Application Form

Job Application Form

Application for Employment – Part A

Name*

Title*

Date of Birth*

Email*

Mobile Number*

Work Number

Home Number

Can we contact you at work?*

Gender*

If you prefer to use your own term, please specify here:

What is your ethnicity?*

White

Mixed / Multiple Ethnic Groups

Black / African / Caribbean / Black British

Asian / Asian British

Other Ethnic Group

If you have selected a ‘Other’ background please specify here:


Equality Act 2010

You are disabled under the Equality Act 2010 if you have a physical or mental impairment which has a substantial and long term negative effect on your ability to do normal daily activities.

Do you consider yourself to be a disabled person under the terms of the Equality Act 2010?

If yes, what is the effect or impact of your disability or health condition on your ability to work:

The information in this form is for monitoring purposes only. If you believe you need ‘reasonable adjustments’, then please discuss this with your Manager, or our HR department if you are the job applicant so we can assist you in your application or with our recruitment process.



Application for Employment – Part B

Are you applying for an advertised vacancy or is this a speculative application?*

Please complete this section if you are applying for an advertised vacancy

Job Title

How did you find out about this vacancy

If other please state:

If this post is temporary, part-time or job share please indicate the period/times of day you would prefer to work:

Please complete this section if this is a speculative application

I am interested in the following job role(s)

I am willing to work in the following area(s)

If you wish to be considered to part-time/ flexible hours, please indicate the period / times of day you would prefer to work:

How did you find out about this vacancy


Employment Information

Please give details of roles you have held starting with your current or most recent post. If you are self-employed please state in the employer name section.


Present of most recent employer

Name*

Position(s) Held:

Date Started*

Date Completed (Leave blank if currently employed)

Present salary*

Are you a member of a pension scheme?*


Previous Employment

Date From / Date To Emplpoyer’s name and address Position held Reason for leaving

Education & Training

Secondary Education

Name of School

Dates

Qualifications taken & grades obtained


Continuing Education (University / College / Apprenticeships / etc)

Place of Education

Dates

Subjects

Qualification Result

Full or Part Time


Other Training and Development (including any relevant in-house or in-service training)

Dates

Details

Other skills which may be relevant to this application

Other relevant activity (e.g. community or voluntary experience)

Membership of Professional Organisations

Are you registered with the Institute for Learning (IfL)?*

If yes, please provide registration number:

Other Memberships

Organisation

Types of membership

Date Joined


Suitability for the role

Please read the requirements in the role profile and in no more than 500 words, explain why you are suitable for this post.


Additional Information

Do you have a current driving licence?*

Do you own / have use of a car for work?*

Do you have any current endorsements? (if yes, please give details)*

If yes, please give details

Working in the UK

If you are not a British citizen, do you have permission to work permanently in the UK?

If yes, please provide you work permit number:


Safeguarding

Rehabilitation of Offenders Act 1974

Under the Rehabilitation of Offenders Act 1974 and regulations issued by the Home Office, PTP has a duty to ensure that a police check for possible criminal convictions is undertaken for those offered and appointment that gives substantial access to young people and vulnerable adults. Applicants for employment will be required to disclose spent convictions.

Have you ever been convicted of a criminal offence? (if yes, please give details)*

If yes, please provide details:

Disciplinary Warnings

Do you have any current disciplinary warnings?*

If yes, please give details:


References

Verification of your last 3 years employment will be required. Please give full names, email addresses, full postal address and telephone numbers of referees to cover this timescale. Continue on separate sheet(s) if necessary. If you have not worked continuously for 3 years, please also provide details of a personal referee (do not include relatives). Offer is conditional subject to suitable references.

Name*

Email*

Phone Number*

Can we take this reference before interview?*

In what context does this referee know you?*


Name*

Email*

Phone Number*

Can we take this reference before interview?*

In what context does this referee know you?*


Name*

Email*

Phone Number*

Can we take this reference before interview?*

In what context does this referee know you?*


By submitting I confirm that to the best of my knowledge the information I have provided on this form is correct and may be stored and used in accordance with PTP’s recruitment and selection procedures and I accept that providing deliberately false information could result in my dismissal.*

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