Uxbridge College Employment Application

Uxbridge College Employment Application

1. PERSONAL DETAILS

Surname / Forename:
Post applied for:
Address:
Post Code:
Email: / Mobile No:
Home No: / Work No:
IFL registration no.:
(if applicable)
National Insurance No:
Are you contactable at work?
Do you have the right to work in the UK? / YES / NO
If yes, please specify: / UK/European passport / Work permit
If work permit, please specify type:

2. DO YOU HAVE ANY RELATIVE(S) CURRENTLY WORKING AT THE COLLEGE?

Do you have any relative(s) currently working at the College?
If yes, please state their name(s):

3. AVAILABLE TO WORK:

Available to work? (e.g. Full time, Part Time, Evenings)
Do you wish to be considered for a job share?

4. DO YOU:

Have use of a car:
Have a current Driving Licence?

5. EDUCATION

Name of Educational Establishment / Date From / Date To / Subject / Grade

6. FURTHER/HIGHER EDUCATION

Name of Educational Establishment / Date From / Date To / Subject / Qualifications Achieved and Grade

7. PROFESSIONAL MEMBERSHIP

Type of Membership / Date gained

8. EMPLOYMENT HISTORY

(Include details of vacation employment if you are a school, college or university

leaver)

Present/ Previous Employer
Address
Starting Date / Leaving Date 1
Job Title
Starting pay per annum / £ / Current/Finishing pay per annum 1 / £
Please summarise the main duties of your current/previous post:
Reason for leaving
Previous Employer
Address
Starting Date / Leaving Date 1
Job Title
Starting pay per annum / £ / Current/Finishing pay per annum 1 / £
Please summarise your main duties:
Reason for leaving
Previous Employer
Address
Starting Date / Leaving Date 1
Job Title
Starting pay per annum / £ / Current/Finishing pay per annum 1 / £
Please summarise your main duties:
Reason for leaving
Previous Employer
Address
Starting Date / Leaving Date 1
Job Title
Starting pay per annum / £ / Current/Finishing pay per annum 1 / £
Please summarise your main duties:
Reason for leaving

9. SHORT COURSES/CONFERENCES ATTENDED

Course Title / Date / Organising body / Venue

10. INTERESTS, PUBLIC DUTIES AND VOLUNTARY WORK

Interests, public duties and voluntary work

11. HOW DID YOU FIND OUT ABOUT THIS VACANCY?

Newspaper/Journal:
Internet site:
Internal College advertisement or Personal contact in College?

12. PLEASE INCLUDE A STATEMENT TO SUPPORT YOUR APPLICATION. YOUR STATEMENT SHOULD NOT EXCEED 1,000 WORDS.

Statement supporting my application:

13. PLEASE GIVE DATES ON WHICH YOU WILL NOT BE AVAILABLE FOR INTERVIEW

Dates not available for interview:

14. IF SELECTED FOR THE APPOINTMENT WHEN COULD YOU START?

PLEASE STATE CURRENT NOTICE PERIOD

When could you start

15. REFERENCES

The College may take up references from previous employers within the last 5 years before interview listed in Section 8, except current employer

Current/Most recent employer

Name of Referee:
Referee's job title:
Organisation Name:
Address:
Post code:
Telephone no: / Fax no:
Email:

Previous employer

Name of Referee:
Referee's job title:
Organisation Name:
Address:
Post code:
Telephone no: / Fax no:
Email:

16. AT WHICH STAGE CAN WE TAKE UP REFERENCES FROM YOUR CURRENT EMPLOYER? (Delete where appropriate)

Which stage can we take up references? / Invited for interview / Yes/No / Position accepted / Yes/No

17. Declaration:

I confirm that the information on this form is to the best of my knowledge true and complete. Any false statement may be sufficient for rejection or if employed dismissal True/ False

REHABILITATION OF OFFENDERS ACT 1974

Please read the following carefully, and complete as appropriate. (Failure to provide details of convictions or cautions may result in dismissal from the College).

This Act allows some criminal convictions to lapse after certain periods of time. When this happens such convictions are called "spent" and a person with such a conviction is not generally required to supply information about it to a prospective employer.

The vacancy for which you are applying is however one for which you are obliged to declare ALL convictions and cautions (including those which occurred at any time in the past), since the Act does not apply to applications to Further Education Colleges. On commencement of employment, the College will check this statement with the Criminal Records Bureau.

Please list any criminal convictions or cautions below.

I have no convictions or cautions: True/ False / I have disclosed details of all convictions, cautions, bindings below: True/False
Rehabilitation of Offenders Act 1974:
Convictions:

I confirm that the information on this form is to the best of my knowledge true and complete. A statement regarding convictions or cautions may be sufficient for rejection of the application. Any false statement will lead to dismissal if you are in the employment of the College: True/ False

EQUAL OPPORTUNITIES MONITORING FORM

It is the policy of Uxbridge College to promote equality of opportunity in the fields of recruitment, training and promotion. All offers of employment will be made with reference to the requirements of the post and will not be unfairly influenced by any considerations of disability, race, gender, age, sexual orientation, transsexual or gender reassignment, marital or civil partnership, religion/faith or pregnancy and maternity leave.
MONITORING
To ensure that Equal Opportunities are implemented the College must ascertain that unfair or illegal discrimination is not taking place. The College aims to achieve this by keeping up to date information about job applicants. This is for statistical purposes only and will be separated upon receipt before consideration of candidates takes place. It will be treated confidentially and only used in monitoring and enhancing equal opportunities.
Full name:
Surname before marriage (if applicable) for reference purposes:
Post applied for:
Date of birth:
Gender:
Ethnic Origin
How would you describe your ethnic origin? (please tick the appropriate box):
Asian or Asian British - Bangladesshi / Mixed – White & Asian
Asian or Asian British – Indian / Mixed – White & Black African
Asian or Asian British – Pakistani / Mixed – White & Black Caribbean
Asian or Asian British – Any other Asian / Mixed – Any other mixed background
Black or Black British – Caribbean / White – British
Black or Black British – African / White – Irish
Black or Black British – Any other Black / White – any other white background
Chinese / Any other
How would you describe your nationality?

Continued…

DISABILITY
The term ‘DISABILITY’ used in the Equality Act 2010, will depend upon whether a particular impairment has a substantial and long term effect on a person’s ability to carry out normal day-to-day activities.
Do you consider yourself to have a disability? / YES: / NO:
If yes, please give further details:

Declaration:

I confirm that the information on this form is to the best of my knowledge true and complete. Any false statement may be sufficient for rejection or if employed dismissal.

Please highlight in bold as appropriate: TRUE / FALSE

Equality Impact Assessed - October 2010