Dorchester, dorset, dt2 8PY

Referee 1 – Present or most recent employer
Referee 2
Name:	Name:
Capacity in which the above is known to you:	Capacity in which the above is known to you:
Address:	Address:
Postcode:	Postcode:
(This is our preferred method of contacting referees) Email Address:	(This is our preferred method of contacting referees) Email Address:
Telephone Number: Mobile Number:	Telephone Number: Mobile Number:
Approach prior to interview? Yes /No

I confirm that the information given on this application form and any additional enclosures is true and complete. I understand that any false statement or omissions may be sufficient cause for rejection, or, if employed, dismissal. I consent to Kingston Maurward College processing the information on this form, including ‘sensitive information, and to request any references that as may be necessary during the recruitment and selection process.

Signed: ………………………………………………………………… Date: ……………………………………………….….

EDUCATION, QUALIFICATIONS AND PROFESSIONAL TRAINING Please give details of all educational qualifications (including GCSEs/ O Levels) and professional training you have completed. List in Chronological order with dates Short listed candidates will be asked to provide evidence of the qualifications listed on this application form. Continue on a separate sheet, if necessary. Please annotate the post applied for at the top of the page/s
Qualifications Obtained or to be taken	School / College Awarding Body	Date	Grade/Level

Are you MEMBERSHIP OF PROFESSIONAL BODIES? Yes / No If yes please provide details and registration numbers

Do you hold a full clean UK Driving Licence Yes / No Does your Driving Licence entitle you to drive vehicles in class D1? Yes /No

EMPLOYMENT HISTORY
CURRENT OR MOST RECENT EMPLOYER
Company Name: Address: Postcode: Email address: Contact number:
Present / most recent job role:
Date commenced	Date left (if applicable)	Salary
Brief description of duties:
Reason for leaving/seeking new employment?
Contractual notice period for this role?

FULL EMPLOYMENT HISTORY (most recent first). Please give details of all previous positions held since completing full time education. This should include both paid employed and any unpaid work. Continue on a separate sheet, if necessary. IMPORTANT – Please ensure you provide the dates of any periods when not working and the details of what you were doing if not employed. Please annotate the post applied for at the top of the page/s.
Name and Full Address of Employer	Email Address And Phone number	Position Held	From (Month & Year)	To (Month & Year)	Reason for Leaving
The College actively supports applications from disabled persons If you have a disability please provide details*. Please also provide details of any arrangements you may need the College to put in place if you are shortlisted for an interview or assessment of your skills: ............................................................................................................................................................................ ............................................................................................................................................................................ * We ask this question here (a) to support College managers in ensuring that any applicants with a disability, who meet the minimum essential criteria for a post, are shortlisted for interview; (b) to ensure that any support necessary is put in place for disabled applicants who are subsequently appointed.
RELEVANT EXPERIENCE Please use this section to explain why your skills, experience and knowledge would make you a suitable candidate for the post. This could also include any voluntary work undertaken, leisure interests or other activities, which you consider to be relevant to the position, as advertised. The information you provide should relate to the information outlined in the Job Description and clearly address the criteria set out in the Person Specification / Essential Criteria. The panel will shortlist applications in line with the Person Specification match.

Please continue on a separate sheet, if necessary, clearly annotating the position applied for at the top of the page.
Kingston Maurward College

Equality Monitoring Form

Kingston Maurward College is committed to both the avoidance of unlawful discrimination and the positive promotion of diversity and equality. In pursuit of this it essential that no person shall experience more or less favourable treatment on the grounds of disability, gender, gender expression and identity, sexual orientation, marital or parental status, age, race, colour, ethnic origin, nationality, trade union membership and activity, religious beliefs, socio-economic background and any other distinction.

In order to ensure the effective implementation of this policy, the College will monitor its employment related policies, practices and procedures on a continuing basis. Where appropriate, action will be taken to address any matters arising from monitoring.

As an approved user of the disability symbol we are committed to employing disabled people and will interview all applicants with a disability recognised within the definition of the Equality Act 2010, who meet the minimum criteria for a job vacancy and consider them on abilities. The Act defines disability as a physical or mental impairment, which has a substantial and long-term adverse effect on a person’s ability to carry out normal day to day activities. Long term is taken to mean lasting for a period greater than twelve months or where the total period is likely to last at least twelve months. If you are in any doubt about whether you meet this definition please contact Human Resources.

Please complete all relevant questions on the form below. This information is confidential and will be stored electronically and manually in Human Resources for monitoring purposes only. This form will not be passed on to those making any selection decisions.

If you have any queries regarding this form please contact Human Resources on 01305 215252.

Thank you for your help

Kingston Maurward College