SECTION 1: POSITION
Postappliedfor:
Vacancy Reference Number:
Where did you see the post advertised?
SECTION2:APPLICANT
Title: / Firstname(s):
Lastname:
Anypreviousnames:
Homeaddress:
Postcode:
Mobiletelephone: / Hometelephone:

Pleasenote; if your application is progressed to the next stageour preferredmethodof communicationisviae-mail.

E-mailaddress: / NationalInsuranceNo.:
SECTION3:REFERENCES

Pleaseensureat leastonereferenceis fromyourpresentormostrecentemployer.Referenceswillberequestedvia e-mailcommunicationwherepossible.

Reference1 / Reference2
Name: / Name:
Position: / Position:
Relationship: / Relationship:
Address: / Address:
Postcode: / Postcode:
Telephone: / Telephone:
E-mail: / E-mail:
Canthisrefereebecontactednow? YES NO / Canthisrefereebecontactednow? YES NO

ReferenceswillnormallyonlyberequesteduponofferofemploymentexceptforpostsataseniorlevelintheCollege, whentheywillberequiredpriorto interview(onlywhereYESis indicatedabove)

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SECTION4: CURRENT/MOSTRECENTEMPLOYMENT

Please detail your current and most recent employment and state the nature of the business. Please begin with your most recent / current employer:

1.

Nameof Current / Most Recent Employer:
Address:
Postcode:
Positionheld:
Summaryof duties:
Reasonforleaving:
Datesemployed: / From: / To: / Salaryonleaving:

2.

Nameof Employer:
Address:
Postcode:
Positionheld:
Summaryof duties:
Reasonforleaving:
Datesemployed: / From: / To: / Salaryonleaving:

3.

Nameof Employer:
Address:
Postcode:
Positionheld:
Summaryof duties:
Reasonforleaving:
Datesemployed: / From: / To: / Salaryonleaving:

…pleasecontinue onaseparatedocumentif necessary

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SECTION5:EDUCATION / QUALIFICATIONS

Pleasedetail below thequalificationsyouobtainedfrom school,collegeanduniversity.Pleaselist highestqualification firstandincludedetails ofanycurrentcourseofstudy.You shouldalsodetailyourhighestlevel ofEnglishandMaths, includingliteracy/keyskillsapplicationof communication,and numeracy/keyskillsapplicationof numbers.

CollegeorUniversity / Coursetitleorsubjects studied / Qualificationsandgrades obtained / Dateobtained
School / Subjectsstudied / Qualificationsandgradesobtained
Qualification/Certificate / GradeObtained
HighestLevelof Mathematics
HighestLevelof English
SECTION 6: OTHER PROFESSIONAL OR TECHNICAL ACCREDITATION / CERTIFICATION

Please detail below any further accreditation or certification you have achieved (this includes membership of professional bodies and associations). Please list the highest standard achieved first and include details of any current course of study:

Accreditation / Certification / Name of Association / Course details / Level of Membership
SECTION 7: SKILLS TRAINING AND DEVELOPMENT

Please detail any relevant training you have completed during your employment, either externally or internally, which is relevant to your application. Please include any relevant computer / IT training:

Title of training programme or course / Date of course completion / Expiry date (if applicable)
SECTION8:STATEMENTINSUPPORTOFAPPLICATION

Pleaseprovideuswithapersonalprofileandanyinformationyouconsiderrelevanttosupportyourapplication that has notalreadybeenprovidedinthisform andthe ApplicationSupportForm.Ifyouare,orhavebeen,involvedin any unpaid/voluntaryactivities,pleasealsoincludethis information:

SECTION 9:MISCELLANEOUS
  1. Doyouhaveanyemploymentand/orcommitmentstootherorganisationswhich youintendtocontinue?

YES NO

IfYESpleaseprovidedetails:

  1. Haveyoueverbeendismissedfrom employment?

YES NO

IfYESpleaseprovidedetails:

  1. TheCollegeguaranteesan interviewfordisabledapplicantsthatmeetalltheessentialcriteriaforthepost.To aidshortlistingpleaseindicateifyouaredisabled:

YES NO

  1. We will try to provide access, equipment or other practical support to ensure that people with disabilities can compete on equal terms with non-disabled people. Ifyourequireanyspecialarrangementsatinterviewpleaseprovide details below:

SECTION10: EMERGENCYCONTACT

Pleasegivedetailsofwhoyouwouldlikeustocontactintheeventof anemergency:

Fullname:
Relationshipto applicant:
Homeaddress:
Postcode:
Mobiletelephone: / Hometelephone:
SECTION 11:IMMIGRATION, ASYLUM AND NATIONALITY ACT 2006

It is a criminal offence to employ someone who is not entitled to work in the United Kingdom. To comply with the Act, all applicants who are offered employment with the College are required to provide evidence of their eligibility to work in the UK. Successful applicants who are subject to immigration control must be in possession of/obtain valid permission to enter or remain in the UK, and that permission must not preclude them from working at the College.

Are you free to remain and take up employment in the UK with no current immigration restrictions?

YES NO

IfNOpleaseprovidedetails:

SECTION12:DATAPROTECTIONACT1998

Blackpooland TheFyldeCollegeundertakethat itwilltreatanypersonalinformation(thatis datafrom which youcan beidentified,suchasyourname,address,emailaddressetc.)thatyouprovidetous,orthatweobtainfrom you,in accordancewiththerequirementsof theDataProtectionAct 1998.

Ifyouaresuccessful,thisapplicationform willbekeptonyourpersonalfile.Ifyouareunsuccessful,thisinformation maybestoredforaperiodof uptosixmonthsafterwhichitwillbe destroyed.

SECTION13:DECLARATION

Bysubmittingthisapplication formyougiveconsenttosuchcollection,storageandprocessing ofpersonal dataandagreethattheinformationgivenonthisformmaybeusedfordataprocessingpurposes.

Youalsocertifythat:

•Alltheinformationgivenonthisformis correctto thebestofyourknowledge

•Allquestionsrelatingtoyouhavebeenaccuratelyandfullyanswered

•Youpossessallthequalificationsthatyouclaimtohold.

Name:
Date:

Candidatesselectedforinterviewwillnormallybenotifiedwithinfourweeksoftheclosingdate.Unfortunately applicantswhodonothearfromBlackpool andTheFyldeCollegemustconcludethattheirapplicationhasbeen unsuccessfulonthisoccasionandwethankyouforyourinterestinthispost.

SECTION14:RETURNINGTHISFORM

When completed,thewholeformshould bereturnedvia emailto

If youwould liketoreturn theformusing anothermethod pleasefeelfreeto contact:

Human Resources,Blackpooland The Fylde College,AshfieldRoad,Blackpool,FY20HB

NB: Pleaserememberto enclose/ attachyour completedApplicationSupportFormandanyother supportingdocumentscompletedaspartofthisapplication. The ApplicationSupportFormdetailstheessentialanddesirablepersonalattributesrequiredand followsonfrom thejobdescription.

An employee who obtains any employment in the College by making a false declaration on an application form is subject tosummary dismissal without warning. Please note thatany appointment will be subject toreferences satisfactory tothe College, medical clearance, clearance through the Disclosure and Barring Service and the satisfactory completion ofa probationary period. No formal startdate can be agreed until the required pre-employment appointment checks are complete.

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Blackpool and The Fylde College

RecruitmentMonitoring Form

Blackpool and The Fylde College is an equal opportunities organisation. Completion of the form is optional, but the information will help and improve our equal opportunities policy. This form will be separated from your application form upon receipt and your information will be held confidentially and separately to your application, and will NOT be available to those involved in the short listing process.The information requested below is for monitoring purposes onlytobe destroyedaftersixmonths.
To fill it in please mark the relevant boxes, and if space is provided to write an answer, please write clearly in BLOCK capitals. Feel free to leave any question that you do not wish to answer.

APPLICANT INFORMATION

Full name:
Position applied for:
Gender: / Male Female Other gender identity
If ‘Other’, please specify here:
Is your gender identity different to the gender you were assigned at birth? / Yes No
Any other information you would like to disclose:
Whatisyoursexualorientation? / Heterosexual Gayman Gaywoman/lesbian
Bisexual Prefernottosay Other
If ‘Other’, please specify here:
Dateof birth:
Pleasestateifyouhaveanysocial,personalorbusinessrelationshipswithcurrentemployees or boardmembersof the College. Please include names and nature of the relationship:

DISABILITYDISCRIMINATIONACT1995

Weactivelyencourageapplications frompeoplewithdisabilities.TheDisability DiscriminationActdefinesadisabled personas someonewhohas aphysicalormentalimpairmentwhichhas asubstantialandadverselongtermeffecton hisorherabilitytocarryoutnormaldayto dayactivities.

Do youbelievethatyouarecoveredas beingdisabledinaccordancewiththeAct? / YES NO
IfYES,please givedetails:

ETHNICITY

Whatisyourethnicgroup?

RELIGIONORBELIEF

Whatisyourreligionorbelief?

REHABILITATIONOFOFFENDERSACT1974(ExceptionsOrder1975)

The Rehabilitation of Offenders Act 1974 (Exceptions Order 1975) requires that you are not entitled to withhold any information about criminal convictions you may have had, or prosecutions pending.

Do you have any spent or unspent criminal convictions? / YESNO
IfYES,pleasegivedetails: