Application and Equal opportunities monitoring forms
Guidance notes
- Read the application pack and guidance notes carefully before completing these forms.
- Complete all eight sections of the application form.
- Complete all five sections of the Equality opportunities monitoring form. We welcome people from all sections of society and value the contribution each individual can make. Values of respect, equality, diversity and inclusion inform our culture, the work we do and the way we work. The information you provide in this form is used for monitoring purposes only to help us make sure we meet our commitment to equality and diversity.
- All positions require a disclosure from the Disclosures Bureau Services DBS. Possession of a criminal record will not necessarily prohibit an offer of employment, but you are asked to disclose on a separate sheet all previous convictions including spent convictions under the Rehabilitation of Offenders Act 1974 (exceptions) Order 1975 Schedule I Part II, Paragraph 12.
- Email your completed forms, plus any other attachments, to our People Development Team at
Application form
1: Job role
2: Personal details
3: Qualifications and training
4: Previous experience
5: Personal statement
6: References
7: Disclosures Bureau Services DBS
8: Declaration
Equal Opportunities Monitoring Form
1: Disability
2: Gender
3: Religion
4: Sexual orientation
5: Ethnic group
Application form
1:Job role
I’mapplying for:
I heard about the above opportunity:
2:Personal details
Full name:
Date of birth (dd/month/yyyy):
(Please note we can only offer internships to those aged 16 or over.)
Preferred format:
Email address:
Phone number:
Full address:
Right to work in the UK: Yes/No
(Please note we can only offer work to people who have the right to work in the UK.)
3:Qualifications and training
List your qualifications and training in the table below.
Name of qualification/training / Subject / Grade
(if applicable)
(Insert more rows if required.)
4:Previous experience
List your previous work and/or voluntary experience in the table below, with the most recent at the top.
Name of organisation / Role / From(mm/yyyy) / To
(mm/yyyy)
(Insert more rows if required.)
5:Personal statement
In 500 words or less, tell us more about how you meet the requirements outlined in the application pack:6:References
In the table below, provide contact details for your current or most recent employer. You must include referees for the past 3 years of employment. We would expect to write to your line manager or your human resources department. If required, insert more columns.
Reference one / Reference twoName
Relationship to you
Job title, Organisation
Email address
Phone number
May we contact
Yes/No
7:Disclosures Bureau Services DBS
Do you have a criminal conviction: No/Yes, please specify
If you have a portable DBS reference number, please provide it here:
8:Declaration
I declare the information provided on this form is correct to the best of my knowledge. I understand any information submitted and later found to be incorrect or deliberately misleading could lead to my dismissal without notice.
Date:
Signed:
Equal Opportunities Monitoring Form
1:Disability
Do you consider yourself disabled, as defined by the 2010 Equality Act:Yes/No/Prefer not to say
If you would like to share more information, like more details about your disability or reasonable adjustments you may require, please tell us here:
2:Gender
Female/ Male/Transgender/Other/Prefer not to say
3:Religion
Please specify:
Prefer not to say
4:Sexual orientation
Please specify:
Prefer not to say
5:Ethnic group
Please specify:
Prefer not to say
1