Application for employment Step 1 of 2 50% Position applied for* Personal detailsName* MrMrsMissMsDrProf.Rev. Title Surname Forename(s) Address* Street Address City County / State / Region ZIP / Postal Code Please complete all fieldsTelephone numbers:Home Work (only if we may telephone you there)Mobile* Email* Are there any restrictions on your continued residence or employment in the UK?*YesNoWhat period of notice are you required to give your current employer?* Please give details* Are you on the DBS update service?*YesNoSevern Arts will process a DBS application for any successful applicant if needed. Travel:Questions a) and b) are optional. Question c) is mandatory.a) Do you hold a current driving licence?YesNob) Do you have your own vehicle? c) Do you have the ability to travel to locations across Worcestershire and beyond?*YesNoWhere did you hear about this vacancy?* Employment recordPosition held:* Date started / left:* Name and address of employer:*Please give a brief description of your duties:*Reason for leaving:* Previous roles*Please give details of your prior employment history, including the company name, job title, dates worked, a brief description of duties and reason for leaving.Education and trainingPlease indicate all qualifications, starting with the most recent. It is our policy to verify the qualifications of successful applicants where these are a requirement of the role.Qualifications*School/College/UniversitySubjectGrade awardedLevel of qualification Click the plus button to add further qualifications.Training/professional membershipCourse/organisationBrief details Click the plus button to add further lines.Personal statement*With reference to the person specification, please explain why you consider yourself a suitable candidate for this position, including examples of your relevant achievements, as well as what motivated you to apply.Data Protection StatementInformation from this application may be processed for purposes permitted under the General Data Protection Regulation. Individuals have, on written request, the right of access to personal data held about them. Severn Arts treats personal data collected during the recruitment process in accordance with its Data Protection Policy. Information about how your data is used and the basis for processing your data is provided in the Severn Arts Privacy Policy. Declaration*I confirm that the above information is complete and correct and that any untrue or misleading information will give Severn Arts the right to terminate any employment offered. I understand that any offer of employment is subject to Severn Arts being satisfied with the result of a series of relevant checks including references, eligibility to work in the UK, Prohibition check (for teaching roles only), DBS Check, criminal convictions, probationary period and a medical report (in line with the operation of the Equality Act 2010). I agree to the above statement If you have a disability, and there are any special arrangements which need to be made should you be short-listed for interview, please contact us to notify us of these. ReferencesPlease give the names and contact details of two referees whom we can contact to provide information in support of your application. One of these should be your current manager/client: if you are not in employment, please supply the name of your most recent employer/client or an academic reference (e.g., tutor or teacher). References*Severn Arts is committed to safeguarding and promoting the welfare of children and young people. As such, Severn Arts implements a Safer Recruitment Policy. This means that where possible references will be taken up once applicants have been shortlisted for interview. Please indicate here if you have any concerns about references being taken up at shortlisting stage. I am happy for you to take up my references at shortlisting stageI would prefer you not to take up my references at shortlisting stage Reference 1 Name and address*Telephone number*Email* Position held in relation to applicant* Reference 2 Name and address*Telephone number*Email* Position held in relation to applicant* Rehabilitation of Offenders Act 1984Applications from ex-offenders are welcomed and will be considered on their merit. All posts involving direct contact with children are exempt from the Rehabilitation of Offenders Act 1974. However, amendments to the Exceptions Order 1975 (2013 & 2020) provide that certain spent convictions and cautions are ‘protected’. These are not subject to disclosure to employers and cannot be taken into account. Guidance and criteria on the filtering of these cautions and convictions can be found on the Ministry of Justice website. Shortlisted candidates will be asked to provide details of all unspent convictions and those that would not be filtered, prior to the date of the interview. You may be asked for further information about your criminal history during the recruitment process. If your application is successful, this self-disclosure information will be checked against information from the Disclosure & Barring Service before your appointment is confirmed. Declaration*I confirm that the above information is complete and accurate, and I understand that any offer of employment is subject to a) references which are satisfactory to Severn Arts b) a satisfactory enhanced DBS certificate and check of the Barred list where relevant c) the entries on this form proving to be complete and accurate and d) a satisfactory medical report, if appropriate. I confirm that I have not been disqualified from working with children, cautioned, or sanctioned in this regard. I agree to the above statement Equal opportunitiesWe aim to be an equal opportunities employer, and our policy is that job applicants and employees/contractors receive equal treatment regardless of sex, race, disability, sexual orientation, religion or belief, age, marital status or civil partnership, pregnancy/maternity or gender reassignment, where any of these cannot be shown to be a requirement of the job concerned. Recruitment, selection, and promotion procedures will be monitored to ensure that individuals are selected, promoted and treated on the basis of their relevant merits and abilities. To assist us in monitoring the operation of our equal opportunity policy, and for no other reason, please answer the following questions by highlighting the boxes that apply to you.SexMaleFemaleOtherPrefer not to sayAge16-1819-2122-3536-4546-6465 and overPrefer not to sayDisabilityDo you consider yourself to have a disability?YesNoPlease give brief details of the disability and any adjustments that would need to be made to enable you to carry out the duties listed for this.RaceWhite BritishWhite IrishWhite and Black CaribbeanWhite and Black AfricanWhite and AsianIndianPakistaniBangladeshiCarribeanAfricanChineseOtherPrefer not to sayIf other, please state Sexual orientationLesbian/gayBisexualHeterosexualOtherPrefer not to sayReligionChristian (including Church of England/Scotland/Ireland, Catholic, Protestant and all other Christian denominations)BuddhistHinduJewishMuslimSikhOtherPrefer not to sayIf other, please state
