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Application for EmploymentThis application comprises of four sections which you must complete for your application to be considered:
Section 1- Personal Details Section 2- Application Form Section 3- Monitoring Information (internal candidates do not need to complete
this section) Section 4- Guaranteed Interview Scheme (GIS)
Supporting information is available in the application guidance document.
Please contact [email protected] should you require this form in an alternate format.
Position applied for: Click here to enter text.
Vacancy reference: Click here to enter text.
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Section 1 - Personal DetailsTitle ☐ Mr ☐ Mrs
☐ Ms ☐ Miss
☐ Dr ☐ Other
Surname Click here to enter text.
Forename(s) Click here to enter text.
Any other name used Click here to enter text.
Current home address (including postcode)
Click here to enter text.
Telephone number Click here to enter text.
E-mail address Click here to enter text.
National Insurance number Click here to enter text.
Working Pattern
Full time (36 hours per week) Click here to enter text.
Part time (Please specify number of hours)
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Job share Click here to enter text.
Nationality and Immigration Status (External Candidates Only)
Nationality at birth Click here to enter text.
Present nationality Click here to enter text.
Have you possessed any other ☐ Yes ☐ No
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nationality or citizenship?
If yes, please specify Click here to enter text.
Are you subject to immigration control?
☐ Yes ☐ No
If yes, please specify Click here to enter text.
Are you lawfully resident in the UK?☐ Yes ☐ No
Are there any restrictions on your continued residence in the UK?
☐ Yes ☐ No
If yes, please specify Click here to enter text.
Are there any restrictions on your continued freedom to undertake employment in the UK?
☐ Yes ☐ No
If yes, please provide details Click here to enter text.
Your Current Employment
Are you currently employed by the Equality and Human Rights Commission?
☐ Yes ☐ No
Are you an existing civil servant? ☐ Yes ☐ No
If no, please proceed to the next section (‘Rehabilitation of Offenders’).
If yes, has your role been declared surplus?
☐ Yes ☐ No
What is your employment status? ☐ Permanent ☐ Temporary
What is your substantive grade? Click here to enter text.
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Have you successfully passed your probationary period?
☐ Yes ☐ No
If you are applying for a loan/secondment opportunity do you have permission from your manager to apply and then to return to your current employer at the end of the period?
☐ Yes ☐ No
If no, we are unfortunately unable to accept your application.
Rehabilitation of Offenders
Do you have any convictions that are unspent under the Rehabilitation of Offenders Act (1974)?
☐ Yes ☐ No
If yes, please provide further details:
Click here to enter text.
References
Please note referees will be contacted only once you have accepted a provisional offer, by returning this form you are giving your permission to contact the referees at the stated time.
We require a minimum of two satisfactory references covering your employment for the previous three years.
If you have been with one employer for the past three years, please provide an additional reference from that employer
If you have been in full time education during this period one of your referees should be from the relevant academic establishment
If none of the above apply to you, please provide a personal reference from a person who is known to you but not a relative and is of professional standing for example doctor, accountant or civil servant
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Referee 1
Full name Click here to enter text.
Occupation Click here to enter text.
Full address (Including country if overseas)
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Email address Click here to enter text.
Telephone number (Including dialling codes)
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Referee 2
Full name Click here to enter text.
Occupation Click here to enter text.
Full address (Including country if overseas)
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Email address Click here to enter text.
Telephone number (Including dialling codes)
Click here to enter text.
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Section 2 - Application FormCurrent Employment Details
Name and address of current or most recent employer
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Current job title Click here to enter text.
Employment date from: Click here to enter text.
Till: Click here to enter text.
Current salary Click here to enter text.
Other allowances and benefits Click here to enter text.
Notice period Click here to enter text.
Reason for leaving (if applicable) Click here to enter text.
Please provide a brief description of your duties and responsibilities
Maximum word limit 250 words, any words in excess of this will be removed.
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Previous Employment
Starting with the most recent, please provide details of your full employment history over the last five years.
Name and address of employer
Job title Date
from
Date till Reason for leaving
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Please provide details of time spent abroad within the last three years for periods of six months or longer (if not applicable, please state N/A).
Date from
Date till Details
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EducationPlease provide details of your education, you may be requested to provide copies of certificates for verification.
School, college, university or awarding body
Date completed Qualification Level / Grade
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Training
Please provide details of training courses you have attended, you may be requested to provide copies of certificates for verification.
Course title Date completed Qualification (if applicable)
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Professional Memberships
Please include details of memberships to professional associations.
Current memberships of professional associations
Date attained Level
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Core Skills
Please demonstrate through using specific examples how you meet the core skill requirements as listed in the relevant Grade Profile. A maximum of 250 words must be adhered to for each Core Skill , any words over 250 will be removed and discounted.
1: Leadership
Maximum 250 words
2: Delivery Management
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Maximum 250 words
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3: Stakeholder Engagement
Maximum 250 words
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Professional Skills
Please use this section to demonstrate how you meet the Professional Skills for the role defined as - qualifications, knowledge and skills and experience. You can find details in the Professional Skills table.
Word limit: There is no word limit for this section but you should provide no more than one side of A4
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Professional Skills: qualifications, knowledge and skills and experience
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Declaration of Interest
Do you have any business or personal interests that might be relevant to the work of the Equality and Human Rights Commission and which could lead to a real or perceived conflict of interests were you to be appointed?
☐ Yes ☐ No
If yes, please specify: Click here to enter text.
Declaration
I declare that the information given on this form is correct. I understand that, if appointed, any false information later revealed may
invalidate any subsequent contract of employment. I understand that all posts require successful applicants to undergo pre-
employment security checks in accordance with the Government’s Baseline Personnel Security Standard, including Criminal Records Checks where appropriate. Refusal to comply with any request to undertake checks will lead to any offer of employment being withdrawn.
Any data relating to you will be treated in the strictest confidence. It will be held and processed in accordance with the Data Protection Act 1998. All data relating to unsuccessful candidates will be securely retained for 12 months after which it will be destroyed. If you do not consent to your data being held for this period you must notify The People Team of this in writing with this application.
Signature Click here to enter text.
Print name Click here to enter text.
Date Click here to enter text.
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Please return completed application forms by the specified deadline to:
Email: [email protected]
Post: The People Team, Equality and Human Rights Commission, Arndale House, Manchester, M4 3AQ
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Section 3 - Monitoring InformationThe Equality and Human Rights Commission is committed to treating all applicants equally based on their merits regardless of age, disability, gender, gender reassignment, marital status, pregnancy, race, religion or sexual orientation. By completing this section of the application will assist us in monitoring our efforts towards achieving an inclusive and diverse workforce.
Vacancy Details
Vacancy title Click here to enter text.
Vacancy reference Click here to enter text.
Where did you see this post advertised?
☐ Civil Service Jobs ☐ Job Centre
☐ EHRC website ☐ Equality and Diversity Forum
☐ Twitter ☐ Facebook
☐ LinkedIn ☐ Other (please state):
Click here to enter text.
Equal Opportunities
What is your gender? ☐ Male ☐ Female
☐ Prefer not to say
Is your present gender the same as the one assigned at birth?
☐ Yes ☐ No
☐ Prefer not to say
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Are you married or in a civil partnership?
☐ Yes ☐ No
☐ Prefer not to say
Age ☐ 16 - 24 ☐ 45 - 54
☐ 25 - 34 ☐ 55 - 64
☐ 35 - 44 ☐ 65 +
☐ Prefer not to say
How would you describe your national identity?
☐ British ☐ Northern Irish
☐ English ☐ Welsh
☐ Scottish ☐ Prefer not to say
What is your ethnic background?
White
☐ English ☐ Scottish
☐ Welsh ☐ Irish
☐ Northern Irish ☐ Gypsy/Irish Traveller
☐ Any other white background
Mixed
☐ White and Asian ☐ White and Black
☐ White and Black African
☐ Any other mixed background
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Asian or Asian British
☐ Indian ☐ Pakistani
☐ Bangladeshi ☐ Chinese
☐ Any other Asian background
Black or Black British
☐ African ☐ Caribbean
☐ Any other Black background
Other ethnic group:
☐ Arab ☐ Any other ethnic group
☐ Prefer not to say
Do you consider yourself to be disabled?
☐ Yes ☐ No
☐ Prefer not to say
What is your sexual orientation?
☐ Heterosexual ☐ Other
☐ Gay / lesbian ☐ Prefer not to say
☐ Bisexual
What are your religious ☐ Buddhist ☐ Sikh
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beliefs? ☐ Christian ☐ Other religion
☐ Hindu ☐ No religion
☐ Jewish ☐ Prefer not to say
☐ Muslim
Do you have caring responsibilities?
☐ Primary carer of a child or children (under 18)
☐ Primary carer of disabled child or children
☐ Primary carer of disabled adult (18 and above)
☐ Primary carer of older person (65 and above)
☐ Secondary carer ☐ None
☐ Prefer not to say
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Section 4 - Guaranteed Interview Scheme (GIS)The Equality and Human Rights Commission operates a guaranteed interview scheme for anyone with a disability as defined in the Equality Act 2010 (EA). If you apply under this scheme you must demonstrate in section 2 of the application for employment that you meet the minimum criteria for the role. You will then be invited to the first stage interview for the position.
I consider myself to have a disability as defined above and want to apply under the guaranteed interview scheme.
I consider myself to have a disability as defined under the Equality Act (2010) and want to apply under the GIS scheme
☐ Yes ☐ No
Assistance at Selection Stage
To support us in minimising barriers in our recruitment process and to help us implement our equal opportunities policy effectively, please let us know if you need any particular assistance during the selection stage:
To support us in minimising barriers in our recruitment process and to help us implement our equal opportunities policy effectively, please let us know if you need any particular assistance during the selection stage
☐ Induction loop ☐ Keyboard for written tests
☐ Someone with you at the interview (e.g. speech facilitator)
☐ Car parking
☐ Assistance in and out of a vehicle ☐ Wheelchair access
☐ Accessible toilet facilities ☐ Other, please specify:
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If you have equipment of your own which you would like to bring to help you to compete on equal terms either at the interview or in an assessment, please give details below:
Click here to enter text.
Arrangements to be made (EHRC use only):
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