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APPLICATION FORM
Applicants are advised to read the Guidance Notes carefully before completing the application form.
PERSONAL DETAILS - Please complete this section in block capitals and black ink.
Position:
Ref:
Department:
Closing Date:
How did you become aware of this vacancy (please tick)?
BEP
Total Jobs
FE Jobs
Bristol Jobs
Website search
SGS College Website
Other please specify
Are you currently employed by SGS
College?
Yes /
No
Surname:
Initials:
Address:
Home Telephone Number:
Work Telephone Number:
Mobile Telephone Number:
Email Address:
Postcode:
National Insurance No:
DFEE Number:
IFL Registration Number & Grade:
Do you require a work permit to work in the UK?
Yes /
No
If yes, you will be required to provide original documents at the interview
stage.
Do you hold a current driving licence?
No
Yes/
Date started teaching in FE
sector?
Do you have the use of a motor vehicle?
Yes /
No
EDUCATION AND QUALIFICATIONS
Establishment
Qualification gained
Year gained
School:
College / University:
Other relevant courses attended in the last 5 years including job related training
Establishment
Course
Year gained
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EMPLOYMENT HISTORY – Please provide details of your current employer, followed by your past
employment history since completing full-time education (including paid or unpaid work experience) in
chronological order. If you have held more than 4 positions within the past 10 years please continue on a
separate sheet. If you have no recent employment history, please provide details of any unpaid or
voluntary work experience, if applicable.
CURRENT EMPLOYER
Name and address of
Company
From
To
Brief Summary of Duties
Full or
Part-time
Position Held:
Reason for leaving
Salary per annum:
If appointed how much notice are you required to give?
If appointed to this post will you retain any other form of paid employment?
details:
Company:
Yes /
No If yes, please provide
Job Title:
Hours worked per week:
Brief Summary of Duties
Full or
Part-time
PAST EMPLOYMENT
Name and address of
Company
From
To
Position Held:
Name and address of
Company
Salary per annum:
From
To
Brief Summary of Duties
Position Held:
Name and address of
Company
Reason for leaving
Full or
Part-time
Reason for leaving
Salary per annum:
From
To
Brief Summary of Duties
Position Held:
Full or
Part-time
Reason for leaving
Salary per annum:
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Are you a member of a Professional or Technical Association?
Yes /
No
If yes, please state Association, grade (if applicable) and length of membership.
Are you related to any Governor or employee of SGS College?
Name:
Yes /
No If yes, please provide details:
Relationship:
Position Held:
REFERENCES
Please provide details of two people to whom references can be made. One referee must be the line manager of your
current employer; the other should be the line manager of your previous employer. If you have no previous
employment please provide details of your School/College/Training Centre. NB: Internal applicants need to
complete details for one referee.
References will be taken up upon verbal acceptance of an offer of employment and on occasion taken up
prior to interview. If you do not wish your current employer to be contacted prior to interview please tick
this box.
CURRENT EMPLOYER
PREVIOUS EMPLOYER
Referee Name:
Referee Name:
Job Title:
Job Title:
Company:
Company:
Address:
Address:
Postcode:
Postcode:
Telephone Number:
Telephone Number:
Fax Number:
Fax Number:
Email Address:
Email Address:
Capacity known to you:
Capacity known to you:
PERSONAL STATEMENT
The advertisement, job description and person specification detail the qualifications and experience that are
required for this position. Please use this space to detail your experience, training or activities which you consider
relevant to the position. You may wish to provide details of any paid or unpaid experience, hobbies or other interests
which could support your application. Please include the reasons why you consider yourself suitable for this
position.
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I confirm that the information I have given on this form is correct and complete.
Signed:
Date:
If you are sending this application form by email then in the absence of this signature you should note that the emailing of this
application constitutes your personal certification that the details in this application are correct and complete.
False or misleading information on this form will disqualify you from appointment, or if appointed will render you liable
to dismissal without notice.
Should you be unsuccessful in your application the College will retain your paper application form on file for a
period of up to one year. If you do not wish your application to be retained on file please indicate by ticking the
box.
Please return this form together with the Equal Opportunities Monitoring form to:
Human Resources Department, South Gloucestershire & Stroud College, Filton Avenue, Filton, Bristol BS34 7AT
Telephone number: 0117 909 2321
For Office Use Only
Applicant No:
Date Received:
SLD:
Fax number: 0117 909 2339
AFSL
AAD
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IN
Email: [email protected]
AFI
AD
EQUAL OPPORTUNITIES MONITORING FORM
South Gloucestershire and Stroud College embraces diversity in all its aspects and aims to employ a workforce and
attract a student body which reflects, at every level, the community it serves. Our aim is to create an environment
which respects the diversity of staff and students enabling them to achieve their full potential, to fully contribute and
to derive enjoyment from working and studying in the College.
The College aims to ensure that all actual or potential employees and students are treated equally regardless of age,
disability, family responsibility, marital status, race, colour, ethnicity, nationality, religion or belief, gender, sexual
orientation, trade union activity and unrelated criminal convictions.
NOTE: The data recorded on this form is classified as sensitive data under the Data Protection Act 1998 and
will only be used for the above mentioned purposes and will be treated in strict confidence. All data used for
reporting purposes will be anonymised to prevent individuals being identified. It will not be used at any
stage of the selection process.
Personal Details
Forename(s)
Known As
Title
Department
Gender
Marital Status
Mr
Male
Mrs
Miss
Dr
Position
Female
Unknown
Single
Married
Divorced
Surname
Date of Birth
Other
Ref
Rather not say
Other
Widowed
Religious Beliefs (optional)
The religions/faiths listed below represent the categories used in the 2011 UK population census.
Please select the category which you feel best describes your religion or belief.
Christian (including Church of England, Catholic, Protestant and
Buddhist
all other Christian denominations)
Hindu
Jewish
Muslim
Sikh
No Religion
Prefer not to say
Any Other Religion (please specify)
Sexual Orientation
Please tick the box which best describes you:
1
Heterosexual
2
Gay
3
Lesbian
4
Bisexual
5
Prefer not to say
6
Unknown
Please turn over and complete the reverse of this form
Page 5 of 6
Disability
There are many kinds of disability some more widely understood and visible than others. Many of us may have a
disability that is covered by the Equality Act 2010 without even realising it. In legal terms, a person is likely to be
considered disabled if they have a physical or mental impairment that has a substantial (not minor or trivial) and
long term (has lasted or is likely to last for at least 12 months) adverse effect on their ability to carry out normal dayto-day activities.
If you consider yourself to have a disability, please tick the box on table below which best describes you:
1
2
3
4
Yes – rather not say
Yes – physical impairment
No
Yes – learning difficulty
5
6
9
Yes – mental ill health
Prefer not to say
Unknown
If yes, please specify below any changes or adjustments you may require to your working conditions, the workplace,
hours of work, premises, or equipment that you may find beneficial or that you may need the College to provide by
way of additional training, special equipment, supervision or other arrangements with regards to your disability?
Ethnic Origin
Pease tick box on table below which best describes your ethnic origin:
11
Asian or Asian British – Bangladeshi
22
Mixed ethnic background, with a
background of – any other
12
Asian or Asian British – Indian
23
White - British
13
Asian or Asian British – Pakistani
24
White – Irish
14
Asian or Asian British – any other
25
White – any other
15
Black or Black British – African
26
White – other European
16
Black or Black British – Caribbean
27
Any other – Gypsy, Traveller, Roma
17
Black or Black British – any other
28
Any other - Arab
18
Chinese
97
Prefer not to say
19
Mixed ethnic background, with a background of 98
Any other
– White and Asian
20
Mixed ethnic background, with a background of Country of Birth
– White and Black African
21
Mixed ethnic background, with a background of
– White and Black Caribbean
Criminal Record
Having a criminal record will not automatically bar you from employment with the College. The decision will depend
on the nature and circumstances of the offence. Have you ever been convicted by the courts or cautioned,
reprimanded or given a final warning by the police?
Yes /
No If yes, please provide details and dates in a sealed envelope
(Note, the post you have applied for is exempt from the Rehabilitation of Offenders Act 1974 which means that all
convictions, cautions, reprimands and final warnings on your criminal record need to be disclosed. If you are invited
to interview you will be required to complete a Criminal Records Application Form, a copy of the CRB Code of
Practice is available on request).
Health
Please state the number of days and reasons for absences
from work / education due to sickness in the last 2 years.
What is your current state of health?
Signed: ________________________________________________ Date: _________________________________________________
Please return this form to:
Human Resources Department, South Gloucestershire and Stroud College, Filton Avenue, Filton, Bristol, BS34 7AT
Telephone number: 0117 915 2447
Fax number: 0117 909 2339
Email: [email protected]
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