STAFF APPLICATION FORM
Please complete this form in black ink, or typescript and return to: The HR Department, North West Kent College,
Oakfield Lane, Dartford, Kent, DA1 2JT. Telephone (01322) 629400, Fax (01322) 629418 or email to
HR@nwkcollege.ac.uk. This form is also available on the College website www.nwkcollege.ac.uk and may be
downloaded for word processing.
Please note we only accept completed application forms. However, CVs can be submitted in addition to the
completed application form, but please complete this form fully.
Post Applied For
Post No.
Does this post include a Teaching Contract? Yes No
Is the position F/T P/T Casual/Sessional
If Casual/Sessional please specify subject area
Where did you see this vacancy advertised?
Title (Mr/Mrs/Miss/Ms/Dr) Surname
Forename(s)
National Insurance No. Nationality
Home Address inc. postcode Contact Address (if different) inc. postcode
Telephone (Home) Telephone (Work)
Telephone (Mobile) Email
May we contact you at your work telephone number, with discretion, prior to interview?
Yes No
1
Qualifications
From 16 years of age, in date order, most recent first
You may be required to provide your original certificates or evidence of the qualification stated
Date obtained Qualification with grade Where qualification was obtained
Relevant Short Courses/Staff Development
Undertaken in last 3 years
Date Course
Professional Body Membership
(Where applicable)
Entry Date Body Membership Grade/Expiry Date
2
Career History
In date order, most recent first, please show any gaps in employment
Do not cross-refer to CV as these details may be used in determining salary point
From To Organisation/Address Job title Reason for leaving
Month/Year Month /Year Nature of Business Summary of key duties Salary of current/
full or part time most recent post
3
Teaching (where applicable)
Please indicate what you can teach in terms of subject areas and to what level
If Casual/Sessional, please indicate availability
Are you registered with the Institute for Learning (IfL) Yes No
If yes:
Date of Registration Membership Number Level of Membership
(This will be subject to verification with the IfL)
Health
Please state the number of days sick leave taken during the past two years and the number of periods of
absence
Please briefly describe the nature of the illness(es)
In addition to the above, if you have suffered, or are suffering, any illness which could affect the performance of
your duties you should make a confidential statement giving full details and return with your application form, in a
sealed envelope, marked ‘Private & Confidential – For the attention of the HR Manager’. Please state clearly on the
envelope the post for which you have applied. Information supplied will be destroyed unopened if your application
is not shortlisted.
4
Supporting Statement
Once you have read the job description and person specification think carefully about your application and the
extent to which you have the skills, knowledge and experience the post needs. All your past experience such as
caring for children or voluntary work can be relevant, so if appropriate include details on your application. Use this
section to support your application to a maximum of 300 words.
5
Do you hold a current full driving licence?* Have you been disqualified from driving at any
time?*
Yes No Yes No
Do you have access to a vehicle?* Yes No
*This information will only be considered for posts where specified in the job description
Details of Referees
One referee must be your current or most recent employer and must include your most recent educational
post, if relevant
Name Name
Position Position
Company Company
Address Address
Postcode Postcode
Telephone No. Telephone No.
Fax No. Fax No.
Email Email
May we obtain a reference prior to interview? May we obtain a reference prior to interview?
Yes No Yes No
How much notice is required by your present employer?
6
Disclosure of Criminal Convictions
Employees who have substantial access to children or young people may be required to disclose all criminal
convictions. The College uses the Criminal Records Bureau (CRB) to undertake checks in accordance with the
Home Office Circular 86/44 DES Circular 4/86.
The Rehabilitation of Offenders Act 1974 (Exception) (Amendment) Order 1986 sets out details of all jobs to which
this applies. Unless documentation provided in this application pack states to the contrary, this post is exempt from
the provision of Section 4(2) of the Rehabilitation of Offenders Act 1974 as amended by the Rehabilitation of
Offenders Act (Exceptions) (Amendment) Order 1986 because of the nature of the work involved.
Applicants are therefore not entitled to withhold information about convictions, cautions or bind-over orders which
for any other purposes are “spent” under the provisions of the Act.
In the event of employment, any failure to disclose such convictions could result in dismissal or disciplinary action
by the Corporation. Any information given will be held in confidence. Having a criminal record will not necessarily
bar you from working with us. This will depend on the nature of the position, the circumstances and background of
your offence.
Have you been convicted or cautioned for a criminal offence in the past? Yes No
If yes, please supply details of your conviction(s) and/or caution(s) and return with your application form, in a
sealed envelope, marked ‘Private & Confidential – For the attention of the HR Manager’. Please state clearly on the
envelope the post for which you have applied. Information supplied will be destroyed unopened if your application
is not shortlisted.
If you are related/associated to any staff member(s) or Governor(s) of North West Kent College,
please provide details
Declaration
I declare to the best of my knowledge the information I have given is a true and correct record and give my consent
to North West Kent College processing this information in accordance with the Data Protection Act 1988.
I understand that omissions or incorrect statements will disqualify me or, if appointed, could result in dismissal.
Signature
Date
Name (please print)
This form can be submitted electronically to HR@nwkcollege.ac.uk.
7
EQUAL OPPORTUNITIES MONITORING FORM
The completion of this form is voluntary. Data provided by you will not be used as part of the selection process it
will be used for general statistical and monitoring purposes only, to enable us to ensure our policies are fair for
all. This information is sensitive personal data and will be treated confidentially and in line with requirements of
the Data Protection legislation.
Job you are applying for:
Gender: Female
Work Permit:
Do you need a work permit to work in the U.K? Yes No
If Yes: Do you hold a current work permit? Yes No
Please state: Type of work permit: Date of expiry:
Ethnic origin: Ethnic origin is not about nationality, place of birth or citizenship. It is about colour and broad ethnic
groups. UK citizens can belong to any of the groups indicated. How would you describe your ethnic origin?
White – English / Welsh / Scottish / Northern Irish / British Asian / Asian British – Indian
White – Irish Asian / Asian British – Bangladeshi
White – Gypsy or Irish Traveller Asian / Asian British – Pakistani
White – Any other White background Asian / Asian British – Chinese
Black/African/Caribbean/Black British – African Asian / Asian British – Any Other Asian background
Black/African/Caribbean/ Black British – Caribbean Mixed/multiple ethnic group – White and Asian
Black/African/Caribbean/Black British – Any other Black / Mixed/multiple ethnic group – Any other
African / Caribbean background Mixed/multiple ethnic background
Mixed/multiple ethnic group – White and Black Caribbean Other ethnic group – Arab
Mixed/multiple ethnic group – White and Black African Other ethnic group - Any other ethnic group
Age: 16 - 25 26 - 35 36 - 45 46 - 55 56 - 65 65 +
What is your Religion:
Buddhist Sikh
Jewish Muslim
Christian (including Church of England, Catholic, Protestant and all
other Christian denominations) Any other religion (please specify)
No religion
What is your sexual orientation?
Bisexual Heterosexual/straight
Gay man Other
Gay woman/lesbian Prefer not to say
Disability details:
For monitoring purposes, do you consider that you are disabled?
Yes (please specify below) No Do not wish to declare
Please list any reasonable adjustments you think you may require in order to work effectively at North West Kent College.
If you are called for interview, do you have any special requirements? If yes, please specify:
Please return this form with your application form to the HR Department, North West Kent College,
Oakfield Lane, Dartford, Kent, DA1 2JT. Telephone: 01322 629464. Email: HR@nwkcollege.ac.uk