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APPLICATION FOR
EMPLOYMENT
You should complete and save this form on your computer and email it to HYPERLINK "mailto:jobs@wolfson.cam.ac.uk" jobs@wolfson.cam.ac.uk
Position applied for
Department
PERSONAL DETAILS
SurnameForenamesTitle
Address and Postcode
Telephone (home)MobileEmail address
GENERAL INFORMATION
Do you have a National Insurance number? Yes / No Delete as appropriate
Have you previously applied to the College for employment? Yes / No Delete as approp r i a t e I f y e s p l e a s e g i v e d e t a i l s :
E L I G I B I L I T Y F O R E M P L O Y M E N T
A r e y o u e l i g i b l e t o f o r e m p l o y m e n t i n t h e U n i t e d K i n g d o m ? Y e s & N o & P l e a s e s t a t e w h i c h d o c u m e n t s y o u c a n p r o v i d e t o d e m o n s t r a t e y o u r r i g h t t o w o r k i n t h e U K : B r i t i s h p a s s p o r t ( o r B r i t i s h B i r t h C e r t i f i c a t e a n d p r o o f o f y o u r N I N u m b e r ) Y e s & D i g i t a l s t a t u s s h o w i n g a n a u t h o r i s a t i o n t o r e s i d e a n d w o r k i n t h e U K Y e s &
C O N F L I C T S O F I N T E R E S T
D o y o u h a v e a n y p e r s o n a l r e l a t i o n s h i p s w i t h a n y c u r r e n t m e m b e r o f s t a f f ? ( T h i s m i g h t i n c l u d e i m m e d iate family, close relationships/friendships, close business, commercial or financial relationships.)
YesNoIf Yes please provide further details
EDUCATION/QUALIFICATIONS/TRAINING
School / College / University / Training Provider Qualifications gained with grade, if any
Please give details of any professional body membership
WORK-RELATED TRAINING List details of all relevant training courses attended
DateName of course Qualification gained
EMPLOYMENT HISTORY
PRESENT / MOST RECENT EMPLOYMENT Please give details of your present or most recent employment
Name and address of employerDates (from to)Position and dutiesSalaryReason for leaving/ notice period required
PREVIOUS EMPLOYMENT Please include details of all previous employment (paid or voluntary) since completing your full time education
Date fromDate toEmployers name and addressPosition and dutiesReason for leaving REFERENCES
Please provide details of two people whom we can contact to provide information in support of your application:
Referees should be someone who is/was in a management or supervisory role over you. School, college or university leavers should provide details of a tutor who will be able to provide a reference. References will only be sought with your permission, and only after an interview.
Your present / most recent employerNamed contactAddressEmail addressTelephone numberPosition
Previous employmentNamed contactAddressEmail addressTelephone numberPosition Data Protection
The information given in this form will remain private and confidential and will be only used for the purpose of recruitment and selection. For details of how the College processes your data please see: HYPERLINK "/about/governance/data-protection/data-protection-statement-job-applicants"/about/governance/data-protection/data-protection-statement-job-applicants
DECLARATION
( I have read the above and I understand and accept how the College will use and store my personal details.
( I confirm that the information I have given in this application for employment and any supporting documents is correct and complete.
( I understand that failure to disclose any relevant information or the provision of false information may lead to dismissal or withdrawal of any offer of employment made to me.
( I understand that 鶹ӾCollege may check all or any of the information provided as part of my application or given in references.
( I understand that an appointment (if offered) will be subject to the receipt of references, the outcome of any relevant pre-employment checks, which the College regards as satisfactory and completion of a satisfactory probation.
SIGNATURE DATE
Applicants with Disabilities
If you have a disability and there are any reasonable adjustments we can make to enable you to compete to the best of your ability should you be shortlisted for interview, please contact HYPERLINK "mailto:hr@wolfson.cam.ac.uk"hr@wolfson.cam.ac.uk to notify us of these.
Thank you for your interest in employment at 鶹ӾCollege. Please return your completed form to the HR Manager, 鶹ӾCollege, Barton Road, Cambridge CB3 9BB. It is College Policy not to acknowledge receipt of application forms. Please contact the HR Manager by email HYPERLINK "mailto:hr@wolfson.cam.ac.uk" hr@wolfson.cam.ac.uk or by phone on 01223 335910 if you wish to gain confirmation of its receipt.
Private & Confidential
The following pages will be detached from your application prior to it being considered as they contain information that is strictly private & confidential
NamePosition applied for
REHABILITATION OF OFFENDERS ACT 1974 Applications from ex-offenders are welcomed and will be considered on their merit. Convictions that are irrelevant to this job will not be taken into account. You are required to disclose any convictions which are not 'spent' by virtue of the Rehabilitation of Offenders Act 1974.
Have you been convicted of a criminal offence which is not spent as defined in the above Act? Yes / No
If yes, please give details of date(s), offence(s) and sentence(s) passed:
Are there any outstanding summonses or charges against you? Yes / No
If the answer to either of these questions is yes, this will not necessarily exclude you from employment as each case is considered on its own merit. The College follows guidance on the recruitment of ex-offenders and you may request to see a copy of this. The information you provide will be treated as strictly confidential and will be considered only in relation to the job in which you are applying.
-------------------------------------------------------------------------------------------------------------------------------------------------------
Complete the following section ONLY if you are applying for a post which is classified as a Regulated Activity (eg College Nurse, Student Wellbeing Advisor or Deputy Senior Tutor) which may involve direct contact with children, young people or vulnerable adults.
The Rehabilitation of Offenders Act does not apply to certain specified professions, nor does it apply to posts which involve contact with children, young people or vulnerable adults. In any of these cases you should state all past convictions, including any that are spent, giving details of date(s), offence(s) and sentence(s) passed:
If you are applying for a post which involves contact with vulnerable adults, please also confirm that you are not listed on either of the following:
I confirm that I am not listed on the childrens barred list.
OR
I confirm that I am not listed on the adults barred list AND I declare that I have no past convictions, cautions or
bind-overs and no pending cases affecting why I might be considered unsuitable to work with children or
vulnerable adults.
AND
I declare that I have no past convictions, cautions or bind-overs and no pending cases affecting why I might be considered unsuitable to work with vulnerable adults.
The information you provide will be treated as strictly confidential and will be considered only in relation to the job for which you are applying.
Equal Opportunity Monitoring Form Private & Confidential
鶹ӾCollege is committed to treating all job applications on their merit irrespective of age, disability, gender reassignment, marriage and civil partnership, pregnancy and maternity, race, religion or belief, sex or sexual orientation. Completion of this form is optional and anonymous; this information will not be passed to those making short listing or selection decisions. It will, however, be held on computer for the purpose of equal opportunities monitoring, to ensure that the College is selecting applications on the basis of ability to carry out the duties associated with the post.
Position applied for
Please add an X to boxes as appropriate:
GENDER AGESEXUAL ORIENTATIONMale18-2445-54Lesbian/GayOther: ________Female25-3455-64HeterosexualOther35-4465-75BisexualPrefer not to sayPrefer not to say
DO YOU HAVE A DISABILITY? (You will be considered as having a disability for discrimination purposes if you fit the definition as given in the Equality Act 2010. In the Act, a disability is a physical or mental impairment which has a substantial and long-term adverse effect on a persons ability to carry out normal day to day activities. For these purposes, long term is taken to mean the condition is likely to last longer than 12 months or likely to recur.)
Prefer not to sayI doI do notAs far as I am aware, I do not Dont know
ETHNICITY (refers to a sense of identity/belonging on the basis of race/culture, not place of birth or citizenship)
White: White BritishMixed: White and Black Caribbean White Irish White and Black African White - any other White background White and AsianAsian: Indian Any other Mixed background Pakistani Black: Caribbean Bangladeshi African Chinese Other Black background Any other Asian background ArabAny other ethnic group:Gypsy or Irish Traveller
RELIGION
Christian*BuddhistMuslimHinduSikhJewishNo religionPrefer not to sayOther (please specify):
*Includes Church of England/Scotland/Ireland, Catholic, Protestant and all other Christian denominations
ADVERTISING WHERE DID YOU HEAR ABOUT THIS POSITION?
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