St Edmund’s CollegeApplication for Employment

APPLICATION FOR EMPLOYMENT

Please complete in black ink

This form has two parts. The application form must be completed and returned as part of your application for the advertised appointment. If you have an up-to-date curriculum vitae, please attach it to this form. If you do so, you will not need to complete sections two, three and four of this form. The Equal Opportunities form is optional but if you fill it out it will help us to make sure that our equal opportunities policy works and that we are advertising in the right places. We will separate this part from the rest of the form when we get it. We will not use it as part of the selection process.

If you experience any difficulty in completing any parts of the form, please leave blank. This will not prejudice your application in any way. We will contact you direct if we require any further information.

Position Applied for:

/ Department:
1. Personal Details
Title / Surname / First Names
Address / Primary telephone______
Secondary telephone:______
Email: ______
NI Number /
Do you have the right to work in the UK? / YES / NO
2. Education Record
Dates (approx)
From To / Name of Secondary School/College/
University attended / Details of qualifications/
examinations taken / Grade or class
3. Further Education, Training and Professional Qualifications
Qualifications achieved / Date
5. Please provide any other relevant information in support of your application
6. Please explain your interest in and suitability for this post
8. References Please provide the names and addresses of three people who have consented to act as referees on your behalf, one of whom, if possible, should be your present or last employer. We may wish to take up references if you are short listed for the post, but referees will not be approached at an earlier stage.
Name: ______
Position: ______
Company: ______
Address: ______
______
______
Telephone: ______
Email: ______
Relationship to Applicant: ______
______/ Name: ______
Position: ______
Company: ______
Address: ______
______
______
Telephone: ______
Email: ______
Relationship to Applicant: ______
______/ Name: ______
Position: ______
Company: ______
Address: ______
______
______
Telephone: ______
Email: ______
Relationship to Applicant: ______
______
Do we have your permission to contact this referee before an interview? / Do we have your permission to contact this referee before an interview? / Do we have your permission to contact this referee before an interview?
Yes / No / Yes / No / Yes / No
First date available for employment / Current salary
Application Declaration & Data consent
  • I confirm that the information I have given in this application for employment form and any supporting documents is correct and complete.
  • I understand that failure to disclose any relevant information or the provision of false information may lead to dismissal and subsequent termination of contract of employment.
  • I understand that St Edmund's College will carry out a verification process and will check all or any of the information provided on the application form, given in references and presented as proof of identity.
  • I agree for release of information under the provisions of the Data Protection Act 1998.
  • I understand that an appointment, if offered, may be subject to a satisfactory medical examination

Signed / Date

Please send the completed form and accompanying documents to:The HR Manager, St Edmund’s College, Mount Pleasant, Cambridge CB3 0BNTelephone (01223) 768403: Email

MEDIA AND EQUAL OPPORTUNITIES MONITORING (OPTIONAL)

St Edmunds wants to meet the aims and commitments set out in its equality policy. This includes not discriminating under the Equality Act 2010, and building an accurate picture of the make-up of the workforce in encouraging equality and diversity.

The organisation needs your help and co-operation to enable it to do this, but filling in this form is voluntary.

The information you provide will stay confidential, and be stored securely and limited to only some staff in Human Resources.

Please return the completed form separately and email in confidence to the HR Manager .

Post title

Advertising Source

Where did you first learn about this vacancy?

Gender

What is your gender? / Female 
Male 
Prefer not to say 

Age

What is your age / 16-216-24 25-2930-3435-3940-44
45-445-4950-5455-5960-6465+
Prefer not to say 

Nationality

Which country defines your national identity? / Country:
Prefer not to say 

Ethnic Origin

What is your background? / White
English 
Welsh 
Scottish 
Northern Irish 
Irish 
British 
Gypsy or Irish Traveller 
Prefer not to say 
Any otherwhite background, please write in:
Mixed/multiple ethnic groups
White and Black Caribbean 
White and Black African 
White and Asian 
Prefer not to say 
Any other mixed background, please write in:
Asian/Asian British
Indian 
Pakistani 
Bangladeshi 
Chinese 
Prefer not to say 
Any other Asian background,please write in:
Black/ African/ Caribbean/ Black British
African 
Caribbean 
Prefer not to say 
Any other Black/African/Caribbean background, please write in:
Other ethnic group
Arab 
Prefer not to say

Disability/health condition

Do you consider yourself to have a disability or health condition? / Do
Ye YesNo  Prefer not to say 
Wh What is the effect or impact of your disability or health condition on you’re a ability to give your best at work? Please write in here:
Th The information in this form is for monitoring purposes only. If you believe you you need a ‘reasonable adjustment’, then please discuss this with your man manager, or the manager running the recruitment process if you are a job appli applicant.

Religion or beliefs

What is your religion or belief? / Buddhist 
Christian 
Hindu 
Jewish 
Muslim 
No religion 
Sikh 
Spiritual 
Any other religion or belief 
Prefer not to say 

Sexual orientation

What is your sexual orientation? / Bisexual 
Homosexual 
Heterosexual 
Other 
Prefer not to say 

Gender identity

What is your gender identity? / Gender identity is the same as the gender originally assigned at birth
Gender identity is different to the gender originally assigned at birth
Prefer not to say
EQUAL OPPORTUNITIES STATEMENT
St Edmund’s College is an equal opportunities employer. We are committed to ensuring within the framework of the law that our workplaces are free from unlawful or unfair discrimination on the grounds of colour, race, nationality, ethnic or national origin, sex, gender (including gender reassignment), sexual orientation, age, marital status or disability.
We aim to ensure that all our staff achieve their full potential and that all employment decisions are taken without reference to irrelevant or discriminatory criteria.

May 2016 Page 1of 4