Inspiring and empowering students to change the world
Application for employment
The information contained in this application will be treated as confidential and will not be disclosed without
your prior permission. We are required under the Data protection Act 1998 to inform you that some data
you have supplied will be held on computer, cloud and paper-based files and databases.
Office use only – Application number:
Position you are applying for:
Equal opportunities
Goldsmiths Students’ Union strives to ensure equality of opportunity in all employment practices, including
recruitment and selection. To monitor our progress we ask that all candidates complete this information as
part of their application. Sections 1.1 to 1.6 will not be seen by the Selection Panel and will not affect the
selection process in any way.
Section 1.1 – Name and contact information
First name:
Surname:
Address:
Mobile number:
Email address:
Section 1.2 – Personal details
Which of the following best describes your gender?
Male
Female
Other
Prefer not to say
What is your age bracket?
18-29
30-39
40-49
50-59
Single
Civil Partner
60 +
Prefer not to say
What is your relationship status?
Married
Partner
Prefer not to say
How do you define your sexual orientation?
Lesbian / Gay
Bisexual
Heterosexual
Other
Prefer not to say
Section 1.3 – Residency
Under the Asylum and Immigration Act 1996 we are obliged to ask for proof of entitlement to work in the
UK. Are you able to provide a UK passport or NI card to prove this?
No
Yes
If you require a permit to work what is your Home Office Ref Number:
Goldsmiths SU Application Form – December 2013
Inspiring and empowering students to change the world
Section 1.4 – Ethnicity
I would describe my ethnic origin as:
White
White British
White Other
Mixed
White and Black Caribbean
White and Black African
White and Asian
Other mixed background
Indian
Pakistani
Bangladeshi
Other Asian background
Caribbean
African
Asian
Black
Other black background
Chinese
Chinese
Other ethnic group, please specify:
Prefer not to say
Section 1.5 – Religion
Please select from one of the following;
Atheist
Buddhist
Christian
Hindu
Jewish
Muslim
Rastafarian
Sikh
No religion
Other
Prefer not to say
Section 1.6 – Disability
The Disability Discrimination Act 1995 defines a disabled person as someone who has a physical or mental
impairment which has substantial and long-term adverse effect on their ability to carry out normal day-today activities. According to this definition, you consider yourself to have a disability?
No
Yes, please give details:
Do you require any particular provisions if selected for interview?
No
Yes, please give details:
Section 1.6 – Criminal convictions
Have you ever been convicted of a criminal offence? Please note that under the Rehabilitation of Offenders
Act 1974, only unspent convictions need to be declared.
No
Yes, please give details:
Goldsmiths SU Application Form – December 2013
Inspiring and empowering students to change the world
Office use only – Application number:
Section 2.1 – Current employment
Current employers name:
Address:
Job title:
When did you start there? Click here to enter a date.
What is your notice period?
Current salary:
Did you have any additional benefits?
Briefly describe your role and responsibilities:
Why are you looking to leave?
Section 2.2 – Previous employment
Please provide details of your employment history in chronological order (starting with the most recent
before your current employer). There is space for three additional listings as well as a text box where
additional information can be provided, e.g. explanations for gaps in employment.
Employers name:
Address:
Job title:
When did you work there?
From: Click here to enter a date.
To: Click here to enter a date.
Briefly describe your role and responsibilities:
Employers name:
Address:
Role:
When did you work there?
From: Click here to enter a date.
Briefly describe your role and responsibilities:
Employers name:
Address:
Role:
Goldsmiths SU Application Form – December 2013
To: Click here to enter a date.
Inspiring and empowering students to change the world
When did you work there?
From: Click here to enter a date.
To: Click here to enter a date.
Briefly describe your role and responsibilities:
Additional information (optional):
Section 3.2 – Training and personal development
Please provide details of any training, personal development or non-educational qualifications that are
relevant for this role.
Course / Qualification
Grade
Date Obtained
Click here to
enter a date.
Click here to
enter a date.
Click here to
enter a date.
Click here to
enter a date.
Click here to
enter a date.
Click here to
enter a date.
Obtained From
Section 3.1 – Education
Please provide details of your attainment in education. You do not need to list every A level or GCSE grade
(e.g. 10 GCSE’s grades A-D is sufficient), but please highlight your highest qualifications or any that are
relevant for the position you are applying for.
Course / Qualification
Grade
Goldsmiths SU Application Form – December 2013
Date Obtained
Click here to
enter a date.
Click here to
enter a date.
Click here to
enter a date.
Click here to
enter a date.
Click here to
enter a date.
Click here to
enter a date.
Click here to
enter a date.
Click here to
enter a date.
Obtained From
Inspiring and empowering students to change the world
Section 4.1 – Supporting statement
Please tell us why you are applying for this role. Ensure you state how your skills, knowledge and
experience relate to the Job Description and Person Specification, providing demonstrable examples
wherever possible. Remember, we may read dozens of these statements so ensure you sell yourself but in a
concise manner that is no longer than two sides of A4.
Section 4.2 – Values, attitude and behaviours
Goldsmiths Students’ Union is an organisation driven by its values. Please tell us a little bit about your
values, attitudes and behaviours and why these would be important in the role you are applying for.
Are you able to enjoy yourself and have fun?
No
Yes
If you answered yes, let us know how!
Section 5.1 – References
Please give the details of two referees, with one being your current or most recent employer:
Name:
Name:
Job title:
Job title:
Relationship to you:
Relationship to you:
Organisation:
Organisation:
Address:
Address:
Telephone:
Telephone:
Email:
Email:
Can we contact prior to interview?
No
Yes
Can we contact prior to interview?
No
Yes
Section 6.1 – Other
Are you related to, or do you have a personal relationship with, any employee or Trustee of Goldsmiths
Students’ Union?
No
Yes, please tell us who:
So we can monitor the effectiveness of our recruitment advertising, please let us know how you heard about
this vacancy:
Section 7.1 – Declaration
By returning this form to [email protected] I confirm, to the best of my knowledge, the
information contained within is true and correct. I understand that any deliberate misrepresentations may
lead to the termination of any subsequent employment without notice or benefit.
Goldsmiths SU Application Form – December 2013