to take action to avoid discrimination. Job applicants are considered only on their ability to do the job for which they are applying.

To see whether this policy is having any effect, we monitor the sex, age, ethnic origin, and disability of job applicants. You are therefore requested to provide the monitoring information outlinedbelow.

This personal information will be kept securely and not made available before or during the short listing to ensure that only your abilities, experience, training and qualifications are considered. C.V.s will only be accepted if the application form has been fully completed, and no personal details e.g. names, areshown.

The information below will ONLY be used to monitor the College’s practices and will be treated confidentially. It will not be revealed outside the College except as part of an overall equal opportunities statistical report which would not identify individuals. All unsuccessful application forms are destroyed after sixmonths.

Nationality

Description of EthnicOrigin

Asian or AsianBritish
-Bangladeshi / Mixed ethnic background– White and Black African
Asian or AsianBritish
–Indian / Mixed ethnic background– White and Black Caribbean
Asian or AsianBritish
–Pakistani / Mixed ethnic background– Any other Mixed background
Asian or AsianBritish
– Any other Asianbackground / White –British
Black or BlackBritish
–African / White –Irish
Black or BlackBritish
–Caribbean / White – OtherEuropean
Black or BlackBritish
– any otherbackground / White – AnyOther
Mixedethnicbackground– White andAsian / Chinese
Any other – Gypsy, Traveler, Roma / Any Other -Arab
Prefer not tosay / AnyOther

Do you identify yourself as a disabled person?YESNOPrefer not tosay

Disabledapplicantswillbeguaranteedaninterviewuponmeetingtheminimumessentialcriteria.

Ifyouhavea disability,arethereanyarrangementswecanmakeforyouifyouarecalledforinterview? (Please givedetails)


If you wish to take advantage of the law relating to disability, you must advise the College of your disability.

Are you eligible to work in theUK? / YES / / NO
Do you require a WorkPermit? / YES / NO

Post AppliedFor

Where did you see the advertisement for thispost?

The information you have supplied on this form will be processed by computer. The College requires the data to produce de-personalised statistics in connection with equal opportunity and recruitmentmonitoring.

Declaration of Criminal RecordsInformation

This form must be completed by all applicants. The information disclosed on this form will be kept confidential and not form part of the shortlistingprocess.

PolicyStatement

Northern College is committed to the fair treatment of its staff, volunteers, potential staff or users of its services, regardless of race, gender, religion, sexual orientation, responsibilities for dependants, age, physical/mental disability or offendingbackground.

Having a criminal record will not automatically bar an individual from working or volunteering at the College. Any individual with a criminal record will have their application assessed and consideration will be given to the nature of the position applied for and the circumstances and background of their offences.

Declaration

Under the Rehabilitation of Offenders Act 1974, please declare and provide details of all criminal convictions which are not yet spent. If you are unsure whether your conviction is spent, please contact the HRdepartment.
Do you have any unspentconvictions? / YesNo
If you have selected ‘yes’, please provide details in the form of a disclosure statement and send this in a separate envelope marked ‘confidential’to:
Human Resources Northern College Wentworth Castle Stainborough Barnsley
S753ET
Contact 01226 776000 or

Name:Dated:

Signed:

The information on this form will only be shared with Human Resources and if necessary the Principal. In a separate discussion, we ensure that an open and measured discussion takes place on the subject of any offences or other matter that might be relevant to the position. Failure to reveal information that is directly relevant to the position sought could lead to withdrawal of an offer of employment or volunteerengagement.