Candidate No. _____
(For Office Use Only)
Job application form: Senior Policy Adviser (race)
The application form plays the most important part in our selection process. It is on the basis of
the form that we decide whether you will be short listed for interview or not. Please do not send
us your CV because it may include the kind of personal details that our equal opportunities policy
does not allow us to show the Selection Panel. Please note that this form will be kept on file for 6
months.
1. Applicant information
Title
First name
Last name
Home address
City
Post code
Telephone
Email address
Mobile
Number
Where did you
hear about this
vacancy?
2. Education, training and qualifications (from GCSE level)
Please give as much detail as you can, starting with secondary school. Continue on a separate
sheet if necessary.
Date from
Date to
Date qualification awarded
Name of school/college
Address
Major subjects studied
Qualifications obtained
(level/grade)
Date qualification awarded
Name of school/college
Address
Major subjects studied
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Qualifications obtained
(level/grade)
Date from
Date to
Date qualification awarded
Name of school/college
Address
Major subjects studied
Qualifications obtained
(level/grade)
Date from
Date to
Date qualification awarded
Name of school/college
Address
Major subjects studied
Qualifications obtained
(level/grade)
3. Other courses or opportunities
Provide here details of any other courses or opportunities which enabled you to acquire
training/skills appropriate to the vacant position and not stated in sections 4 or 5, including
memberships of professional associations.
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4. Employment and other experience relevant to your application
Please start with your current/most recent job. Only a summary is required here. Detailed
information can be given in section 5. Continue on a separate sheet if necessary.
Date from
Date to
Company
Job title
Address
Telephone
Salary
Responsibilities
Reason for leaving
Date from
Date to
Company
Job title
Address
Telephone
Salary
Responsibilities
Reason for leaving
Date from
Date to
Company
Job title
Address
Telephone
Salary
Responsibilities
Reason for leaving
3
Date from
Date to
Company
Job title
Address
Telephone
Salary
Responsibilities
Reason for leaving
5. Statement in support of application
Write a short paragraph on each of the criteria listed in the Person Specification to show why you
would be suitable for the role of Senior Policy Adviser (race), this should be no more than two A4
sides. You should read all the Person Specification criteria before completing this section.
The post will be offered to the person who demonstrates to the Selection Panel that they can best
satisfy the selection criteria through their education or training, the positions they have held and
the skills required. It is worth remembering that sometimes activities not related to work have
allowed you to gain additional skills and experience.
Continue on a separate sheet if necessary.
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6. Work details
Please give us dates of any holidays you have already arranged
Do you require a work permit?
Yes
No
7. References
Please give the full details of two people who we can contact for professional references, one of whom
should be your current employer. The referees must be able to comment on your knowledge, experience
and your ability to do the job you have applied for.
Personal or academic referees should be given only when there is no previous employer to which reference
can be made.
Referee 1
Full name
Job title/relationship
Company
Address
Telephone
Email
May we approach this referee before interview?
Yes
No
Referee 2
Full name
Job title/relationship
Company
Address
Telephone
Email
May we approach this referee before interview?
Yes
No
8. Disclaimer and signature
I confirm that the information in this application form is correct. I understand that any false information or
deliberate omissions which may impact upon or affect my ability to perform this role will disqualify me from
employment or may render me liable for dismissal.
I agree that the information I have supplied can be stored on computer or held manually in accordance
with the Data Protection Act.
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I consent to Equality Challenge Unit (and their professional advisers) using and keeping information I have
provided on this application form or elsewhere as part of the recruitment process and/or personal
information supplied by third parties such as referees, relating to my application or future employment.
I understand that the information provided will be used to make a decision regarding my suitability for
employment and if successful the information will be used to form my personnel record and will be
retained for the duration of my employment. If I am not successful, I understand that Equality Challenge
Unit will retain the form for 6 months after which time it will be destroyed. I agree that Equality Challenge
Unit may contact me in the event of there being any other vacancies for which I may be suitable. We do
continue to keep anonymous information for monitoring purposes principally to comply with antidiscrimination legislation.
Signature
Date
Applications must be submitted as a word document
Please return the completed form to: HR (recruitment)
By email to: [email protected]
By post to: Equality Challenge Unit, First Floor, Westminster Tower, 3 Albert Embankment, London
SE1 7SP
Before: 6 July 2017 at 5 PM (late applications will not be accepted)
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