Step 1 of 9 11% Please note that CV’s will not be considered. Please complete all sections of the application form in full. If completing by hand, please use black ink. You should detail all previous employment history, including any periods of non-employment or voluntary work. If you require this application form in a different format, please contact Human Resources at H.Resources@nelsongroup.ac.uk Position applied for:* Title:MrMrsMissMsOtherSurname:* First Names:* Former/Previous Surname(s) Address:* Street Address Address Line 2 City County Postcode Mobile No:*Email:* Telephone No:National Insurance Number:* Do you have? (Teaching Applications Only) QTS QTLS References Please provide details of two referees (not relatives), one of whom should be your present/most recent employer. Referee 1Referee 1: Name* Position Company Name Relationship to you:* Address:* Street Address Address Line 2 City County Postcode Telephone:*Email:* Referee 2Referee 2: Name* Position Company Name Relationship to you:* Address:* Street Address Address Line 2 City County Postcode Telephone:*Email:* Other InformationDo you require a work permit to work within the UK?* Yes No If yes, do you hold a current work permit? Yes No Do you have any family or other close relationship to any existing employee of the College or a member of the Corporation Board? Yes No If yes, please provide detailsDo you have a current driving licence?* Yes No Do you have access to a car?* Yes No Education and TrainingEducation and Qualifications:*Include in this section all relevant qualifications, i.e. Secondary, Further, Higher and Professional. Include subjects currently being studied for with an asterisk(*)Subject/QualificationPlace of StudyGrade/ResultsMonth/Year Obtained Non Qualification Courses (e.g. Health and Safety at Work):Provider of TrainingYear and Duration (e.g 2000, 6 weeks x 2hrs)Content of Training Teacher Reference Number (Teaching applications only) Do you hold a teaching qualification?QualificationInstitutionDate Membership of Professional BodiesPlease give details of any professional bodies or associations to which you belong. Organisation(s)Registration NumberRenewal Date Continuing Professional Development Undertaken Present / Recent EmployerCurrent/Most Recent Employment:*Date FromDate ToName of employerCompany addressPositionBrief outline of dutiesReason for leaving (if applicable)Present/last salaryState whether full-time/ part-timePeriod of NoticePrevious Employment:*Please give details of all previous positions (most recent first) held since full-time education. Please also explain any gaps in employment (continue on a separate sheet if necessary). Please note the College reserves the right to contact each previous employer for verification of details provided.Date FromDate ToName of employerPositionBrief outline of dutiesReason for Leaving Student exam results for the past 3 years:(to be completed by teaching staff only) DateQualificationBoardPass RateHigh GradesRetention (%)Added ValueNumber of Students Disclosure and Barring Service (DBS) Check Due to the nature of the work for which you are applying you are required to declare any pending criminal prosecutions or spent criminal convictions, cautions, reprimands and final warnings as outlined in the amendments to the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (2013 and 2020). The only exception to this is if any of these are ‘protected’ cautions. This means that you do not need to disclose these to employers, and if they are disclosed, employers cannot take them into account. Guidance about whether a conviction or caution should be disclosed can be found on the Ministry or Justice website. We guarantee that this information is only made available to those who need to see it as part of the recruitment process. The DBS/Recruitment of Ex Offenders Policy is available by request from the HR Department. The Rehabilitation of Ex Offenders Act 1974 Because of the nature of the work for which you are applying, this post is exempt from the provisions of Section 4 (2) of the Rehabilitation of Offenders Act 1974, by virtue of the Rehabilitation of Offenders Act (Exemptions) Order 1975 as amended. Applicants are, therefore, not entitled to withhold information about convictions, cautions or final warnings which for other purposes are "spent" under this Act. The amendments to the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (2013 and 2020) provides that when applying for certain jobs and activities, certain convictions and cautions are considered ‘protected’. This means that they do not need to be disclosed to employers, and if they are disclosed, employers cannot take them into account. Guidance about whether a conviction or caution should be disclosed can be found on the Ministry of Justice website. Any information given will be completely confidential and will be considered only in relation to an application for positions to which the Order applies. Certain posts, where the postholder may come into contact with under 18s and vulnerable adults, will be subject to checks by the Disclosure and Barring Service. Do you have any unspent conditional cautions or convictions under the Rehabilitation of Offenders Act 1974?* Yes No Do you have any adult cautions (simple or conditional) or spent convictions that are not protected as defined by the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (Amendment) (England and Wales) Order 2020?* Yes No Are you currently subject to any ongoing police enquiry?* Yes No Are you disqualified from working with children subject to regulated body sanction?* Yes No Have you ever been refused employment based on a DBS check?* Yes No If ‘YES’ to any of the above, please give details belowDateOffenceSentence Nelson and Colne College Group is committed to eliminating discrimination and actively pursuing equality of opportunity for our staff and students. We seek to promote and maintain an inclusive and supportive environment in which diversity of backgrounds and experience is valued; where the dignity of staff and students is respected and where all members of our College community are assisted to achieve their full potential. It aims to ensure that all staff and students, whether existing or potential, receive fair and equal treatment when applying to, or working as, members of the College. On receipt of your application, this section of the application form will be removed. All responses will be treated in the strictest confidence, and solely used for statistical purposes.Are you:* Male Female Gender Fluid Prefer not to say Date of Birth: Day Month Year What is your marital status? Divorced Separated Married Single Widowed Civil Partnership Prefer not to say Ethnic Background: Indian Pakistani Bangladeshi Chinese Any other Asian or Asian British background Caribbean African Any other Black, African or Caribbean background English Welsh Scottish Northern Irish British Irish Gypsy or Irish Traveller Any other White background White and Black Caribbean White and Black African White and Asian Any other Mixed or Multiple ethnic background Arab Any other Ethnic background Prefer Not to Say What is your religious belief? Buddist Christian Hindu Jewish Muslim Sikh No religion/ belief Prefer not to say Do you have any special requirements in terms of religious belief? What is your sexual orientation? Bisexual Gay man Gay woman/lesbian Hetrosexual/straight Prefer not to say Do you consider yourself to have a disability or have a long-term health condition?* Yes No Prefer not to say What is the impact or impairment of your disability or health condition?This question is asked to ensure that individuals receive the opportunity of an interview if they meet the essential requirements for the post. If you have answered yes to the above question could you please give details below including any practical steps which we should take into account when arranging an interview. Supporting Statement*State how your experience and skills gained through study, training, employment etc. meet each of the criteria detailed in the person specification. Please do not attach a copy of your CV as it will not be considered. Where did you see this vacancy advertised?* Nelson and Colne College Careers Site Newspaper Job Centre Indeed TES Other If other - please specify where Declaration I confirm that the information I have given on this form is correct and understand that if selected, an enhanced disclosure will be sought from the DBS. Data Protection Act 1998 Your signature on this document gives the College the right under the Data Protection Act 1998 to process the information you have given, including data of sensitive nature, for processes relating to your application for employment, which have been notified to the offices of the Information Commissioner. Any processing of the data by the College will be in accordance with the College's Data Protection Policy and the processing principles set out in the Act. Application forms of unsuccessful candidates will be destroyed after 6 months. Signature*Date* DD slash MM slash YYYY Δ
