3. GENERAL INFORMATION Are you related to or do you have a close relationship with: A Birmingham Councillor; Birmingham School Governor; an employee of the school to which you are applying, or an employee of Birmingham City Council? Yes:☐ :No:☐ If yes, please provide details: Name: Relationship: Position: Department: Yes:☐ No:☐ Do you wish to job share the position you are applying for? –––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––--------- 4. ARRANGEMENTS FOR INTERVIEW If you have disability, are there any arrangements which we can make for you if you are called for an interview and or/work based exercise? Yes: No: ☐ ☐ If yes, please specify, (e.g. ground floor venue, sign language, interpreter, audioloop, etc): ––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––– 5. EDUCATION/QUALIFICATIONS (Start with Secondary first) From To Secondary Examinations Results Date school/College/University, taken or to be and gained/ Mth Yr Mth Yr etc. taken Grades expected –––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––– 6. TRAINING (Most recent first) Year Organising body Course title Length of course
3. GENERAL INFORMATION Are you related to or do you have a close relationship with: A Birmingham Councillor; Birmingham School Governor; an employee of the school to which you are applying, or an employee of Birmingham City Council? Yes:☐ :No:☐ If yes, please provide details: Name: Relationship: Position: Department: Do you wish to job share the position you are applying for? Yes:☐ No:☐ –––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––--------- 4. ARRANGEMENTS FOR INTERVIEW If you have disability, are there any arrangements which we can make for you if you are called for an interview and or/work based exercise? Yes: ☐ No: ☐ If yes, please specify, (e.g. ground floor venue, sign language, interpreter, audioloop, etc): ––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––– 5. EDUCATION/QUALIFICATIONS (Start with Secondary first) From To Secondary school/College/University, etc. Examinations taken or to be taken Results and Grades Date gained/ expected Mth Yr Mth Yr –––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––– 6. TRAINING (Most recent first) Year Organising body Course title Length of course
qb-support-staff-application-form-sept-16-17067.docx