Official Sensitive – for board recruitment use only
ANNEX 2: DECLARATION OF INTERESTS
Forms available separately (accompanying this information pack on the Public Appointments website) for candidates wishing to complete and submit electronically.
Note: You only need to complete one Declaration of Interests Form if applying for Board member posts at both Ofqual and Ofsted.
The Declaration of Interest form will be made available to the panel if you are called for interview.
STRICTLY CONFIDENTIAL
Please complete this form and send with your application to:
or by post to:
Scott Postlethwaite
Department for Education
Level 6
2 St Pauls Place
125 Norfolk Street
Sheffield S1 2FJ
POSITION APPLIED FOR: Ofqual / Ofsted Board Member (delete as appropriate)SURNAME / FIRST NAME / INITIAL(S) / TITLE
ADDRESS FOR CORRESPONDENCE
CONTACT TELEPHONE NUMBER(S) / EMAIL ADDRESS
LATEST EMPLOYER (ORGANISATION) / LATEST JOB TITLE / SALARY
- What is your principal employment, if any?
Please describe your main employment and tick the occupational sector box that best describes you:
Employment ______
☐Mostly Civil Service ☐ Mostly Private Sector ☐Mostly Third Sector
☐Mostly wider Public Sector ☐Mixed ☐Other ☐I prefer not to say
- Do you hold any other public appointments?
☐0 ☐1 ☐2 ☐3 ☐4 ☐5-9 ☐10 or more ☐prefer not to say
- Political Activity
Have you undertaken any political activity for a political party in the past five years?
☐No
☐Yes
If yes, please indicate the activity undertaken and for which party/parties:
☐held office/employment
☐public speaking
☐stood for election
☐made donations to a party (if so, please say how much ______)
☐any other political activity (if so, please specify ______)
Party/Parties______
Potential Conflicts of Interest
Please provide details below of any business or other interests or any personal connections which, if you are appointed, could be misconstrued or cause embarrassment to the Department for Education orOfqualand/or Ofsted (as appropriate).Any particular conflicts of interest detailed here will not prevent you going forward to interview but may, if appropriate, be explored with you during your interview to establish how you would address the issue(s) should you be successful in your application.
ANNEX 3: DIVERSITY MONITORING FORM
Public appointments are made on merit in accordance with the Cabinet Office Governance Code and the Public Appointments Order in Council. By completing this Diversity Monitoring Form you will be helping us meet our public sector equality duty under section 149 of the Equality Act 2012.
Your personal data will always be treated in confidence and when anonymised with data from other applicants,will help compile the Annual Statistical Bulletin of the Commissioner for Public Appointments.Anonymised data may also be used in response to Parliamentary Questions and other public enquiries.
Your responses will never be made available to the panel considering your application.
If you consider yourself to have a disability as defined under the Equality Act 2010 and would like to apply under the Guaranteed Interview Scheme, then please complete the Guaranteed Interview Request Form and submit it with your application.
Note: You only need to complete one Diversity Monitoring Form if applying for Board member posts at both Ofqual and Ofsted.
1. Gender
What is your gender?
☐female
☐male
☐I prefer to describe myself as ______
☐I prefer not to say
2. Disability
Do you consider yourself disabled?
☐no
☐yes If yes, how would you describe your disability?
______
☐I prefer not to say
3. Ethnicity
Please mark the box that most accurately describes your ethnicity:
AsianBlack
☐Bangladeshi☐ African
☐Chinese ☐Caribbean
☐Indian ☐ Other Black origin
☐Pakistani
☐Other Asian origin
Mixed Ethnic White
☐Of more than one ethnicity☐ British, Irish or other White Background
☐I prefer not to say
4.Age
Please mark the box for the age band you fall into:
☐18-25
☐26-35
☐36-45
☐46-55
☐56-65
☐66 or older
☐I prefer not to say
5.Sexual Orientation
What is your sexual orientation?
☐bisexual
☐gay man
☐heterosexual
☐lesbian
☐other
☐I prefer not to say
6.Religion or belief
What is your religion or belief?
☐Buddhist
☐Christian
☐Hindu
☐Jewish
☐Muslim
☐Sikh
☐Other
☐No Religion or Atheist
☐I prefer not to say
7.What is your principal place of residence?
Please enter the County or City that you live in along with the first part of your postcode e.g. Dyfed SY23, London SE18
County/City______Post Code______
8. Where did you firsthear about the Board vacancies?
☐National press (print) (please specify ______)
☐National press (web) (please specify ______)
☐Recruitment website (please specify ______)
☐Social media (e.g. twitter, facebook)(please specify ______)
☐Cabinet Office public appointments website
☐Contact by the Department for Education
☐Contact by Ofsted
☐Contact by Ofqual
☐Word of mouth
☐Other (please specify ______)
GUARANTEED INTERVIEW SCHEME
We guarantee to interview anyone with a disability whose application meets the minimum criteria for the post. By ‘minimum criteria’ we mean that you must provide us with evidence in your application which demonstrates that you generally meet the level of competence required under each of the specific qualities and skills sought.
What do we mean by disability?
The Equality Act 2010 defines a disabled person as someone who has a physical or mental impairment which has a substantial and adverse long-term effect on his or her ability to carry out normal day-to-day activities.
How do I apply?
If you want to apply under the Guaranteed Interview Scheme simply complete the declaration below and send it in with your application.
DECLARATION
I consider myself to have a disability as defined above and I would like to apply under the Guaranteed Interview Scheme.
Name:
Date:
Signature*
- Vacancy reference: Ofqual / Ofsted Board Members
- *There is no need for a signature if you are submitting the form electronically
- Please return the completed form with your application
ANY FALSE DECLARATION OF DISABILITY TO OBTAIN AN INTERVIEW WILL SUBSEQUENTLY INVALIDATE ANY OFFER OF A POST