Were You Selected As Incumbent Status at Selection Or by Candidates Panel?YES/NO

Before filling in this form please read the accompanying Notes for Applicants carefully as well as ‘How to apply’ on page 15.

Were you selected as Incumbent Status at selection or by candidates panel?YES/NO

Have you completed end of curacy assessment? (To be completed by curates in training only)YES/NO

Have you got a letter from the Bishop to confirm that you have completed your curacy? YES/NO

If you have answered no to any of the above three questions, please use this space to provide details:

SECTION 7 CONFIDENTIAL

These pages will be removed by the person administering the application process and will not be used in selection.

References:

Please give names, occupations and addresses (including e-mail if possible) of three referees. At least one should be clerical and one lay. If you are a Team Vicar, Priest-in-Charge of a daughter church or Assistant Curate, you should give your Team Rector's or Incumbent's name as a referee.

Please ensure that the referees have seen a copy of the role description and ask that in addition to mentioning your personal strengths and weaknesses, they also address explicitly your qualities relating to the role description.

Please will you arrange for references to be submitted direct to Prebendary Stephen Lynas by the closing date for applications?

Do you hold a full valid driving licence? Yes/ No

Do you have access to a vehicle? Yes/ No

Ecclesiastical Offices (Age Limits) Measure 1975

With very limited exceptions, appointment to an ecclesiastical office cannot be offered to anyone over the age of 70 except on a fixed or limited term licence. Are you under the age of 70? Yes/ No

UK Border Agency requirements

Are you free to remain and work in the UK with no current immigration restrictions?

Yes/ No

Please note that you will be required to produce documentary evidence of your right to remain and work in the UK if you are invited to interview.

Promoting racial equality

Are you a member or an active supporter of any political party or other organisation whose constitution, policies, objectives, activities, or public statements are incompatible with the Church of England’s commitment to promoting racial equality? The House of Bishops has made declarations of incompatibility in respect of two organisations, namely the British National Party and the National Front.

Yes/ No

PERSONAL INFORMATION

Family or dependants who live with you (for housing purposes):

Health:

Please specify any special access requirements you may have in order to attend interview e.g. wheelchair access.

Do you have any health related condition that would affect your ability to carry out functions that are intrinsic to this post? (See person specification for details.)

Interviews are to be held on 21 October 2015.

If invited, would you be able to attend on this date? YES/NO

Would you require accommodation for the night of 20 October 2015? YES/NO

Length of Notice required to leave present post:

In the event of your being called for interview Bath and Wells will request a confidential reference from your diocesan bishop or area bishop. You need take no action in this regard.

For the successful candidate an Enhanced Disclosure from the Disclosure & Barring Service (DBS) will be required. In connection with this the diocese follows a Code of Practice (copy available) and is committed to the fair and sensitive use of Disclosure information. Evidence of previous convictions will not necessarily disbar a candidate.

Please ensure this application is returned by 7 October 2015 to Prebendary Stephen Lynas, either by post to The Palace, Wells, Somerset, BA5 2PD or by email to

How to apply

Electronic applications are acceptable provided that personal details can be verified in the current edition of Crockford: otherwise signed hard copies will be required. A Curriculum Vitae is not an acceptable substitute. As regards references, there are no formal guidelines. However, essentially they will need to address the issue of the applicant’s suitability for this particular post. To that extent the referee may find it helpful to obtain from the applicant information about the post, e.g. profile and any other supporting papers. For purposes of authentication, a signed hard copy of a reference will always be required. But if time is pressing and the closing date is imminent, it will be acceptable to send an electronic copy provided that a signed hard copy is posted as soon as possible afterwards.

June 2015

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