APPLICATION FOR EMPLOYMENT /
Return to: The Cornwall College Group
HR Recruitment
Trevenson Road, Pool, Redruth,
Cornwall TR15 3RD
Pool, Redruth, Cornwall, TR15 3RD.
Telephone: 01209 616123
E-mail:
POSITION APPLIED FOR:
JOB ADVERTISEMENT
How did you find out about this job? Please specify the source or publication(s):
Note: This application form must be completed fully. CV’s are welcome but are not an acceptable substitute for an application form or justification for a partly completed application form.
PERSONAL DETAILS (Block capitals please)
Title: / Forename(s): / Middle name(s):
Surname: / Previous surname(s):
Preferred Name
Address:
Post Code: / Daytime Tel. No:
Evening Tel. No:
Mobile:
National Insurance Number:
E-Mail:
Do you need a work permit to work in the UK? / Yes / No
Do you hold a current clean driving licence? / Yes / No
Do you have your own transport? / Yes / No
Please give details of any Current Driving Licence(s) Car, HGV, PSV, etc:
Please state any relationship to any employee or Board member of the Cornwall College Group:
GENERAL INFORMATION
If you have a disability, can we make any particular interview arrangements (e.g. Signer, Ground Floor Interview Room, etc) to assist you if shortlisted?
If Yes, please specify:
Are there any dates that you would be unable to attend an interview? / Yes / No
Please give reasons and dates:
EDUCATION, TRAINING & DEVELOPMENT PROFILE /
Dates / Full time/ Part time / Secondary School/College/University etc / Examination(s) taken or to be taken / Date / Results (inc. grades)
From / To
/
TRAINING AND DEVELOPMENT /
Please list all training or continuous development and other courses which you have undertaken whether or not they are related to work (e.g. part-time evening classes, Government Training Schemes, etc) /
Year / Organising Body / Course Title / Length
/
MEMBERSHIP /
Please indicate membership of any Professional/Institute/Organisation(s) to which you belong which are appropriate to your field of work. /
Name of Organisation / Type of Membership / Was entry obtained through examination? / If so, State final examination year and result
/
PRESENT OR MOST RECENT EMPLOYMENT /
PRESENT EMPLOYMENT (or most recent) /
Job Title:
Employer:
Address:
Post Code: / Date Appointed:
Date Left (if appropriate):
Pay Range and/or grade (if appropriate):
Basic Salary: / £
Allowances: / £
List any other benefits (e.g. health care, car etc):
Reasons for leaving or wanting to leave:
Length of notice required to terminate present employment:
/
PAST EMPLOYMENT (if any) Please give latest first /
Dates (please specify month and year) / Employer / Job Title / Reason for leaving
From / To
/
REFERENCES /
Please give the details of two referees who can verify your employment record and give information about your suitability for this post. At least one of these should be your present or most recent employer. If you do not wish any reference to be sought at this stage please place an X in the relevant box. /
Present Employer: / Other Referee:
Title:
Name:
Address:
Postcode:
E-mail Address:
Telephone Number
Job Title (if appropriate):
Relationship to you: / Title:
Name:
Address:
Postcode:
E-mail Address:
Telephone Number
Job Title (if appropriate):
Relationship to you:
Character Referee only? / Yes / No
N.B. if either of your referees know you by a name other than your present one please give that name below:
/
OTHER INFORMATION/EXPERIENCE/ACHIEVEMENTS IN SUPPORT OF YOUR APPLICATION
Please include:-
A: Your reasons for this application.
B: Details of the duties and responsibilities involved in your present/last job, together with work related achievements (if any) which you feel may be relevant.
C: Details of experience gained in any previous paid employment, as well as any recent voluntary/community based activities and leisure interests.
(For Academic/Teaching Posts it is important to give full details of any research activities that you have been involved in, ie: Research for publications, Research for companies, undergraduate/Postgraduate courses etc. please do so on a separate sheet of paper.) If necessary, attach additional sheets to expand on each section. /
A /
B /
C /
REHABILITATION OF OFFENDERS ACT 1974 (EXCEPTIONS ORDER 1975)
Do you have any convictions, cautions, reprimands or final warnings that are not “protected”?
(Protected as defined by the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (as amended in 2013) by SI 2013 1198)
The College are dedicated to the Safeguarding and welfare of children and venerable groups and therefore all roles at the college are subject to a DBS check unless otherwise stated.
/
Have you been convicted of any criminal offence or are you the subject of any bind over or caution or have you any other proceedings pending? /
YES / NO /
If YES please give details (this will not necessarily debar you from appointment): /
DATA PROTECTION ACT 1998
By signing and returning this application form, you consent to the College using and keeping information about you provided by you or third parties, such as references relating to your application or future employment. Such information may include details relating to your health, ethnic origin and criminal record. /
CONFIRMATION OF DETAILS
I certify that the information I have given in this application form is correct to the best of my knowledge and belief. Should it later be discovered that I have given false information in order to obtain a position I understand that my employment could be terminated by dismissal and that I may be subject to criminal investigation. /
Signed: / Date: /
Please return to: HR Recruitment, Cornwall College Camborne, Trevenson Road, Pool, Redruth, Cornwall, TR15 3RD /
EQUAL OPPORTUNITIES MONITORING FORM
This information will be detached from the application form prior to selection. / /
Cornwall College is working towards equal opportunities for all, to monitor the College’s policy it is necessary to collect information from applicants and employees on the key characteristics which relate to equal opportunities in employment. The information collected will form a confidential record and it may be stored electronically or manually. It will be used only to monitor the operation of the Equal Opportunities policy which aims to ensure that no direct or indirect discrimination occurs on the grounds of sex, disability, ethnicity, gender orientation or religious belief.
Thank you for your assistance. /
1. What is your gender? / Male / Female / Transgender /
2. Do you consider yourself disabled as defined by the Disability Discrimination Act?
i.e. Do you have a physical or mental impairment which has a substantial and long term adverse effect on your ability to carry out normal day to day activities? /
Yes / No /
If yes, please state briefly the nature of your disability:
3. I would describe my ethnic origin as: /
White / Asian, Asian Scottish or Asian British / Black, Black Scottish or Black British /
/ British / Indian / Caribbean /
/ Scottish / Pakistani / African /
/ Irish / Bangladeshi /
/ Cornish / Chinese /
/ Other White Background / Other Asian Background / Other Black Background /
/ (please state which) / (please state which) / (please state which) /
/ Other Ethnic Background / Mixed Ethnic Background /
/ (please state which) / (please state which) /
4. Marital Status /
/ Married/Long Term Partner / Single / Widowed / Divorced /
5. What is your sexual orientation? /
/ Homosexual / Heterosexual / Bi-sexual /
6. How would you describe your religion? /
/ None / Roman Catholic / Church of Scotland / Muslim /
/ Other Christian / Hindu / Jewish / Other Religion /
(please state which) / (please state which) /
Post applied for:
/ /
Name: / / Date: /