Application for Job No: the Post of: Candidate Ref No. Personal Information Previous Name(s): (if applicable) Last Name: First Name(s): Home Address: Please specify alternative correspondence address on a separate sheet. Postcode: E-mail address: National Insurance No (If you have one): Date of Birth: Do you have a full current Home Telephone Yes No driving licence? Number: Do you have daily use of a Work Telephone Yes No vehicle? Number: Do you have any penalty Mobile Telephone Yes No points on your licence? Number: If so, how many? Do you consider yourself to have a disability? Yes No (NB: The Disability Discrimination Act defines a person as having a disability if he/she a physical or “has mental impairment which has a substantial and long-term adverse effect on his or her ability to carry out normal day to day activities”) The Academy operates an Guarantee Scheme’ for people with a disability and who meet the ‘Interview essential criteria of the post. If you have a disability, are there any arrangements which we can make for you Yes No if you are called for interview? If yes, please outline your requirements: How did you find out about this job? Are you applying on a Job basis? Yes No If so, please state the proportion of full-time you are willing to work: Present (or Most Recent) Employment
Application for the Post of: Job No: Candidate Ref No. Personal Information Previous Name(s): (if applicable) Last Name: First Name(s): Home Address: Please specify alternative correspondence address on a separate sheet. Postcode: E-mail address: National Insurance No (If you have one): Date of Birth: Do you have a full current driving licence? Yes No Home Telephone Number: Do you have daily use of a vehicle? Yes No Work Telephone Number: Do you have any penalty points on your licence? Yes No Mobile Telephone Number: If so, how many? Do you consider yourself to have a disability? Yes No (NB: The Disability Discrimination Act defines a person as having a disability if he/she “has a physical or mental impairment which has a substantial and long-term adverse effect on his or her ability to carry out normal day to day activities”) The Academy operates an ‘Interview Guarantee Scheme’ for people with a disability and who meet the essential criteria of the post. If you have a disability, are there any arrangements which we can make for you if you are called for interview? Yes No If yes, please outline your requirements: How did you find out about this job? Are you applying on a Job basis? Yes No If so, please state the proportion of full-time you are willing to work: Present (or Most Recent) Employment
Biddulph-Support-Staff-Application-Form.docx