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Personal Details
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Present Employment
Referees
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Higher Education & Professional Qualifications
Post 16 Education
Literacy and Numeracy Qualifications
Criminal Convictions
Rehabilitation of Offenders Act
Due to the nature of the work for which you are applying, this post is exempt from the provisions of Section 4(2) of the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975. Applicants are therefore not entitled to withhold information about convictions which for other purposes are “spent” under the provisions of the Act, and, in the event of employment being offered and accepted, any failure to disclose such convictions which become known later could result in dismissal, or disciplinary action. Any information given will be completely confidential and will be considered only in relation to an application for positions to which the Order applies. The College will undertake a Disclosure check for all appointed candidates.
Membership of Professional Intitutions
Previous Employment Experience (In date order with most recent employment first)
Supporting Statement
I declare that the information given in this form is correct to the best of my knowledge and belief and I have not withheld any facts which might unfavourably affect my application. I understand that to withhold or falsify information or falsify information on this form could result in disciplinary action should I be appointed.

Equal Opportunities Monitoring Form
Sex:
Ethnic Origin