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ONS Field Application Form

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					                                                            In Confidence
                                                ONLINE TELEPHONE INTERVIEWER
                                                      APPLICATION FORM
An Equal Opportunity Employer


  For office use only

  Post applied for:     TELEPHONE INTERVIEWER                             Our Ref No:     TUT/         /        /
  Division:             SOCIAL DATA COLLECTION                        Location of post:   ONS TITCHFIELD

NOTE: This form should be submitted as a Word document (.doc file) attachment to: interviewer.recruits@ons.gov.uk
alternatively the form may be printed, completed by hand in black ink and posted to: Field Recruitment, Room 4100S,
Office for National Statistics, Segensworth Road, Titchfield, Hampshire PO15 5RR. THIS FORM MUST BE COMPLETED
IN FULL. – please do not send a c.v.

  PERSONAL DETAILS (please type in areas with fields as indicated and check all boxes where relevant)
  Title:

  Forenames:

  Surname:

  Permanent                                                  Other
  Address:                                                   Contact
                                                             Address
                                                             (if different}:



  Postcode:                                                  Postcode:

  Email:

  Home Tel No:                                               Mobile/Other Tel No:

  Place of Birth:

                                                             Are you currently in
  Nationality at
                                                             receipt of a Civil Service     YES                     NO
  Birth:                                                     Pension:

  Dates not available for interview:
  Please state where you saw the advertisement for this
  vacancy:
  Civil Service (this section to be completed by serving Civil Servants only):

  Is Your Appointment (please check one box):                Please give your personnel officer’s name & address below:

  Permanent

  Fixed Term

  Casual
                                                             Please give your personnel officer’s email address and telephone
  Please state which department/agency that you work for:
                                                             number address below:
                                                             Email:

                                                             Tel. Number:




                                                              1
PLEASE ANSWER ALL OF THE FOLLOWING QUESTIONS (please read the Recruitment Notes first to
ensure that you meet the availability criteria required for this post):




a) How many hours do you want to work each week?
(please refer to ’Job Requirements Section’ in the Recruitment Notes. The
range of weekly hours available is 15-24).




                                                                                     Mon   Tues    Weds   Thurs
b) Which days of the week are you willing to work (Monday to
Thursday)?                                                                     am
(please check relevant boxes)

Note: We are not currently recruiting for am shifts.                           pm



c) Are you willing to work on Fridays?                                         YES            NO




d) Are you willing to work on Saturdays?                                       YES            NO



If you have answered ‘NO’ to (c) or (d) above, please give
your reason(s):

(please refer to ‘Job Requirements’ section in the Recruitment Notes for
clarification)




e) Would you be doing any other paid or voluntary work, or
                                                                               YES            NO
studying whilst in our employment?



If you have answered ‘YES’ to (e) above, please give details
including the number of hours:




                                                                           2
EMPLOYMENT HISTORY

Please give details of your full employment history starting with your current or most recent job. Any service with
HM Forces should be included. You must provide a fully checkable, complete work history for at least the last 5
years on this page and provide all start and end dates in dd/mm/yyyy format. If you run out of space on this
page please continue on page 17.

If this is going to be your first job after leaving school or college you may like to give details of any holiday, weekend,
evening jobs or work experience placements. Recent School, College or University leavers should also complete the
Education Section of this form.


               Dates                      Post Held          Employer’s Name and Full Address,          Final Salary and reason
                                                                  Telephone No & Email                         for leaving
     From                 To

                                                            The Office

  01/06/2001
               E X A M P L E
                       21/01/2008
                                      Assistant Manager     21 High Street
                                                            Hightown
                                                            PP1 4PP
                                                            020 811 9999
                                                            Manager@theoffice.co.uk
                                                                                                               £16,500 pa

                                                                                                       Made Redundant




                                                                                         Please continue on page 17 if necessary



                                                                3
EDUCATION - Please complete this section only if you have left school or college in the last five years or
you have recently completed some form of further education/study.
      Educational Establishment          Date From     Date                  Qualification(s) Type/Grade
         (Name and Address)                             To




TIME NOT ALREADY ACCOUNTED FOR – Please give details and dates of any time not already accounted for
(including unemployment)
 Date From          Date To                                         Reason




PREVIOUS EMPLOYMENT AS AN ONS TELEPHONE INTERVIEWER (please be aware that we will always
request a reference for any periods of employment with ONS)
Have you ever been employed as an ONS Telephone
                                                          YES                       NO
Interviewer?

Have you ever applied for a post as a Telephone
                                                          YES                       NO
Interviewer with ONS?

If you have answered ‘YES’ to either of the
aforementioned two questions, please give
details/dates:


REASONS FOR APPLYING – Please give a full explanation of why you are applying for this post




                                                      4
            TELEPHONE
Post applied for:                                                               Our Ref No:    TUT/           /          /
            INTERVIEWER
ASSESSMENT CRITERIA – SKILLS AND COMPETENCES
You will be assessed on how closely you match the skills and competences required for the post advertised. Please give examples from
your own experience (not necessarily confined to work) to demonstrate your suitability. If you have no work experience you can use
examples from school, college or social activities. Please refer to the Recruitment Notes: ‘Filling in your Application Form’. NOTE: IF
YOU FAIL TO GIVE DETAILED, SPECIFIC EXAMPLES IN EACH SECTION BELOW YOUR
APPLICATION WILL NOT PASS THE INITIAL SIFT.
1) Personal effectiveness, e.g. working to deadlines, showing self motivation, working independently, facing challenges, making
decisions.




2) Communication Skills, e.g. oral (face to face/over the telephone), being courteous and tactful, listening to others, written
skills.




3) Team Working, e.g. offering help and information to colleagues, making an effective contribution to the team.




4) Flexibility, e.g. willing to adapt to different/changing situations, learning new skills, working unsociable hours.




                                                                                               Please continue on Page 17 if necessary


                                                                    5
REFERENCES – NOTE: Failure to provide complete address details of referees (including postcodes) may
preclude you from the selection process.
At (a) you should give the name of your Manager/HR manager and full address of your current/last employer. At (b) please give
details of your longest or most relevant employer within the last five years if different to (a), or another recent
employment referee. Note that sufficient references will be taken up in order to cover the last five years of your work history.

If you have recently been (or are currently) self-employed, please provide the details of an accountant, bookkeeper, inland revenue
(tax) office or solicitor at (c) who can verify your period of self-employment. If you have no work experience and/or have recently
left school/college (or are currently attending college/university), please provide referee details at (d). All applicants must
provide AT LEAST ONE personal referees at (e/f).
(a) Current or most recent employer                                        (b) Second employment referee
Name:                                                                      Name:
Job Title:                                                                 Job Title:
Address:                                                                   Address:




Postcode:                                                                  Postcode:

Telephone No:                                                              Telephone No:

Email:                                                                     Email:

Can we take up this
reference now?               YES                     NO

(c) Self-Employment referee (if applicable)                                (d) Educational referee (if applicable)

Name:                                                                      Name:
Job Title:                                                                 Job Title:
Address:                                                                   Address:




Postcode:                                                                  Postcode:

Telephone No:                                                              Telephone No:

Email:                                                                     Email:

(e) Personal referee 1                                                     (f) Personal referee 2
(should be a responsible person (not related to you, not your partner or   (should be a responsible person (not related to you, not your partner or a
a partners relative) with whom you are well acquainted)                    partners relative) with whom you are well acquainted)

Name:                                                                      Name:
Job Title:                                                                 Job Title:
Address:                                                                   Address:




Postcode:                                                                  Postcode:

Telephone No:                                                              Telephone No:

Email:                                                                     Email:




                                                                           6
APPLICATION FORM SIGNATURE

You must sign and date this form either by completing the digital signature below (if submitting
the application electronically) or by hand if you are returning the application by post.

Note: We must interpret strictly and impartially the prescribed conditions regarding nationality and qualifications.
However it is not possible to investigate the eligibility of every candidate before interview. You should therefore satisfy
yourself that you are eligible to apply before submitting your application.

If invited to interview you will be asked to bring with you proof of identity and any other relevant documents that confirm
your eligibility for the post. If you are successful at interview, a complete enquiry into your eligibility will be made. This may
include security checking.

If you give any information which you know is false, or you withhold any relevant information, this may lead to your
application being rejected or, if you have already been appointed, to your dismissal.



SIGNATURE: Please complete this section if submitting your form as a printed version


I certify that the information given on this form is correct to the best of my knowledge. If I am appointed, I understand information
from this form may be computerised for personnel/employee administration purposes in accordance with the Data Protection Act
1998.



Note: You will be asked to sign this form here at interview if you submit your application electronically


   Signature:      ............................................................................

                                                                                                               Date:   ........................................................

 Print Name:       ............................................................................


DIGITAL SIGNATURE: Please complete this section if submitting your form electronically by email


                                                                                                       Date:
By checking this box I confirm that I am the
person detailed on Page 1 of this form and that
I have submitted my application electronically.
                                                                                                  Enter name below:
I understand that if I am invited to interview I
will be required to sign and date this form in
person.




Please now complete the following pages of the form before submitting your application.

The following sections of the form are confidential and will be separated from the rest of
the form prior to the assessment of your application.




                                                                                                   7
8
                                                              In Confidence
                                                     EQUAL OPPORTUNITIES
An Equal Opportunity Employer
                                                       MONITORING FORM


 Post applied for:       TELEPHONE INTERVIEWER                              Our Ref No:   TUT/         /        /


        ONS Equal Opportunities Policy

The Office for National Statistics has a policy of equal opportunity for all.


   Data Protection Act 1998

To monitor the effectiveness of the policy, we need to record certain personal details about the people who apply for
vacancies. It is for this reason ONLY that you are asked to provide the information below which will be treated with the
strictest confidence and used only for statistical purposes. This will not be made available to the selection panel. Information
recorded on this form may be used in computerised records. Under the terms of the Data Protection Act 1998 this
information will be treated in a secure and confidential manner.

PLEASE ANSWER THE FOLLOWING QUESTIONS


Do you have a disability or condition which may require
an adjustment to your working environment to enable                    YES                           NO
you to carry out your job effectively?



If you answered ‘YES’ to this question, please give details
of your requirements:




What is your Date of Birth?




                                                                 9
 APPLICATION FOR A GUARANTEED INTERVIEW FOR PEOPLE WITH
                       DISABILITIES
NOTE: Please do not complete this form unless you have a disability as defined by the Disability
Discrimination Act 1995

We are committed to employing people with disabilities and
have a positive attitude towards their applications. We
guarantee an interview to anyone with disability whose
application meets the minimum criteria for the post set out
in the advertisement.


What do we mean by disability?


The Disability Discrimination Act, 1995, 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.

Declaration
I consider myself to have a disability as defined above and I would like to apply under the Guaranteed
Interview Scheme.
                                                               YES                                                    NO
If you wish to tell us about your disability, please do so here;




Digital Signature:
                                                                                                                           Date:
(please type name)



Signature by hand: ................................................................................................
(NOTE: You will be required to sign this form in person if requested)
Please let us know if there are any special arrangements you will need for interview here:




          NOTE: Any false declaration of disability to obtain an interview will invalidate any offer of a post.


                                                                                                    10
                                       Equal Opportunities Monitoring cont.
Which groups do you most identify with in the five sections below?
1) Gender:
2) Ethnicity: (please select only ONE box)
ASIAN or ASIAN BRITISH                                                MIXED ETHNIC

         Bangladeshi                                                       Asian & White

         Indian                                                            Black African & White

         Pakistani                                                         Black Caribbean & White

         Other Asian background (please specify                            Other Mixed Ethnic background (please specify below
         below if you wish):                                               if you wish)




BLACK OR BLACK BRITISH                                                WHITE

         African                                                           White British

         Caribbean                                                         White Irish

         Other Black background (please specify                            Other White background (please specify below if you
         below if you wish):                                               wish)




CHINESE                                                               ANY OTHER ETHNIC BACKGROUND
                                                                           Any Other Ethnic background (please specify below if
         Chinese                                                           you wish):

         Other Chinese background (please specify below if you
         wish):




3) Nationality: (please select only ONE box)

         British or Mixed British                    English                                    Irish

         Scottish                                    Welsh                                      Other (please specify below):



4) Religion: (please select only ONE box)

         Buddhist                                    Christian                                  Hindu

         Jewish                                      Muslim                                     Sikh

         Rastafarian                                 None                                       Do not wish to disclose

         Other (please specify here if you wish):

5) Sexual Orientation: (please select only ONE box)

         Bisexual                                    Gay man                                    Other

         Gay woman                                   Heterosexual                               Do not wish to disclose


                                                                 11
                                                                         In Confidence
                                                            Nationality and Immigration
An Equal Opportunity Employer
                                                                   Status Form

                        TELEPHONE
Post applied for:                                                                    Our Ref No:       TUT/                      /                    /
                        INTERVIEWER
Before you can be regarded as qualified for appointment the ONS must be satisfied about your nationality and immigration status. This
form must be completed by all applicants. Please answer all of the following questions.

If you give any information which you know is false or if you withhold any relevant information, this may lead to your
application being rejected or, if you have already been appointed, to your dismissal. Please note that if you are appointed,
documentary evidence will be sought to confirm your answers. Your answers may, additionally, be checked against UK immigration and
nationality records.
1) Full Name:

2) Surname at birth (if different) and any other names by
which you have been known:

3) National Insurance Number:

4) Nationality at Birth:

5) Present nationality (if different):

6) Have you ever possessed any other nationality or
citizenship?
                                                                                             YES                     NO

If you have answered ‘YES’ to (6) above, please specify:


7) Are you subject to immigration control?                                                   YES                     NO
If you have answered ‘YES’ to (6) above, please specify:



8) Are you lawfully resident in the UK?                                                      YES                     NO
If you have answered ‘YES’ to (8) above, please specify
how (e.g. British citizen by birth etc)

9) Are there any restrictions on your continued
residence in the UK?
                                                                                             YES                     NO

If you have answered ‘YES’ to (9) above, please specify:


10) Are there any restrictions on your continued
freedom to take up employment in the UK?
                                                                                             YES                     NO

If you have answered ‘YES’ to (10) above, please specify:


11) If applicable, please state your Home Office/Port
reference number here:

Declaration: I undertake to notify any material changes in the information I have given overleaf to ONS HR Department

                                                                                   Signature (if completing by
Digital Signature:                                                                 hand)                          ...............................................................

Important: Data Protection Act (1998). This form asks you to supply ‘personal’ data as defined by the Data Protection act 1998. You will be supplying
this data to the appropriate HR or Security authority where it will be processed exclusively for the purpose of a check against the UK’s immigration and
nationality records and ONS nationality rules governing entry into the civil service. The HR or Security authority will protect the information which you
provide and will ensure that it is not passed to anyone who is not authorised to see it. By signing the declaration above you are explicitly consenting for the
data you provide to be processed in the manner described above. If you have any concerns about any of the questions or what we will do with the
information you provide, please contact the department who issued this form for further information.



                                                                             12
                                                                    In Confidence
                                                           Health Declaration Form
An Equal Opportunity Employer


 Post applied for:     TELEPHONE INTERVIEWER                                Our Ref No:    TUT/              /         /

Please read the information overleaf before completing this form. This form must be completed by
all applicants except established civil servants.

Full details of our health standard requirements are provided overleaf.
Please answer all the questions below (you will be required to sign this form if successful at interview):

1) First name(s):

2) Surname:

3) Date of Birth:

4) Have you ever had a serious illness, any major operation or any condition,
mental or physical, that may now or in the future prevent you from giving                        YES                        NO
regular and effective service?
If you have answered ‘YES’ to (4) above, please specify:




5) Please state if you are registered sick at the current time?                                  YES                        NO

If you have answered ‘YES’ to (5) above, please specify the date you became
sick and the nature of your illness:

6) May we approach your family doctor and, if necessary, your hospital
specialist for medical information?
                                                                                                 YES                        NO

7) Under the terms of the Access to Medical Reports Act, 1988*, do you
wish to have access to any information about your medical condition before
it is supplied to Capita Health Services Limited (Capita) by your family
                                                                                                 YES                        NO
doctor or your hospital specialist?


8) Please give the name and full postal address of your Doctor:




9) I declare that the information I have given is, to the best of my knowledge and belief, true and complete. I do not know of any reason why I
could not give full and effective service for a minimum of two years. I understand that I may be required to attend a medical examination. (Please
ensure that you read the conditions overleaf before signing this form).

                                                                        Signature:
Digital Signature
                                                                        (You will be required to sign                .................................................
(type full name):
                                                                        this form if requested)
                             * Note: A note of your rights under the provisions of this act is provided overleaf



                                                                        13
Notes on Health Standard Requirements

Our health standard requires you to show that you can give regular and effective service for at least two years (or for the
period of any shorter-term appointment). If you do not meet the standard fully at present, it may still be possible to offer you
employment – on unestablished terms to begin with. Fuller details about such appointments will be given to you if such
circumstances arise.

Please complete the form on the previous page and return it as directed.

If, however, you are already an established civil servant you do not need to complete this form, but please
complete the following declaration:


I am an established civil servant                                      YES                     NO


For all other applicants the completed form will be inspected only if you are recommended for appointment. The health of
each candidate is considered individually and no decision to reject a candidate is made without a medical examination and/or
professional medical advice.

You should notify us immediately if you have any serious illness after completing this form and before you take up
appointment offered as a result of your application.

If you give any information that you know is false – or if you withhold any information – your application may be rejected (or,
if already appointed, you may be dismissed). If you are retired on health grounds you may lose your right to certain
superannuation benefits.

Under the terms of the Access to Medical Reports Act 1988.

        You have the right to withhold your consent for the Capita Health Services Limited to apply to your family doctor
         or hospital specialist for medical information. If you give your consent you have the right to see information about
         your medical condition before it is supplied to Capita.

        You will have 21 days from the date of the Capita letter notifying you that a medical report has been requested in
         which to ask your family doctor or hospital specialist to let you see the report.

        Your family doctor or hospital specialist will tell you if you cannot see any part of the report for professional
         medical reasons.

        If you are given access to your report, your family doctor or hospital specialist will not send it to Capita until you
         give your consent.

        If you regard any information in the medical report as incorrect or misleading, you can ask in writing for it to be
         amended. Please note: if your family doctor or hospital specialist does not accept that the information is incorrect
         or misleading, they are not required to make any amendment, but in these cases your family doctor or hospital
         specialist will invite you to prepare a written statement on the disputed information which will be attached to the
         medical report sent to Capita.

        If your family doctor or hospital specialist gives you a copy of the medical report at your request, they may charge
         you a reasonable fee to cover the cost of supplying it.




                                                              14
                                                                  In Confidence
                                                            Character Enquiry Form
An Equal Opportunity Employer


  Post applied for:        TELEPHONE                                                              Our Ref No:                    TUT/           /   /
                           INTERVIEWER
            This section is confidential and will be detached prior to the selection process.
Before you can be regarded as qualified for appointment, ONS must be satisfied about your character. Please carefully read the notes
below before completing this form. Should you give any information which you know is false or if you withhold any relevant
information, this may lead to your application being rejected or, if you have already been appointed, to your dismissal.

NOTES

          Answering ‘Yes’ to any of these questions will not necessarily prevent you from being appointed. Each case is considered on its
           merits.
           ‘Offence’ in questions 1, 2 and 3 includes motoring, but not parking offences. Include details of the date and place of the court
           hearing, the type of offence, the sentence or order of the Court and, if applicable, the name and address of the probation officer.
          Do not give details of any conviction which is spent under the Rehabilitation of Offenders Act 1974. Before filling in this form we
           recommend that you contact NACRO (National Association for the Care and Resettlement of Offenders) if you have any doubt
           as to whether or not a conviction is spent; their service and advice is free (Tel: 0800 0181 259 or 020 7840 6464. Alternatively
           contact your solicitor, the Clerk of the Court where you were convicted or a Citizen’s Advice Bureau.
          You must tell us immediately if you are charged with an offence after you complete this form and before you take up any job
           offered as a result of your application.
          You must sign and date this form – if signed digitally you will be required to sign the form in person if invited to interview or
           offered an appointment.
          If you have been declared bankrupt you should give details of the date of the proceedings and the place at which they were held.

Please note that should your application be successful we are required to complete a criminal records check
via ‘Disclosure Scotland’ under the Police Act 1997 for which ONS will reimburse the cost.

1) Have you ever been convicted or found guilty of an offence by any Court, in the
United Kingdom or abroad, or by any Court martial?
                                                                                                                                         YES            NO

2) Have you been bound over or charged with any offence which is still pending?                                                          YES            NO

3) Are you insolvent? If you have been declared bankrupt, give details of the date of the
proceedings and the place at which they were held.
                                                                                                                                         YES            NO

4) Is a Receiving Order in effect on your property?                                                                                      YES            NO

5) Are you an undischarged bankrupt?                                                                                                     YES            NO

If you have answered ‘YES’ to any of questions 1 to 5 above, please give full details below:




I declare that the information given, is, to the   Signature:
                                                                ..............................................................
best of my knowledge and belief, true and
                                                                                                                                        Date:
complete.(You will be required to sign this form
in person if requested)                            Digital
                                                   Signature:




                                                                          15
                                                             In Confidence
                                                    Civil Service Pensions
An Equal Opportunity Employer
                                                      Declaration Form

 Post applied for:    TELEPHONE INTERVIEWER                              Our Ref No:   TUT/   /   /

Please complete the following information:


Forename(s):

Surname:


Address:




Postcode:

Home Telephone Number:

Mobile Telephone Number:


Email address:


Are you currently in receipt of a
civil service pension?
                                           YES                      NO



If so, who do you receive your
pension from?



Thank you for completing this application form. You may email the form back to us at:

interviewer.recruits@ons.gov.uk

Alternatively you may print the form and post it to us at:

Field Recruitment, Room 4100S, Office for National Statistics, Segensworth Road, Titchfield, Hampshire
PO15 5RR.


Please use the following page (page 17) if you wish to add extra information from any
previous sections of the form.




                                                               16
Please use this page as a continuation sheet for any previous sections of the form:




                                                      17
For office use only:


Comments:




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