Application form
This application form contains a number of sections in which you are expected to give important personal details
and history which are relevant to your application and play a part in the selection process.
There is also space for you to give evidence showing that you have the knowledge, skills, abilities and other
personal qualities needed to do the job. These are referred to as competences. In the space provided on the
application form you will need to explain, in your own words, how, when and where you have put these
competences into practice.
Wilton Park will process any personal data you provide on this form for the purposes of staff administration. The
data may be disclosed to other Government Departments and Public Authorities.
Position applied for
Programme Director
Where did you hear about this post:
Personal details
Surname
First Names
Address
Telephone Number
Home
Work
Mobile
(please tell us of
exercise)
any change during recruitment
Postcode
E-Mail
Birth and nationality
Place of Birth
Nationality at Birth
Have you been a British citizen for at least 5 years
prior to date of this application? (Delete as applicable)
Yes / No
Current Nationality
Have you been resident in the UK for at least two of the
ten years preceding the date of this application ignoring
temporary periods of travel, work or study? Please refer
to the Guidance Notes for Applicants before answering
this question
Nationality if not
(Delete as applicable)
British at Birth
Yes / No
Disabilities
Wilton Park is happy to consider applications from people with disabilities. To help us ensure that you are given
every chance to succeed, can you please give us the following information:
Do you regard yourself as disabled under the terms and the Disability Discrimination Act of 1995?
(Delete as applicable)
Yes / No
If ‘yes’, please give details of any particular arrangements you require if you are tested or interviewed
Qualifications
List the qualifications you have taken or are about to take (e.g. GCSE, A levels, Higher, BTEC, NVQ, Degree,
Professional Qualification, or overseas equivalent).
Start with the most recent qualification. Proof of qualifications will be requested should you be asked for interview.
Type of qualification
Subject
Result
Year
Membership of professional organisations
Name of Organisation
Level of Membership
Year
Employment history
Give details of your current/last employment. Please include part-time, holiday or voluntary work, work experience
or training schemes.
Name and Address of Company or Organisation
From______________________
To_________________________
Position, nature of work and responsibilities.
Current/Last Salary____________________
Reason for leaving your current or most recent employer.
Period of Notice Required
Preferred Start Date
(if applicable)
Past employment
Please include any part-time work experience, holiday or voluntary work.
1. Organisation and
dates employed
2. Position and summary
of main duties
3. Reason for leaving
4. Organisation and
dates employed
5. Position and summary
of main duties
6. Reason for leaving
7. Organisation and
dates employed
8. Position and summary
of main duties
9. Reason for leaving
Continuation - if
required
Reasons for application
Please give your reasons for making this application relating your skills, knowledge and experience to the
requirements of the job as outlined.
Training and development
Please give details of any training or development which you have received, which may be relevant to the job.
Competences
Please give examples to demonstrate the following competences.
Leading and
Communicating
Collaborating and
Partnering
Managing a Quality Service
Delivering at Pace
Making Effective Decisions
These competences will require examples at interview stage only
Driving
Do you hold a full current
driving licence?
Do you have your own
transport?
Do you have any endorsements?
(Delete as applicable)
(Delete as applicable)
(Delete as applicable)
Yes / No
Yes / No
Yes / No
If YES please give details
References
Please give the names and addresses of two referees. Where possible two employer references are preferable,
otherwise the first one should be your present/last employer or school/college if currently in secondary or further
education.
Name
Name
Address
Address
Tel No.
Email
Occupation
Tel No.
Email
Occupation
May we obtain the references now? (Delete as applicable) Yes / No
Declaration
I declare that the information given is true and accept that false information may result in my
application being disqualified and if appointed could lead to dismissal.
I confirm that all information provided is correct.
Signature_________________________________________
Date______________________________