For office use only
Reference number:
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TRP RESEARCH APPLICATION FORM
Please fill in the application form below. Do not type/write using only capital letters and please
remember to check it carefully. Once you’ve completed the application form, please email it to
[email protected]
Role applying for
Date of application
PART 1: PERSONAL INFORMATION
Details entered in this part of the form will be held in the HR systems of TRP Research. Access to this
information will be withheld from the shortlisting panel.
Title
Surname/family name
First names
Date of birth
Address
Postcode
Country
Home telephone
Mobile telephone
Preferred telephone number
Home
Mobile
Email address
Details of any criminal offences (unspent)
Do you hold a current UK Driving Licence?
Yes
No
Are you a United Kingdom (UK), European Community (EC) or European Economic Area (EEA) National?
Yes
No
If no, do you have a UK work visa?
Yes
No
Please supply details of any visa currently held:
Visa No:
Start Date: (DD/MM/YY)
Expiry Date: (DD/MM/YY)
Details of any Restrictions:
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PART 2: APPLICATION FOR EMPLOYMENT
Details entered in this part of the form will be held in the HR systems of TRP Research and will be
made available to the shortlisting panel.
Educational and professional qualifications
Please give details of all relevant qualifications. Please also indicate subjects currently being studied.
All qualifications disclosed will be subject to a satisfactory check.
Subject/qualification
Place of study
Grade/result
Year obtained
Training courses attended
Please give details of training courses you have undertaken or are currently taking part in
Course title
Training provider
Duration
Completion
date (actual
or planned)
Membership of professional bodies
Please give details of any relevant professional bodies you are a member of.
Professional body
Level (if
applicable)
Duration
Year
membership
started
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Employment history
Please record below the details of your current or most recent employer
Employer name
Address
Telephone number/email address
Type of business
Job title
Start date
End date (if applicable)
Salary
Reason for leaving (if applicable)
Description of your duties and responsibilities
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Previous employment
Please record below the details of all your previous employment, beginning with the most recent first.
Up to 3 previous employments can be entered here. If required, please provide additional information
regarding your employment history within the ‘Supporting information’ section.
Previous employer 1
Employer name
Address
Job title
From date
To date
Reason for leaving (if applicable)
Description of your duties and responsibilities
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Previous employer 2
Employer name
Address
Job title
From date
To date
Reason for leaving (if applicable)
Description of your duties and responsibilities
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Previous employer 3
Employer name
Address
Job title
From date
To date
Reason for leaving (if applicable)
Description of your duties and responsibilities
Please add any additional employers/information at the end of your Supporting Information submission
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If you have any gaps within your employment history, please state the reasons for the gaps below.
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Supporting information
In this box please give your reasons for applying for this post and additional information which shows
you match the personal specification for the job (as detailed on our website). This can include
relevant skills, knowledge, experience, voluntary activities and training etc.
Supporting information (please continue on additional sheets if necessary).
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References
Please provide the names and full contact details of the people who have agreed to supply references.
References must include at least two positions with separate employers, and as a minimum, cover a
period of three years employment and/or training history, where this is possible.
Referee 1
Type of reference
Employer
Educational
Personal
Employer
Educational
Personal
Title
Surname/family name
First name
Relationship to you (if applicable)
Job title
Address
Postcode
Telephone/email
Referee 2
Type of reference
Title
Surname/family name
First name
Relationship to you (if applicable)
Job title
Address
Postcode
Telephone/email
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Declarations
The information in this form is true and complete. I agree that any deliberate omission, falsification
or misrepresentation in the application form will be grounds for rejecting this application, or
subsequent dismissal if employed by the organisation.
I agree to the above declaration
Signature
Name
Date
Where did you see this vacancy advertised?
University career service
Ad/mention on social media
Recruitment agency
Word of mouth
TRP website
Other. Please specify below
___________________________
In the next section of this application form we will ask you, amongst other things, about any
disabilities you may have. This is part of our commitment to ensure that our recruitment processes are
fair and not discriminatory. This information is not shared with the recruitment selection panel, so
should you wish to for us to take any disabilities into account during the selection process by making
reasonable adjustments, please could you indicate below that this is the case.
Do you consider yourself to have a disability that you would like us to take
into consideration should we offer you an interview?
Yes
No
If yes, please outline below the reasonable adjustments you feel would be required should we offer
you an interview
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PART 3: MONITORING
TRP Research recognises the benefits of having a diverse workforce, and therefore welcomes
applications from all sections of the community. In addition to this, under the provisions of the
Equality Act 2010, we are required to demonstrate that our recruitment processes are fair and that we
are not discriminating against, or disadvantaging anyone because of their age, disability, gender
reassignment status, marriage or civil partnership status, pregnancy or maternity, race, religion or
belief, sex or sexual orientation. Therefore a series of questions need to be raised in order to
ascertain who is applying for each position and to ensure that no one is being unfairly discriminated
against or disadvantaged.
This section of the application form will be detached from your application and will not be used as
part of the selection process nor will it be seen by anybody who is interviewing you. The information
collected is only used for monitoring purposes in an anonymised format to assist TRP Research in
analysing the profile and make up of individuals who apply, are shortlisted for and appointed to each
vacancy. In this way, we can check that we are complying with the Equality Act 2010.
Equality Act 2010
The Equality Act 2010 protects people against discrimination on the grounds of their age and sex.
Please state your date of birth
DD/MM/YYYY
I do not wish to disclose this
Male
Please indicate your gender
Female
I do not wish to disclose this
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The Equality Act 2010 protects people who are married or in a civil partnership.
Please indicate the option which best describes your marital status
Married
Divorced
Single
Widowed
Civil partnership
I do not wish to disclose this
Legally separated
The Equality Act 2010 protects people against discrimination on the grounds of their race which
includes colour, nationality, ethnic or national origin.
Please indicate your ethnic origin
Asian or Asian British
White
Bangladeshi
British
Chinese
Irish
Indian
Any other White background
Pakistani
Black or Black British
African
Other ethnic group (please specify below)
_______________________________________
Caribbean
Any other Black background
I do not wish to disclose this
Mixed
White & Asian
White & Black African
White & Black Caribbean
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The Equality Act 2010 protects bisexual, gay, heterosexual and lesbian people from discrimination on
the grounds of their sexual orientation.
Please indicate the option which best describes your sexual orientation
Lesbian
Heterosexual
Gay
I do not wish to disclose this
Bisexual
The Equality Act 2010 protects people against discrimination on the grounds of their religion or belief,
including a lack of any belief.
Please indicate your religion or belief
No religion
Jewish
Buddhist
Muslim
Christian (including Church of England,
Catholic, Protestant and all other Christian
denominations)
Sikh
Hindu
Any other religion. Please specifiy below
__________________________________________
I do not wish to disclose this
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The Equality Act 2010 protects disabled people – including those with long term health conditions,
learning disabilities and so called “hidden” disabilities such as dyslexia. If you tell us that you have a
disability we can make reasonable adjustments to ensure that any selection processes – including the
interview – are fair and equitable.
Do you consider yourself
to have a disability?
Yes
No
I do not wish to disclose this information
Please state the type of impairment which applies to you. People may experience more than one type
of impairment, in which case you may indicate more than one. If none of the categories apply, please
mark ‘other’
Physical impairment
Learning disability/difficulty
Sensory impairment
Long-standing illness
Mental health condition
Other
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