Application Form

Personal Details

First Name: Surname: Email Address: Phone Number:

Diversity Monitoring Form

As an equal opportunities employer we aspire to reflect the communities we serve. Equality monitoring helps to understand the progress we’re making. Please accurately complete the following confidential section which does not form part of the application process.

Disability note: The Disability Discrimination Act (1995) defines a disabled person as someone with a physical or mental impairment which has a substantial and long-term adverse effect on his/her ability to carry out normal day-to-day activities.

Gender

Ethnic Group If you selected Other above, please specify:

Age:

Sexual Orientation If you selected Other above, please specify:

Faith If you selected Other above, please specify:

Do you Consider yourself to have a disability?

If you have answered “Yes” to the above question, please indicate here the main barriers you currently face as a result of your disability.

If you selected Yes above, please specify:

Are you currently in Employment, Education or Training?

Have you been unemployed for the last 12 months or more?

Thinking back to when you were 14, which best describes the sort of work the main/highest income earner in your household did?

Which type of school did you attend for the most time between the ages of 11 and 16?

Apart from spent convictions, as defined under the Rehabilitation of Offenders Act 1974, have you been convicted of a criminal offence, or are there any criminal charges outstanding against you?

Are you Ex-Military?

Have you experienced homelessness or rough sleeping?

Please Upload your CV Please Upload your Supporting Statement Criminal Declaration Form