Job Application Form s1

You may complete and return this form electronically or on paper. In either case please ensure you complete all the boxes or make it clear if these do not apply to your situation. Type in the grey form fields which will expand to fit your text. If you wish to complete it electronically, first save the document in Word using your name as the document name (e.g. jsmith.doc). Renaming the document is important as if application forms are returned to us with the original file name another person’s application may over-write yours. Email your completed application as an attachment to [email protected]. If you prefer, you can complete a paper copy of the application form. If you would like us to send you one, contact Sonal Shah on 020 7239 7840. Please use black ink or typescript. If you find you do not have enough room to answer a question, you may continue on a separate sheet to which you should add your name before attaching it firmly to your application. Please contact Sonal Shah if you would like help in completing your application form.

Post your completed paper form to OPM Group Recruitment, 252B Gray’s Inn Road, London, WC1X 8XG.

Post applied for:

Where did you see this post advertised?

Chapter 1: Personal details

Preferred title: Forename(s): Surname:

Address for correspondence: Daytime telephone: Evening telephone: Mobile:

Postcode: Email address:

Are you eligible to work in the United Kingdom Yes No in line with the terms of this role?

Do you have any unspent criminal Yes No convictions? (Please note that you may be required to undertake a Disclosure and Barring Service check as part of the application process).

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Chapter 2: Your experience and other relevant information What do you think you can bring to the OPM Group in this post, and what do you think the OPM Group and the post can offer you?

This is the section in which you make your case for the job. Please read the job specification carefully and relate your answer to the information in this. Please note a CV will not be accepted.

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Chapter 3: Employment history Chapter 4: Present or most recent employment

Name and full postal address Post held: Main areas of responsibility: of employer:

Dates: From: Please state your reasons for leaving your current To: employment: Salary and benefits:

Notice period:

Chapter 5: Past employment history.

Dates: From Employer’s name and Job title and brief description of Salary – to address responsibilities

Chapter 6: Education, training and professional skills Please list your education, qualifications and any job relevant training, short or long courses attended or currently undertaken. Please specify any professional registration you hold and list any relevant publications, including those on websites.

Education

Name of school, college, Dates Details (examinations, grade, level) university From – to

Training

Course(s) taken Dates Details

Professional registration

Professional body Type of registration Date of registration and expiry date

Relevant publications, with dates and location if on a web site

Chapter 7: References Please give details of two referees. Choose people who know you well but who are not related to you. One must be your present employer, or last employer if you are currently unemployed. If you are working independently you may give details of someone who is familiar with your current work.

Referee from your current or most recent Other relevant referee employment

Name: Name:

Address: Address:

Postcode: Postcode:

Telephone: Telephone:

E-mail: E-mail:

Occupation: Occupation:

May we approach this referee prior to May we approach this referee prior to interview? interview? yes no yes no

Chapter 8: Consent Statement Please note we normally keep all interview notes for twelve months after the final interview.

Chapter 9: Declaration I understand that any appointment offered will be subject to the information given on this form being correct and complete. Failure to disclose any pertinent facts relating to previous employment and qualifications may result in any offer being withdrawn. Full name: *Signature: Date: *If you are returning this form by email, it may be signed at interview.

Chapter 10: Equality and diversity monitoring OPM Group has a positive commitment to the promotion of equal opportunities. In order for us to monitor which groups of people apply for jobs, we ask for your assistance in providing the following details. Your responses will be used only for the purpose of developing widening access initiatives and will have no bearing on whether you are invited in for an interview. Should you proceed to the interview stage and have indicated you have a disability or impairment, HR will contact you to see if there are any reasonable adjustments we can make for you during the recruitment process. All received applications will be passed onto the panel, and the panel will make a decision independent of the information provided below. This information will be used in the strictest confidence and all information published will be in aggregated form and completely anonymous. However, you are free to complete all or any parts of the form if you choose. Please return it as part of your application form, from which it will be immediately separated and retained by HR.

Thank you OPM Group Recruitment team

Ethnicity

Asian / Asian British Black / Black British Chinese Indian Caribbean Chinese

Pakistani African

Bangladeshi Other

Other . .

Mixed White Other White and Black Caribbean British

White and Black African Irish

White and Asian Other

Gender Male Female

Disability Definition of disability under the Equality Act 2010:

You’re disabled under the Equality Act 2010 if you have a physical or mental impairment that has a ‘substantial’ and ‘long-term’ negative effect on your ability to do normal daily activities.  ‘substantial’ is more than minor or trivial - e.g. it takes much longer than it usually would to complete a daily task like getting dressed

 ‘long-term’ means 12 months or more - e.g. a breathing condition that develops as a result of a lung infection

Do you consider yourself to be disabled as set out under the Equality Act 2010? Yes No Please state the type of impairment which applies to you. People may experience more than one type of impairment, in which case you may indicate more than one. If none of the categories apply, please mark ‘Other’ and specify the type of impairment

Physical impairment, such as difficulty using your arms or mobility issues which means using a wheelchair or crutches

Sensory impairment, such as being blind / having a serious visual impairment or being deaf / having a serious hearing impairment Mental health condition, such as depression or schizophrenia

Learning disability/difficulty, (such as Down’s syndrome or dyslexia) or cognitive impairment (such as autistic spectrum disorder)

Long-standing illness or health condition such as cancer, HIV, diabetes, chronic heart disease, or epilepsy

Other (please specify) I

Other monitoring information What is: Your age? Your religion? Your nationality? Your marital status? Your sexual orientation? Do you have any dependants? Yes No Chapter 11:

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