Download application form - Exeter Royal Academy for Deaf Education

JOB APPLICATION FORM
Exeter Royal Academy for Deaf Education
50 Topsham Road
Exeter, Devon EX2 4NF
Registered Charity No 1124523
This form can be completed as a Word document. Email [email protected]
for a template.
Post: Marketing and communications officer
Reference Number (to be completed by Human Resources Department):……………………………..
Section A
References
Please give below the names, addresses and telephone numbers of two individuals who
have agreed to provide a reference on your behalf and including your present or most
recent employer.
CURRENT/MOST RECENT EMPLOYER:
………………………………………………..
………………………………………………..
………………………………………………..
………………………………………………..
………………………………………………..
………………………………………………..
………………………………………………..
………………………………………………..
Referees Job Title:
Referees Job Title:
………………………………………………..
………………………………………………..
Referees e-mail address:
Referees e-mail address:
.................................................................
For office use only:
.................................................................
For office use only:
Please tick if you would prefer us not to approach your current employer prior to interview.

Secondary, further education and other qualifications – please list all qualifications
obtained. As part of the recruitment process, we will check original certificates against the
qualifications stated below.
DATES ESTABLISHMENT
EXAMINATIONS PASSED
Date
Subject
Level
(GCSE, ‘A’ etc)
Grade
Employment history – Please set out in chronological order exact dates of all
employment ever held since leaving secondary education, this includes both part-time,
volunteering and temporary work.
Please provide start and end dates and explanations for periods not in employment,
education or training.
Please continue on separate sheet if necessary.
If there are unexplained gaps in employment and/or months and years not included then we
are afraid that the Academy will be unable to consider your application any further.
EMPLOYER
(names and full addresses)
in chronological order:
Dates
MM/YY
From
Current/Most Recent
Employer:
Position
Reason for
change
Salary and other
benefits
To
Please include
salary scale point if
known.
Section B
Why do you wish to take up this post? Continue on a separate sheet if necessary.
Please explain how you meet the Person Specification for this role. Continue on a
separate sheet if necessary. It would be helpful if you could explain how you meet
each of the Essential Requirements of the Person Specification.
What are your other interests, activities and hobbies?
Section C
Have you ever been convicted of a criminal offence? If so, please provide details.
What is the earliest date on which you could take up employment?
Is there any confidential information pertinent to your application that we should be
aware of? Applicants should be aware that appointment is subject to:
 Receipt of written references, which are considered satisfactory by the Academy.
 A completed staff suitability declaration form, which is considered satisfactory by both
the Academy and Ofsted.
 A enhanced DBS check considered satisfactory by the Academy,
 Proof of relevant qualifications,
 A clear list 99/barred list check.
 Eligibility to work in the UK.
I confirm that the statements made in this application are, to the best of my knowledge,
accurate and I authorise you to make such further confidential enquiries relating to the
application as may be considered necessary (present employer excluded).
Any offer of employment may be withdrawn if it is found that false information has been
included on the application form.
Signed:………………………………………
Date:……………………………….
Print Name:..............................................
Please return, marked for the attention of the Human Resources department:
Exeter Royal Academy for Deaf, 50 Topsham Road, Exeter EX2 4NF
[email protected] (Telephone: 01392 267096)
or
Diversity Monitoring FORM
Exeter Royal Academy for Deaf Education
50 Topsham Road
Exeter, Devon EX2 4NF
Registered Charity No 1124523
Reference Number (office use only): ..............................
Post title:
Full name:
Address:
Post Code:
Home Telephone
Mobile Telephone
E-mail address:
Gender:
Male  Female 
Date of birth:
Do you have responsibility for dependants? (Dependants relates to children, or elderly or
other persons for whom you are the main carer.)
YES/NO
Do you have any disabilities? Under the Equality Act 2010 a disability is defined as physical or
mental impairment which has a substantial and long-term adverse effect on a person’s ability to
carry out normal day to day activities.
YES/NO
Nationality:
Ethnic origin (Relates to a sense of identity/belonging on the basis of race/culture).
I would describe myself as (choose ONE section from A to E, and then tick the appropriate box
to indicate your cultural background):
A White:
British
English
Scottish
Welsh
Irish
Other, please specify:
B Mixed:
White and Black Caribbean
White and Asian
White and Black African
Other, please specify:
C Asian, Asian British, Asian English, Asian Scottish or Asian Welsh:
Indian
Pakistani
Bangladeshi
Other, please specify:
D Black, Black British, Black English, Black Scottish, or Black Welsh:
Caribbean
African
Other, please specify:
E Chinese, Chinese British, Chinese English, Chinese Scottish, Chinese Welsh, or other
ethnic group:
Chinese
Other, please specify:
Prefer not to states
Religious Belief (please tick as appropriate)
Buddhist
Christian
Hindu
Jewish
Muslim
Sikh
Other
None
Do not wish to answer
Where did you see this post
advertised?
Data protection: Information from this application may be processed for purposes registered by
the Employer under the Data Protection Act 1998. Individuals have, on written request [and on
payment of a fee] the right of access to personal data held about them.
I hereby give my consent to Exeter Royal Academy for Deaf Education processing the data
supplied in this form for the purpose of recruitment and selection.
Applicant's
signature:
Date:
The information you provide will be treated as strictly confidential and will be used only for Equal
Opportunities purposes. It will not be forwarded to recruiting mangers. It will not be taken into
consideration for short-listing or interviewing purposes.