APPLICATION FORM.

This form must be completed in full. If you are writing your application, please do so in black ink. Completed application forms will be used by Wigan & Leigh College to select candidates for appointment. CVs must not be included, as they will not be considered.

PERSONAL DETAILS (USE BLOCK LETTERS).

Post title & reference. ______
Surname. ______Initials of forenames only. ______
Address ______
______
______
Postcode. ______
Home telephone no. ______Work telephone no. ______
Mobile telephone no. ______E-mail address. ______
DISABILITY
The College is positive about the employment of disabled people. If you have a disability, you may, if you wish, indicate this by ticking this box. Any applicant who has ticked this box, and who meets the essential criteria for the post, will be given an interview.

If you have ticked the box, please detail below any special equipment, adaptations or other support that you will need in order to be able to attend for interview and aptitude tests.

REFERENCES

You are asked to give the names and addresses of two employment referees, one of whom must be your current or most recent line manager. However, if this is your first job, you should provide the name and addresses of two educational referees, one of whom must be from the educational establishment at which you are currently studying or at which you last studied. The names and addresses of relatives, friends or colleagues should not be provided for this purpose. If you currently have, or have had, a role that involves you working with children on either a paid or voluntary basis, it is necessary for the College to have a reference from this organisation.
Name / Name
Name of
organisation / Name of
organisation
Address
(in full). / Address
(in full)
Post code. / Post code.
Contact telephone no. / Contact telephone no.
Relationship to applicant. / Relationship to applicant.
References are normally sought for shortlisted candidates to assist with the selection process. If, however, you would not wish us to contact your referees prior to interview, you should tick this box.

PRINCIPAL
Catherine Hurst OBE, BA (Hons) PGCE
CHAIR OF THE GOVERNING BOARD
Elizabeth Shea
Surname & initials of forenames:

EDUCATION AND QUALIFICATIONS DETAILS (most recent first)/

Place of study/ / Subject and level/ / Awarding Body / Grade/
EMPLOYMENT HISTORY. / Surname & initials of forenames:

Present or most recent employment.

Employer’s name and address. / Job title/brief description of duties. / Full-time/
part-time. / Dates of employment / Salary. / Reason for leaving (if applicable).

Period of notice (if applicable). ______

Employment previous to the above (state most recent first).

Employer’s name and address. / Job title/brief description of duties. / Full-time/
part-time. / Dates of employment / Salary. / Reason for leaving (if applicable).

Continued overleaf

Surname & initials of forenames:

Employment continued

Employer’s name and address. / Job title/brief description of duties. / Full-time/
part-time. / Dates of employment / Salary. / Reason for leaving (if applicable).
Surname & initials of forenames:

PERSON SPECIFICATION REQUIREMENTS/

Using the Person Specification provided, please outline below how you meet the criteria for the post, addressing the essential criteria first, followed by the desirable criteria. The information you provide here is the only information that will determine whether or not you should be shortlisted. You are required to respond under the following headings. Additional sheets may be attached to the form. You should put your surname and the initial(s) of your forename(s) in the top right hand corner of each sheet.

Knowledge/

Competencies /

Surname & initials of forenames:

Competencies continued.

Other Requirements.

ADDITIONAL SUPPORTING INFORMATION.

Please use this section to give any additional information relevant to this post in support of your application, eg: professional membership, relevant training.

Surname & initials of forenames:

PLEASE COMPLETE THE BOXES BELOW IF YOU ARE APPLYING FOR HOURLY PAID WORK

SUBJECTS OFFERED (please state subjects you wish to teach in order of preference)

AVAILABILITY(please tick below times when you would be available for work)

Monday / Tuesday / Wednesday / Thursday / Friday / Saturday
Morning / 0900 / - / 1200
Afternoon / 1300 / - / 1600
Twilight / 1600 / - / 1900
Evening / 1900 / - / 2130
MEDICAL CLEARANCE. / Surname & initials of forenames:

Appointment is subject to the candidate being medically fit for the post applied for. Following the offer of appointment you may be required to have a pre-employment medical examination. In order to determine if this is necessary you will be asked to complete a medical questionnaire.

THE ASYLUM AND IMMIGRATION ACT 1996.

In accordance with this Act, any offer of appointment would be subject to the successful candidate having the right to legally live and work in the UK.

Do you currently have this right? YES/NO (delete as appropriate)

If No, please note that the College is unable to employ anyone who does not have the right to live and work in the UK legally. Please explain the basis upon which you believe you will be able to live and work in the UK legally on the commencement date of role.

______

______

If Yes, is your permission to live and work in the UK time limited? YES/NO (delete as appropriate)

If Yes, please provide full details of your current immigration status, renewal dates and any other relevant information.

______

______

THE REHABILITATION OF OFFENDERS ACT 1974.

This employment is exempt from the provisions of the Rehabilitation of Offenders Act 1974. This means that you must answer the following question in respect of all convictions, even convictions that would be described as spent. Your referees will be asked to disclose any knowledge they hold about you relating to the alleged commission of any offence and any proceedings regarding an alleged offence or the sentence of any court. In signing this form you agree to this request to your referees.

Have you ever been convicted of an offence or cautioned? YES/NO (delete as appropriate).

If you have, please provide details in a sealed envelope, marked “Confidential”, for the attention of the Executive Director ofHuman Resources, and enclose the envelope with your application. This information would be used to determine whether or not you would be suitable for the appointment.

Are you disqualified from work with children, or subject to sanctions imposed by a regulatory body?

YES/NO (delete as appropriate).

Disclosure and Barring Service (DBS) Check.

All appointments are subject to satisfactory checks, including those required under the provisions of the Protection of Children Act and Part V of the Police Act 1997, eg, completion of a DBS Application Form. A criminal record or caution will not necessarily bar you from employment.

For further details of the DBS Service please see

If you have not received a letter inviting you for interview within three weeks of the closing date, you should assume that you have not been shortlisted.

Declaration.
I certify that, to the best of my knowledge and belief, the entries on this form and any attached papers are correct.
Applicant’s signature ______Date ______

This form must be returned either in an envelope marked “Private and Confidential” to:Executive Director of Human Resources, Wigan & Leigh College, POBox 53, Parson’s Walk, Wigan, WN11RS,or by e-mail to no later than the closing date for the post.

Thank you for expressing an interest in the post. If your application is not successful on this occasion, please do not let this deter you from applying for any future vacancies.