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                                                                        Human Resources Department
                                                                        Bicton College
                APPLICATION FORM                                        East Budleigh
                                                                        Budleigh Salterton
                                                                        Devon. EX9 7BY

                                                                        Tel 01395 562363
                                                                        Fax 01395 567502
                                                                        Email vacancies@bicton.ac.uk
                                                                        Web www.bicton.ac.uk




Our equal opportunities policy includes the provision that the only consideration in recruitment must be that
the individual meets or is likely to meet the genuine requirements of the job. No one will be discriminated
against on the basis of gender, age, race, colour, ethnic origin, physical disability, marital status, sexual
orientation, caring or parental responsibilities, or belief in any matters including religion and politics.




APPLICATION FOR THE POSITION OF

____________________________________________________________________________________



PERSONAL DETAILS


Surname              _________________________        Forename(s)                _________________________

Title                _________________________        Known as                   _________________________

Address              _________________________        Home telephone             _________________________

                     _________________________        Daytime telephone          _________________________

                     _________________________        Mobile                     _________________________

                     _________________________        Email address              _________________________

Post code            _________________________




Please state how you became aware of the position (specific publications, etc)

____________________________________________________________________________________


        02 02 2011



                                                          1
PERSONAL INFORMATION
    Please note the short listing panel does not see this information.

PLEASE TICK RELEVANT BOX                                                                            YES   NO

Do you hold a current Full Driving Licence?

Have you registered with the Institute for Learning (IfL)?

Membership Number                                Registration Status

                                                 Fellow / Member / Associate / Affiliate / Retired


Health - Please note a successful candidate will be asked to complete a health questionnaire and may be asked
to undergo a medical examination with the College’s Occupational Health Physician before an appointment is
confirmed.

If you answer “YES” to any of the following questions, please provide relevant details in the space
below.

Have you ever been convicted of a criminal offence, other than petty motoring offences?
You will also be asked to disclose any cautions, reprimands and warnings when
completing a CRB form.
(Due to the nature of the work for which you are applying, i.e. in an educational establishment,
under the Rehabilitation of Offenders Act 1974 (exceptions) Order 1975, you are not entitled to
withhold information about “spent” convictions. Any information will be treated as completely
confidential and will be considered only in relation to an application for positions to which the
order applies.)
Please note: All posts are subject to a Criminal Records Bureau check. If you have any queries
please contact the HR department.

Do you have any criminal charges pending?

Have you ever been dismissed from employment for a reason other than redundancy?

Have you ever been suspended or subject to disciplinary action in any post you have
held?

Do you require a work permit to take up employment in the UK?

If you are invited to attend an interview, do you require any special facilities?
Are you related to a member of Bicton College staff? Please give details below
If you have answered YES to any of the above, please specify in the area below.




                                                             2
DATA PROTECTION

 The Data Protection Act (1998) aims to ensure that all organisations who collect, process and store
 information about individuals do so correctly (i.e. people about whom information is collected know of its
 existence and how to correct it if it is wrong).
 In order for Bicton College to process your application further, we need to collect, process and store the
 information about you as contained within the application form.
 Personal information contained within the application form will be used for the post applied for and no
 other purpose. The information will be kept confidentially by the College, and used only by the
 assessment panel for the purpose of selecting the best candidate for the post.
 If an applicant is not appointed, then his or her information will be destroyed after 6 months.
 If an applicant is appointed to the post, the College will maintain his or her information. The College will
 maintain this for pay, contract and management purposes. Information will be held on computer and on
 paper. Any member has the right to see and if necessary update or correct the information held about
 them by the College, by contacting the Human Resources department.




The statements made by me in this application, and any other details I have submitted, are true to the best
of my knowledge and belief. I give permission to approach those referees that I have not embargoed. I
also give permission for you to seek confirmation of the details supplied within my application. If
successful, I understand that Bicton College will require me to undertake a Criminal Records Bureau (CRB)
check.

I give my consent to the processing of the information given on this form on the understanding that it will be
used only for the purposes set out above and that my consent is conditional upon Bicton College complying
with their obligations and duties in accordance with their registrations under the Data Protection Act 1998.

I understand that any falsification may be considered sufficient cause for rejection or, if employed,
dismissal.



Signature of Applicant                                              Date



NOTES


      Enclose a stamped, self-addressed post card if you require an acknowledgement that your
       application has been received or include an email address and we will email an acknowledgement.

      Please note, any expenses incurred in attending the interview will be the responsibility of the
       candidate and will not be paid for by the College.




                                                          3
4
EDUCATION AND QUALIFICATIONS
Please give details of your education and qualifications (most recent first)


 From         To            Schools, College,             Subject(s) studied                 Qualifications /
                            University, etc                                                  Certificates /
                                                                                             Grades




WORK RELATED QUALIFICATIONS/MEMBERSHIP OF PROFESSIONAL BODIES


 From         To            Name of Association or Institute /                 Level / Grade of Membership
                            Qualifications




                                                         5
RELEVANT TRAINING


From         To           Title of course     Details




PRESENT OR LAST EMPLOYMENT


Post _____________________________________    Grade/salary      __________________________

Name and address of employer                  Date of starting __________________________

_________________________________________     Date of leaving __________________________
                                              (if applicable)
_________________________________________
                                              Reason for seeking new post
_________________________________________     _______________________________________

_________________________________________     _______________________________________

_________________________________________     Notice required __________________________


Outline of main duties and responsibilities

___________________________________________________________________________________

___________________________________________________________________________________

___________________________________________________________________________________

___________________________________________________________________________________

___________________________________________________________________________________

___________________________________________________________________________________

___________________________________________________________________________________

___________________________________________________________________________________



                                              6
PREVIOUS EMPLOYMENT (most recent first)


 From         To          Employer                    Post title and duties
                                                      Please state your reasons for leaving each post




REFERENCES
Both referees should be previous employers, and one should be your present or last employer

 1                                                    2
 Name        _______________________________          Name       _______________________________

 Job Title   _______________________________          Job Title _______________________________

 Address     _______________________________          Address _______________________________

 _________________________________________            ________________________________________

 _________________________________________            ________________________________________

 _________________________________________            ________________________________________

 _________________________________________            ________________________________________

 Telephone ________________________________           Telephone ______________________________

 Email       ________________________________         Email       ______________________________


 May references be obtained prior to interview?       Referee Number 1                     YES / NO
                                                      Referee Number 2                     YES / NO


                                                      7
STATEMENT IN SUPPORT OF YOUR APPLICATION
Please set out below the strengths you feel you would bring to this post, and the reasons why you feel you
would be a suitable appointment. Continue overleaf if necessary.
Your statement should indicate how your knowledge, skills and experience meet the criteria in the job
description and person specification.




                                                       8
9
                                    EQUAL OPPORTUNITIES MONITORING

    Bicton College is committed to promoting equality of opportunity in its employment policy, practices
    and procedures. To make this meaningful we need to monitor the effectiveness of our policy, could
    you therefore, please provide us with the following information. This information will be treated
    separately and in the strictest confidence.

        Please state which vacancy you have applied for:
        ………………………………………………………………………………………


         I would describe my race or cultural origin as (please tick one box only):

          Bangladeshi                           Mixed – White Black African
          Indian                                Mixed – White Black Caribbean
          Pakistani                             Mixed – Other Mixed background
          Other Asian                           White - British
          African                               White - Irish
          Caribbean                             White – Other White background
          Other Black                           Any other ___________________
          Chinese                               Not known/not provided
          Mixed – White & Asian

    Nationality: _____________________________________________________

    If not UK / EU do you have UK residency:          Yes                 No


         My sex is (please tick the appropriate box): Male          Female


         My age is (please tick the appropriate box):

              up to 25                 26-35                   36-45                    46+


         Do you consider yourself to have a disability? Yes             No

    Definition of Disability: Section 1 of the Disability Discrimination Act defines a person as having a
    disability if he/she “has a physical or mental impairment which has a substantial and long-term
    adverse effect on their ability to carry out normal day to day activities”.

    If yes, would you like to tell us more? _________________________________

    ________________________________________________________________

    If you would like further information and advice relating to your application and are in doubt as to whom to
    contact, please consult the Equal Opportunities Commission, the Commission for Racial Equality, the Disability
    Rights Commission or another relevant organisation.


Please state how you became aware of the position (specific publications, etc)
____________________________________________________________________________________




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