PRIVATE AND CONFIDENTIAL - Bristol Cathedral



Application for the post ofEducation OfficerPlease complete all sections of the form. A Curriculum Vitae will not be accepted. Please submit your application to the Canon Pastor, Robert Bull, either via email to canon.pastor@bristol-cathedral.co.uk or by post to Bristol Cathedral, College Green, Bristol, BS1 5TJPersonal DetailsTitle:Surname:Forenames (in full):Home Address:Daytime Tel:Evening Tel:Mobile Tel:Postcode:Email:National Insurance No:Current Employment (or last employment if not currently employed)Employer Name:Employer Address:Job Title:Brief outline of duties:Start Date (month/year)End Date (if applicable)Reason you wish to leave this post: Please state your contractual period of notice:Current Salary:Previous Employment (Please list in chronological order)Employer NameJob TitleBrief Description of dutiesEmployment DatesReason for LeavingEducation (please continue on an extra sheet if necessary)Name of School/College/UniversityLevelSubjectsGrade/ResultYear ObtainedTrainingPlease highlight relevant training (including course name, dates and length of course):Membership of Professional Associations (if applicable)Organisation NameLevel of Membership/Role/Reg No(if applicable)Skills, Abilities, Knowledge & ExperiencePlease give examples of how you meet the criteria set out in the Person Specification. Continue on extra sheets of paper if necessary.Please state any date when you are not available for interview.ReferencesPlease give names of two persons to whom reference can be made. (Please obtain their permission and refer to the guidance notes)First Referee Name:Second Referee Name:Address:Address:Position:Position:Telephone:Telephone:Email Address:Email Address:Please confirm whether we can contact this referee prior to interview:Yes or No Please confirm whether we can contact this referee prior to interview:Yes or No Convictions (Rehabilitation of Offenders Act 1974)Under the above Act, most sentences awarded by a Court for criminal offences may be regarded as spent and disregarded, for most purposes, after a specified period of time and need not be disclosed. However, if the appointment for which you have applied is one to which the Rehabilitation of Offenders Act (Expectations) Orders apply, you are required to declare any criminal convictions and enquiries and checks may be made in that respect.It is your responsibility to distinguish between those convictions that require to be declared and those that do not, and enquiries and checks may be made in that respect.443039512573000267462012001500Any convictions declared: Yes NoIf YES, please state details:Right to WorkAre you entitled to work in the UK?84772510287000-15049510668000YES NO Clergy, ordinands and such employed lay people as have duties that require them to represent or speak on behalf of the Church (which, for the purposes of this policy, includes all employees of the national church) may not be a member of or promote or solicit support for a party or organisation whose constitution, policy objectives or public statements are declared in writing by the House of Bishops to be incompatible with the Church of England's commitment to promoting racial equality. This explicitly includes the British National Party.Yes: No: Are you able to comply with this?DeclarationI declare that, to the best of my knowledge, the information on this application is true. I understand that if the information I have supplied is false or misleading in any way, I will automatically be disqualified from the appointment or dismissed without notice.Signature: Date: 40843201524000750570635000Data Protection ActUnder the terms of the Data Protection Act, the information provided on this form will be held in confidence and used for the purpose of recruitment and selection and HR administration/monitoring and no other purpose.BRISTOL CATHEDRAL TRUSTMONITORING SHEETPlease note: This information will be used to enable us to monitor our performance as an equalities employer effectively, and for that purpose only. This information will be treated in the strictest of confidence, and will not be seen at any time by the Selection Panel. This form will be detached from your application.Bristol Cathedral Trust are committed to equality of opportunity and as part of this commitment monitor their recruitment and selection process to determine that it is fair to all. Please help us to monitor our equality policies and prevent unfair discrimination by answering ALL of the following questions, ticking the appropriate box where necessary.Equality InformationI am:Male Female Date of Birth: Religion/beliefSexual orientationHow would you describe your religion/belief?How would you describe your sexual orientation?CChristian FORMCHECKBOX HHeterosexual FORMCHECKBOX BBuddhist FORMCHECKBOX GGay/lesbian FORMCHECKBOX HHindu FORMCHECKBOX BBisexual FORMCHECKBOX JJewish FORMCHECKBOX UDon’t know/not sure FORMCHECKBOX MMuslim FORMCHECKBOX RWould rather not state FORMCHECKBOX SSikh FORMCHECKBOX OOther FORMCHECKBOX NNone FORMCHECKBOX UDon’t know/not sure FORMCHECKBOX RWould rather not state FORMCHECKBOX What is your ethnic group?White – BritishWhite – IrishWhite – OtherMixed – White and Black CaribbeanMixed – White and Black AfricanMixed White and AsianMixed – OtherAsian or Asian British – IndianAsian or Asian British - Pakistani x76201441630063502293602006350174094600508068578200635012149790063509508370067952021163006795147489900762041656000Asian or Asian – BangladeshiAsian or Asian British – OtherBlack or Black British – CaribbeanBlack or Black British – AfricanBlack – OtherChineseOther ethnic group1229619494400If other, please specify: x-508016235400-46677089800-720714709800-57155876600-528615494000-59376835800-593714709800DisabilityDo you consider yourself to be disabled? YesNoPlease state any specific access requirements and other support you will require to carry out your duties. Where did you see this vacancy advertised?Thank you for completing this form.Date: ……………………………………. ................
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