CONFIDENTIAL
APPLICATION FOR EMPLOYMENT
Please complete ALL sections of this form in black ink or typescript and return it to the HR Department by email or post. CV’s will only be accepted if personal details are omitted and this form is fully completed. / Human Resources
Northern College
Wentworth Castle
Stainborough
Barnsley
S75 3ET
Telephone: 01226 776000
Email:
Website: www.northern.ac.uk
1. POST APPLIED FOR
Post Title: ………………………………………………………………………………….. / Application No:
(for official use only)
2. EDUCATION AND QUALIFICATIONS
Please note employment will be subject to evidence of relevant qualifications and these will need to be provided at interview or before employment commences. Where relevant please indicate if you are still studying towards a qualification.
Name of School, College, University etc. / Qualification/Level / Grade / Date Awarded
3. MEMBERSHIP OF PROFESSIONAL BODIES Please give details of membership of any professional bodies
Name of Professional Body / Membership Status / Membership Number/ Renewal Date
4. RELEVANT TRAINING
Please give details of any relevant training event attended or short course completed in the last three years.
5. CURRENT OR MOST RECENT EMPLOYMENT
Job Title: / Start Date:
Employer: / Leaving Date:
Reason for Leaving:
Address: / Notice period required:
Current Salary:
Describe the main duties/responsibilities of your present/most recent post:
6. PREVIOUS EMPLOYMENT
Please give details of all previous positions (most recent first) held since completing full-time education. Please also explain any gaps in employment (continue on a separate sheet if necessary). Please note the college reserves the right to contact each previous employer for verification of details provided.
Job Title: / Start Date:
Employer: / Leaving Date:
Reason for leaving:
Brief outline of duties:
Job Title: / Start Date:
Employer: / Leaving Date:
Reason for leaving:
Brief outline of duties:
Job Title: / Start Date:
Employer: / Leaving Date:
Reason for leaving:
Brief outline of duties:
Job Title: / Start Date:
Employer: / Leaving Date:
Reason for leaving:
Brief outline of duties:
7. SUPPORTING INFORMATION
Please outline your relevant experience, specialist knowledge and skills, and any additional factors that relate to specific areas in the job description with examples of your proven experience and relevant skills for each of the essential criteria listed in the person specification. These may be gained either through work, education, home or voluntary activities. Please outline your reasons for applying for the post and any interests or hobbies which you consider relevant. Please continue on a separate sheet if necessary.
Relevant Knowledge & Experience
Skills & Abilities
Additional Factors
8. REFERENCES
Please give names and contact details for two referees. One must be from your most recent employer and someone in a supervisory or management position. If currently unemployed or a school leaver, use your most recent employer or Principal of your educational institution. Please note we may contact your referee before interview. Please indicate below if you do not wish the college to do so.
References will not be accepted from relatives or from people writing solely in the capacity of friends or work colleagues.
Name: / Name:
Organisation: / Organisation:
Address: / Address:
Position: / Position:
Professional relationship to you (i.e. Manager/Supervisor): / Professional relationship to you (i.e. Manager/Supervisor):
Email Address: / Email Address:
Tel. No: / Tel. No:
May We Contact Them Prior To Interview?
Yes No / May We Contact Them Prior To Interview?
Yes No
9. INTERVIEW
Are there any dates when you will not be available for interview?
10. SIGNATURE
Northern College is committed to safeguarding and promoting the welfare of children, young people and vulnerable adults and expects all staff and volunteers to share this commitment. Signature of this application form indicates that you have read the job description/person specification and/or any other information issued to you relating to the vacancy and that you can comply with its requirements. By signing this form you agree that any omission, falsification or misrepresentation on this application form may be grounds for rejecting the application; withdrawal of any subsequent offer of employment; or may result in disciplinary action or dismissal if appointed. You also accept that canvassing a Governor or employee of Northern College will disqualify your application. Submission of this form by email constitutes certification of accurate information. By signing this form you are also consenting to the college processing and storing your information for the purposes of your employment with the college and as outlined below in line with the Data Protection Act.
Signature: / Date:
Completed application forms should be sent either by email to or to the address at the top of this form.

Data Protection: Please note that the details you provide on this application form will be entered onto the College’s computer system and will be held within a manual filing system. Information provided is subject to the Data Protection Act 1998 and may be shared with selected third parties, for example, the Local Government Pension Scheme or the Universities Superannuation Scheme. Should you be unsuccessful in the selection process, the records will be kept for up to 6 months and then destroyed.

If you are successful in your application for employment with Northern College, the offer will be subject to verification of qualifications, a DBS check (where applicable), medical clearance, identification checks including confirmation of right to work status and receipt of satisfactory references, as appropriate.

If you have not heard anything from us within 6 weeks of the closing date, you should assume that you have been unsuccessful.

EQUAL OPPORTUNITIES MONITORING FORM

CONFIDENTIAL

This portion of the application form does not form part of the shortlisting process. To ensure Equal Opportunities for all applicants, it will be held separately within the HR Department. Please note it is important that you complete this form and return it together with your application form, non-compliance with this requirement will be in breach of the college Equal Opportunities Policy and may be treated as grounds for non-selection.

1. POST APPLIED FOR
Post Title: ………………………………………………………………………………….. / Application No:
(for official use only)
2. PERSONAL DETAILS
Title / Mr / Mrs / Miss / Ms / Other (Please state)
Please confirm that you can produce evidence that you are entitled to reside and work in the United Kingdom. E.G. a passport, residence/ work permit? Yes No
Will you require a work permit for this post? Yes No
Surname / First Names
Any Previous Surnames / National Insurance No
Address for Correspondence:
Post Code:
How long have you been at this address? / Years: / Months:
Do you have a driving licence? / Yes No / Do you have your own vehicle? / Yes No
Home Tel No. / Mobile No.
Work Tel / Email Address
3. RELATIONSHIPS
Are you related to any employee or Governor of the College? Yes No
If Yes, please state who you are related to and what your relationship is:
4. EQUAL OPPORTUNITIES
Northern College is committed to a policy of ensuring equality of opportunity in employment for all, and to take action to avoid discrimination. Job applicants are considered only on their ability to do the job for which they are applying. All applicants applying for jobs with the College will receive equal treatment irrespective of their age, gender, marital status, disability, sexuality or race. A copy of the policy can be obtained by contacting the College HR Unit or can be downloaded from the College website.
To ensure the effectiveness of the policy, the College will monitor all applications for employment and promotion. You are requested, therefore, to complete the section below which will be treated as confidential and will not be passed to the short listing panel.

Please tick where appropriate.

Gender: / Male / Female / Neutral / DATE OF BIRTH:
Age Range: / 16-19 / 20-29 / 30-39 / 40-49 / 50-59 / 60+

Please state where you saw this vacancy advertised: ……………………………………………………

The Equality Act 2010 defines a disabled person as one who has a physical or mental impairment which has a substantial and long term adverse effect on his/her abilities to carry out normal day to day activities.

Disability / Do you have a disability: / Yes / No / (if yes, please complete below)

Disabled applicants will be guaranteed an interview if they meet the minimum essential criteria on the job description/person specification.

Do you have any health problems and/or need additional facilities to help you at work? If so, please indicate below:

I may need help because of:

Dyslexia / Mental Health / Heart Disease
Dyscalculia / Disability affecting Mobility / Blind/ Visual Impairment – not corrected by glasses
Autism / Deaf/Hearing Impairment / Ability to lift, carry move everyday objects
ADHD/ ADD / Diabetes / Other (please state)
Speech / Epilepsy

Are there any adjustments that need to be made for the purpose of:

a) The interview
b) The job
By ticking this box I am consenting to the disclosure of any information relating to my disability or learning difficulty to the appropriate staff within the College to ensure that reasonable arrangements are in place to meet my specific needs.
Ethnicity / How would you describe your ethnic origin?
Arab / Bangladeshi / Mixed White & Asian
Black African / Indian / Mixed White & Black African
Black Caribbean / Pakistani / Mixed White & Black Caribbean
Black Other / Other Asian / Mixed – other
Chinese / White British / Gypsy, Traveller, Roma
White - Other European / White Irish / White - Any other background
Other / Prefer not to say
Religion/Belief / What is your religion/belief?
Baha’i / Buddhism / Christianity / No Religion or belief
Hinduism / Islam (Muslim) / Jainism
Judaism / Rastafarianism / Sikhism
Zoroastrians (Parsi) / Prefer not to say / Other

Do you have any special requirements in terms of a religious belief:

Please state:
Sexual Orientation / What is your sexual orientation?
Bisexual / Gay man / Gay woman/lesbian
Heterosexual/straight / Other / Prefer not to say


Declaration/Data Protection Act 1998

On completion of the equal opportunities form please sign below:

“I certify that all the information given on this form is correct and that I have not omitted any relevant details”.

“I give my permission to Northern College to retain this information for the purposes of the above post, in accordance with the College’s duties to comply with the Data Protection Act 1998.” In completing this form the college had obtained your consent for the collection and storage of the data provided including sensitive personal data.

Signature: …………………………………………………… Date: ………………………………..

The information provided on this form will be processed by computer. The College requires the data to produce
de-personalised statistics in connection with equal opportunity and recruitment monitoring.


Declaration of Criminal Records Information

This form must be completed by all applicants. The information disclosed on this form will be kept confidential and not form part of the shortlisting process.

Policy Statement

Northern College is committed to the fair treatment of its staff, volunteers, potential staff or users of its services, regardless of race, gender, religion, sexual orientation, responsibilities for dependants, age, physical/mental disability or offending background.

Having a criminal record will not automatically bar an individual from working or volunteering at the College. Any individual with a criminal record will have their application assessed and consideration will be given to the nature of the position applied for and the circumstances and background of their offences.

Declaration

Under the Rehabilitation of Offenders Act 1974, please declare and provide details of all criminal convictions which are not yet spent. If you are unsure whether your conviction is spent, please contact the HR department.
Do you have any unspent convictions? / Yes No
If you have selected ‘yes’, please provide details in the form of a disclosure statement and send this in a separate envelope marked ‘confidential’ to:
Human Resources
Northern College
Wentworth Castle
Stainborough
Barnsley
S75 3ET
Contact 01226 776000 or

Name: ……………………………………… Dated: ………………………

Signed: …………………………………...

The information on this form will only be shared with Human Resources and if necessary the Principal. In a separate discussion, we ensure that an open and measured discussion takes place on the subject of any offences or other matter that might be relevant to the position. Failure to reveal information that is directly relevant to the position sought could lead to withdrawal of an offer of employment or volunteer engagement.

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