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How to complete this Application Form:

Please complete the application form by filling out the details below.
Questions marked with an asterisk (*) are mandatory so please make sure you complete them.
Before you fill out the application please complete this simple login which will enable you to save your application and return to it at any time. You will need to have a valid email address.
Your login details will be emailed to you but please also keep a note of the details as you fill them in.
We recommend that you periodically save the form by logging back in with your username and password.
You can retrieve a partially completed form by logging back in with your username and password.
Once you have completed the application form please click submit at the bottom of the form. Receipt of your application will be acknowledged by email.
Your details will be stored in this form should wish to apply for another position at Uxbridge College in the future. If you make another application please ensure you update all the relevant information.

Which job are you applying for?

Please select from the drop down list:

Login Details

Surname*

Forename(s)*

Username*

Email Address*

Password*

Verify Password*

Your login details will be sent by email. Once logged in you can complete and submit your application

1. Personal Details

Address*

Town*

County*

Postcode*

Mobile

Home Number*

Work Number

IFL Registration No (if applicable)

National Insurance No

Are you contactable at work

Yes
No

Do you have the right to work in the UK*

Yes
No

If yes, please specify

UK/European Passport
Work Permit

2. Relative(s)

Do you have any relatives(s) currently working at the college?

Yes
No

3. Available to work

Available to work

Full-Time
Part-Time
Evenings

Do you wish to be considered for a job share?

Yes
No

4. Do you

Have use of a car?

Yes
No

Have a current driving licence?

Provisional
Full
PSV/ HGV
No

5. Education

Name Of Educational Establishment (Schools attended from age 11)	Date From (mm/yy)	Date To (mm/yy)	Subject	Grade
	Date From (mm/yy)	Date To (mm/yy)	Subject	Grade

6. Further/ Higher Education

Name Of Educational Establishment	Date From (mm/yy)	Date To (mm/yy)	Subject	Qualifications Gained/ Awarded
Name Of Educational Establishment	Date From (mm/yy)	Date To (mm/yy)	Subject	Qualifications Gained/ Awarded

7. Professional Membership

Type Of Membership	Date Gained
Type Of Membership	Date Gained

8. Employment History (include details of vacation employment if you are a school or college leaver)

Present/ Previous Employer

Address

Job Title

Starting Date (month/ year)

Leaving Date (month/ year)

Starting Pay Per Annum

Current/ Finishing Pay Per Annum

Please summarise the main duties of your present/ previous post

Reason for leaving/ wishing to leave

Previous Employer

Address

Job Title

Starting Date (month/ year)

Leaving Date (month/ year)

Starting Pay Per Annum

Finishing Pay Per Annum

Please summarise your main duties

Reason for Leaving

Previous Employer

Address

Job Title

Starting Date (month/ year)

Leaving Date (month/ year)

Starting Pay Per Annum

Finishing Pay Per Annum

Please summarise your main duties

Reason for Leaving

Previous Employer

Address

Job Title

Starting Date (month/ year)

Leaving Date (month/ year)

Starting Pay Per Annum

Finishing Pay Per Annum

Please summarise your main duties

Reason for Leaving

9. Short Courses / Conferences Attended

Course Title	Date (mm/yy)	Organising Body	Venue
Course Title	Date (mm/yy)	Organising Body	Venue

10. Interests, Public Duties And Voluntary Work

11. How did you find out about this vacancy?

Newspaper/ Journal (Please specify)

Internet Site (Please specify)

College:

Internal College Advertisement
Personal Contact In College

12. Please include a statement to support your application. Your statement should not exceed 1,000 words.

This information will be used in the selection process.

13. Please give dates on which you will NOT be available for interview

14. If selected for the appointment when could you start? Please state current notice period

15. References - (the College may take up references from previous employers within the last 5 years before interview) - except current employer as listed in section 8.

Current/Most recent employer name of referee

Referee's Job Title

Organisation Name

Address

Postcode

Telephone No

Fax Number

Previous employer - name of referee

Referee's Job Title

Organisation Name

Address

Postcode

Telephone No

Fax Number

16. At what stage can we take up references from your current employer?

References From Current Employer

Invited For Interview
Position Accepted

17. Declaration

I confirm that the information on this form is to the best of my knowledge true and complete. Any false statement may be sufficient for rejection or if employed dismissal*

I confirm

You've completed the application form and now you need to also complete the 'Equal Opportunities Monitoring' and the 'Rehabilition of Offenders' forms.

Equal Opportunities Monitoring Form

It is the policy of Uxbridge College to promote equality of opportunity in the fields of recruitment, training and promotion. All offers of employment will be made with reference to the requirements of the post and will not be unfairly influenced by any considerations of disability, race, gender, age, sexual orientation, transsexual or gender reassignment, marital or civil partnership, religion/faith or pregnancy and maternity leave.

Monitoring

To ensure that Equal Opportunities are implemented the College must ascertain that unfair or illegal discrimination is not taking place. The College aims to achieve this by keeping up to date information about job applicants. This is for statistical purposes only and will be separated upon receipt before consideration of candidates takes place. It will be treated confidentially and only used in monitoring and enhancing equal opportunities.

Full Name*

Surname before marriage (if applicable) for reference purposes

Post Applied For*

Date of Birth*

Gender*

Ethnic Origin - How would you describe your ethnic origin? (please select the appropriate box)*

Asian or Asian British - Bangladesshi
Asian or Asian British - Indian
Asian or Asian British - Pakistani
Asian or Asian British - Any other Asian
Black or Black British - Caribbean
Black or Black British - African
Black or Black British - Any Other Black
Chinese
Mixed - White & Asian
Mixed - White & Black African
Mixed - White & Black Caribbean
Mixed - Any other mixed background
White - British
White - Irish
White - any other white background
Any Other

How would you describe your nationality?*

Disability

The term ‘DISABILITY’ used in the Equality Act 2010, will depend upon whether a particular impairment has a substantial and long term effect on a person’s ability to carry out normal day-to-day activities.

Do you consider yourself to have a disability?

Yes
No

If Yes, please give further details

I confirm that the information on this form is to the best of my knowledge true and complete. Any false statement may be sufficient for rejection or if employed dismissal.*

True
False

Rehabilitation of Offenders Act 1974

Please read the following carefully, and complete as appropriate. (Failure to provide details of convictions or cautions may result in dismissal from the College).

This Act allows some criminal convictions to lapse after certain periods of time. When this happens such convictions are called 'spent' and a person with such a conviction is not generally required to supply information about it to a prospective employer.

The vacancy for which you are applying is however one for which you are obliged to declare ALL convictions and cautions (including those which occurred at any time in the past), since the Act does not apply to applications to Further Education Colleges. On commencement of employment, the College will check this statement with the Criminal Records Bureau.

Please list any criminal convictions or cautions below.

I have no convictions or cautions*

True
False

I have disclosed details of all convictions, cautions, bindings below*

True
False

Rehabilitation of Offenders Act 1974

Convictions

I confirm that the information on this form is to the best of my knowledge true and complete. A statement regarding convictions or cautions may be sufficient for rejection of the application.*

True
False