Application Form

Position applied for
Vacancy reference
Applicant reference (office use only)

PART 1

PERSONAL DETAILS

Last name
First name(s)
Title / Mr / Mrs / Ms / Miss / Dr / Other:
Current address
Post code
Home telephone
Mobile telephone
Work telephone
E-mail address
Immigration status
(If you are shortlisted for this post you will be asked to provide identification documentation in accordance with the immigration, Asylum and Nationality Act 2006) / Are you currently eligible for employment in the UK?

Yes No
If yes, please write in any conditions (e.g. end date, Visa type):
UK National Insurance number
Teachers Reference Number (7 digits)
Required for teaching posts only

Disability

The Equality Act 2010 define as a ‘Physical or mental impairment which has substantial and long-term adverse effect on a person’s ability to carry out normal day-to-day activities.

Do you have a disability as defined by the Equality Act 2010 /
Yes No
Easton & Otley College are ‘positive about disabled people’.
If you meet the essential criteria of the post would you like to be considered for a guaranteed interview under this scheme? / Yes No
Do you have any requirements that would aid you at interview or at work? / Yes No
If Yes, please give details:

Disclosure of Criminal Convictions and Police Cautions, Warnings and Reprimands including spent times

Unless documentation provided in this pack states to the contrary, this post is exempt from the provisions of section 4(b) of the rehabilitation of offenders act by virtue of the rehabilitation 1974 (exemptions) order 1975 because of the nature of work involved. The amendments to the Exceptions Order 1975 (2013) provide that certain spent convictions and cautions are 'protected' and are not subject to disclosure to employers, and cannot be taken into account. Guidance and criteria on the filtering of these cautions and convictions can be found on the Disclosure and Barring Service website. It therefore follows that you are not entitled to withhold relevant information and in the event of employment, any failure to disclose non-protected convictions could result in dismissal or disciplinary action. We will be required to obtain a Disclosure Barring Service Check for individuals appointed to certain posts. Please refer to the attached “Guidance for applicants on disclosure of criminal record information”.

Do you have any cautions (including any final warnings or reprimands) or convictions which are not "protected" as defined by the Exceptions Order 1975* to the Rehabilitation of Offenders Act 1974? /
Yes No
Are there any other matters that may be relevant to your suitability to work for the College? (There is no obligation to disclose a protected caution or conviction as defined by the Exceptions Order 1975 * or any circumstances ancillary to that protected caution or conviction).
* As amended by the 2013 Exceptions Order / Yes No
Do you have any hearings pending? / Yes No
If ‘YES’ please provide further information in a separate document

PART 2

EMPLOYMENT DETAILS

Most recent Employment details

Present/Last / Position Held:
Name & Address of Employer:
From: Until:
Salary (£):
Notice period:
Reason for leaving:
Duties, Responsibilities, Major Achievements etc:

CAREER HISTORY

Starting with the present, please give details of your career history (please list most recent first and provide a minimum of 10 years history where applicable). As well as employment, please include any periods of voluntary work, travel, career breaks and unemployment. Please continue of a separate piece of paper if necessary.

Start date / End
date / Employer / Job title and key responsibilities / Reason for leaving or notice period (where applicable)

EDUCATION, QUALIFICATIONS & TRAINING

Education and Training

Starting with the most recent, please give details of your education and any training which is relevant to your application. We may ask you to produce qualification certificates if we ask you to come to an interview. Please continue of a separate piece of paper if necessary.

School/College/University/
Institution, including address. / Start date / End
date / Qualification level (if applicable) / Subject / Grade (if applicable)

Other Training and Short Courses

Organising Body / Course and/or Subject / Date obtained

Professional Body Membership

Please give details of any professional body membership which you hold.

Professional body
Membership level
Start date
Professional body
Membership level
Start date

PART 3

SUITABILITY FOR THE ROLE / ADDITIONAL INFORMATION

Please review the requirements of the job description and person specification and provide evidence of how you meet these, using specific examples within the area below.
(Please use this space to continue with your supporting statement if necessary)

Please provide details of two people who will each provide a work-related or academic reference. One of these referees must be your current or most recent employer. If you do not have a current or recent employer, please provide details of your lecturer/course tutor/unpaid work employer etc.

First reference

Name
Character or Business Reference
Position
Address
Telephone number
E-mail address
Can we contact this referee before the interview? / Yes No

Second reference

Name
Character or Business Reference
Position
Address
Telephone number
E-mail address
Can we contact this referee before the interview? / Yes No
Do you have any business or other interests, which would conflict with the duties of this post? /
Yes No
Do you hold a current clean driving license
Please record driving licence number / Yes No
Number.:______
Do you have use of a motor vehicle? /
Yes No

Post Specific

For Academic Posts

Please list the subjects you are able to teach, giving an indication of the level of work.

Subject / Level Of Work

For Part-Time Posts

Please tick availability.

Availability / Monday / Tuesday / Wednesday / Thursday / Friday / Saturday / Sunday
AM
PM

APPLICANT DECLARATION

I certify to the best of my knowledge, the information I have given on these application forms is true and accurate. I understand that any offer of employment is strictly subject to satisfactory references, medical clearance, college checks and Criminal Records Bureau disclosure, and that any false statement would render me liable to termination of employment. I understand that information given in this application will be held on computer and processed in accordance with the Data Protection Act 1998 and that I consent to the storage and use of such information for employment purposes. I authorise the College to access DVLA records to check my licence details.

Applicants Signature
Date

Please note the College will only accept applications on the standard College form.

Please return your application to:

HR Department, Easton & Otley College, Easton, Norwich, Norfolk, NR9 5DX.

Please ensure correct postage by referring to the Post Office if necessary.

Guidance note to applicants on disclosing information about cautions and convictions in their applications

Easton and Otley College is an educational establishment that provides education to children (and/or vulnerable adults). Therefore the College needs to assess your suitability for the position you are applying for and is entitled to ask questions about your criminal record.

You are required to disclose certain information concerning your criminal cautions and convictions. You must disclose information about spent and unspent criminal convictions (other than a protected conviction) and spent and unspent cautions (other than a protected caution).

You are not legally required to disclose information concerning protected cautions and convictions. To determine if your caution or conviction is protected and whether or not you need to disclose it in your application, you need to refer to the relevant legislation, including the offences listed in The Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (Amendment) (England and Wales) Order 2013.

Applicants who were over the age of 18 when the caution or conviction was issued

Do I need to disclose my conviction?

If your answer to any of the following 3 questions is ‘yes’, you will need to disclose your conviction:

1)  Is the conviction for a listed offence?

2)  Did you receive a custodial sentence/sentence of service detention?

3)  Have you been convicted of any other offence at any time?

If you answered ‘no’ to the above 3 questions, have 11 years or more passed since the date of the conviction?

If less than 11 years have passed since the time of the conviction, you will still need to disclose it.

Do I need to disclose my caution?

1)  Is the caution for a listed offence?

If your answer to question 1 above is yes, you will need to disclose your caution.

If your answer to question 1 above is no and you were over age 18 at the time of the caution, have 6 or more years passed since the time of the caution?

If less than 6 years have passed since the time of the caution, you will still need to disclose it.

Applicants who were under the age of 18 when the caution or conviction was issued

Do I need to disclose my conviction?

If your answer to any of the following 3 questions is ‘yes’, you will need to disclose your conviction:

1)  Is the conviction for a listed offence?

2)  Did you receive a custodial sentence/sentence of service detention?

3)  Have you been convicted of any other offence at any time?

If you answered ‘no’ to the above 3 questions, has 5 years and 6 months or more passed since the date of the conviction?

If less than have 5 years and 6 months have passed since the time of the conviction, you will still need to disclose it.

Do I need to disclose my caution?

1)  Is the caution for a listed offence?

If your answer to question 1 above is ‘yes’, you will need to disclose your caution.

If your answer to question 1 above is ‘no’, has 2 or more years passed since the time of the caution?

If less than 2 years have passed since the time of the caution, you will still need to disclose it.

All cautions and convictions for specified serious violent and sexual offences, as well as other offences relating to the safeguarding of children and vulnerable adults will always need to be disclosed. Applicants are strongly encouraged to refer to the extensive list of such offences which is available on the Disclosure and Barring Service website. The list of offences will be kept updated to reflect changes to legislation in the future.

In the event that you are offered employment, any failure to disclose unprotected convictions or cautions could result in disciplinary action which may lead to your dismissal from the College. For this reason, if you are unsure about how the law applies to you, you are encouraged to seek legal advice before making your application.

All applicants who are offered employment will be subject to a criminal records check from the Disclosure & Barring Service (DBS) and any appointment will be subject to satisfactory clearance of this check and any other relevant pre-employment checks.