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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
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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.
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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.
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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
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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
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
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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
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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.
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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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