PRIVATE AND CONFIDENTIAL –SEPARATE DISCLOSURE

(You must return this form but it is confidential and not supplied to the recruitment panel)Please complete and return with your uploaded application)

Thank you for applying for a position at Ovalhouse.

DETAILS OF VACANCY

Post applied for
How did you hear about this vacancy? Please tick / E-newsletter  Ovalhouse Website  Friend/ Colleague
Online network  Arts Orgs website  Producers network 
BAME Network  Social media  ArtsJobs  Other (please state)______
DISCLOSURE FORM
The following section is required in accordance with Ovalhouse’s Child Protection and Safeguarding Policy. If it is not completed in full, your application cannot be considered. By completing this form, you give consent for Ovalhouse to complete a background check should the post require it.
Name
Any previous surnames, forenames used
Place of birth

In some cases, the nature of the post (especially if involving contact with children, young people and vulnerable adults and/or sensitive data and information the successful applicant may be subject to a criminal record check before appointment is confirmed.

Do you have:

Any prosecutions pending / YesNo (delete as applicable)
Or have you ever been convicted at a court or cautioned by the police for any offence? / YesNo (delete as applicable)
Or cautions, reprimands, bind over orders or final warnings? / YesNo (delete as applicable)
If yes, please provide details of all pending prosecutions, convictions, cautions, or bind over orders.
You should include “spent” convictions and if possible, the offence, approximate date of court hearing and the court which dealt with the case.

PRIVATE AND CONFIDENTIAL

All recruitment is based on an individual’s ability and job performance and excludes consideration of an applicant’s beliefs, political opinion, gender, race,sexuality, marital status, age, disability or a conviction or other information revealed. This is not a compulsory form however, your information will give us a true picture of the effectiveness of our policy. Please complete and return this form with your application.

DETAILS OF VACANCY

Post applied for
EQUAL OPPORTUNITES MONITORING FORM
Information included on this form is used for Equal Opportunities monitoring purposes only and is not available to those shortlisting.
Date:

Personnel Details

Gender
Age (in years)

Cultural Diversity

Please state what you consider to be your cultural and ethnic origin / :
Rather not say

Disability

The term disability should be construed as including people with physical disabilities; people with learning difficulties; people with mental illness; those with sensory disabilities (such as blind or sight impaired); people with ‘hidden’ disabilities (such as epilepsy or those suffering from chest or heart conditions); and those with disabilities linked to aging
Do you consider yourself to have a disability? / YesNo Rather not say(tick as applicable)
Sexual Orientation
Do you consider yourself to be LGBTQI / YesNo Rather not say (tick as applicable)
If yes, please indicate how you describe yourself
Any other minority status?