zilongwang/ReadingBank huggingface dataset:
Are you, to your knowledge, related to any member of the Governing Body, or any holder of senior office in the Academy? If yes, please state: A candidate failing to disclose such a relationship or seeking to improperly influence the recruitment and selection process shall be disqualified from appointment, or if appointed, shall be liable to dismissal without notice: Sign: Date: DECLARATION I understand that the terms of the Asylum and Immigration Act 1996 should I be shortlisted for the post for which I am applying, I am required to supply for the Governing Body, as employer, an original document showing my entitlement to work in this country. I understand that appointment to this post is subject to a satisfactory Enhanced Disclosure & Barring Service (DBS) certificate. I also understand that, under the terms of the Rehabilitation of Offenders Act 1974 (Exemptions) Order 1975 (amended 2013) I am required to disclose any record I may have of ‘protected’ criminal convictions, and to attach details of such convictions. I declare that I am not on the DBS Children’s Barred list or subject to any sanctions or prohibition imposed by a regulatory body (such as the NCTL). I certify that all information by me on this form and in supporting documents is correct to the best of my knowledge, that all questions have been fully and accurately answered, and that I possess all qualifications which I claim to hold. I understand that my name will be withdrawn from the list of candidates if, prior to appointment, I am found knowingly to have omitted or concealed any relevant fact about my eligibility for the post, and I acknowledge that such discovery subsequent to appointment is likely to lead to my dismissal without notice. To the best of my knowledge and belief the information supplied by me on each section of this form is correct. I hereby consent to the processing of sensitive personal data, as defined in the Data Protection Act 1998, involved in the consideration of this application. Sign: Date: NOTES TO APPLICANTS Before signing this form please check that every section has been completed. This form and letter should be returned as instructed in the details of the post Enclose a stamped addressed envelope if you wish us to acknowledge your application You are reminded that this is an application for a post in a Church of England Academy Trust in which the Academies Trust is the employer. If you are appointed, the Contract you will be asked to sign includes the first paragraph of the following clause and may include parts of the second paragraph:-
Requested Location Set-Up Begins Activity Begins Activity Ends Removal Completed Date Date Date Date Time AM PM Time AM PM Time AM PM Time AM PM Date Date Date Date Time AM PM Time AM PM Time AM PM Time AM PM Date Date Date Date Time AM PM Time AM PM Time AM PM Time AM PM Maximum Number of Participants (Best Estimate) Maximum Number of Vehicles (attach parking plan) Cars Vans/Light Trucks Utility Vans/Trucks Buses/Oversized Vehicles Support equipment (list all equipment; attach additional pages if necessary) List support personnel including addresses and telephones; attach additional if necessary Name Address Cell Phone Number
Note: Some e-mail accounts have high security settings so, to ensure we can respond to you, please make sure the domain “@rsacademics.co.uk” is on your safe senders list. Education and Qualifications Senior school(s) attended Dates: mm / yy From To A levels or equivalent, dates awarded Grades Other achievements/interests at school University or other Higher Education institution Dates: mm / yy From To Degree and Awarding Body, dates awarded Class Other achievements/interests at university awards, qualifications and courses attended (please include any CPD) College, Education Centre or Institution Dates From To Award/Course Title and Qualification Publications: Please include details of any publications, for example newspaper, magazine or website articles you have written or contributed to: Employment History Starting with your current / most recent position, please provide details of your employment since leaving full-time education. Note: To satisfy the requirements for safer recruitment we need to ask for your full employment record. Any gaps between jobs or between finishing education and first employment should be added in Section 4. Current Position Dates of Employment Name and Address of Employer Job Title and brief summary of main responsibilities of the position From mm / yy To mm / yy
DISABILITY: Please tick all boxes which apply to you POST APPLIED FOR : QUALIFICATIONS SECONDARY EDUCATION FROM: TO: QUALIFICATIONS GAINED EXAMINING BODY (e.g. SEB/SCOTVEC) SUBJECT / MODULE INDICATE GRADE (e.g. ABC, 123 etc) SCOTVEC MODULE (TICK BOX) YEAR TICK IF AWAITING RESULTS HIGHER ORDINARY STANDARD OTHER FURTHER / VOCATIONAL / HIGHER EDUCATION COLLEGE / UNIVERSITY DATES METHOD OF STUDY (Full / part-time) QUALIFICATION OBTAINED, GRADE(S) & MAJOR SUBJECTS STUDIED DATE AWARDED / AWAITED FROM TO
Equal Opportunities Monitoring Form Oldham Coliseum Theatre is committed to providing equal opportunities for everyone regardless of their gender identity, marital status, ethnicity, disability, age, class, sexual orientation or background. For us to effectively monitor our objectives as an Equal Opportunities employer, please provide the information requested below. All information is anonymous and confidential and processed separately. If you would like a copy of our Equal Opportunities Policy or if you would like to discuss any of the requested information below, please get in touch with our Admin team on: or 0161 624 1731. Ethnic Origin Bangladeshi Black African Black Caribbean Chinese Indian Mixed race
If applicable, please describe the type of school including age number of pupils, boarding, day, co-ed etc.: Current salary and package: Notice period: Previous Positions – starting with most recent of Employment Name and Address of Employer Job and brief summary of main responsibilities From mm / yy To mm / yy Reasons for leaving: Reasons for leaving: Reasons for leaving:
Date from Date to Name of employer and nature of business Job title and brief description of duties 4. Education, qualifications and relevant training (Please list any relevant education/further education & other training including dates, course and qualification, starting with the most recent first). Name and address of School/College/University Dates of attendance Subject/Qualifications gained
Expression of Interest: 2018 THRF Development Grant – BioMed City Contact Information Chief Investigator A (CIA) s Title: First name: Initial: Last name: Position: Phone Number: E-mail Address: Organisation: Department or Centre: Faculty: Full Postal Address – work (including DX#): Administering Institution Organisation name: ABN: Contact Person: Phone Number: E-mail Address: Postal Address: Employment How long have you been employed by this organisation? When is your position’s renewal date?
Section B Applicant Organisation Details MUST BE COMPLETED BY APPLICANTS 1. Applicant Details 1.1 Name of Company/Organisation: Address: Postcode: Tel: Mobile: Company (Orders Only) Email: {Please ensure an e-mail address is stated for electronic orders} 1.2 Registered name (if different from Registered Office Address: Postcode: Company registration number: 1.3 Details of the individual completing this application and to we may correspond: Name: Job title: Correspondence Address: Postcode: Tel: Mobile: Email:
1(c). Please provide an estimated gross cost of the project (Inc. materials and labour) for works that fall below/seaward of Mean High Water Springs (MHWS) 1 (d). Please specify which activities you are applying for (tick all that apply) Dredging Disposal 1(e). Please provide the annual tonnage applied for in this marine licence application Applicant Details (this must be a legal entity such as an individual, registered company/ charity or a public body) Title Name Surname Company or Trading Name Registered Address (inc. postcode) Name of Contact (if different) Position in Company Telephone no. (inc. area code) Email address Company Registration Number
Details of Material to be Dredged and/or Disposed For each area listed in 10 [a to e] including any listed separately, please give the following information: Type of Material (Maintenance or Capital Dredge) Specific Gravity (estimate) Physical Composition of Materials (Approximate proportions by volume of clay/slit/sand/gravel/etc...) Depth of Material being Removed (Approximate maximum depth in metres) Quantity to be Dredged each year (Indicate in-situ cubic metres or metric tonnes) (a) (b) (c) (d)
COMPUTER EXPERIENCE (please give details of computer system packages with which you are familiar). REFERENCES - please tick the box if you do not want your referee to be contacted prior to interview. Referee one must be your current or most recent employer, or if you have not been in paid employment the head of your training establishment and/or a representative of a voluntary organisation with which you have been involved. Referee One Name Position Address Telephone Email Relationship to you Referee Two Name Position Address
Type of training Dates attended To - From Qualifications/Accreditation (if any) EMPLOYMENT/WORK EXPERIENCE Please start with your present/last employer and work backwards. Dates From/To Employer (Name and Address) Job Title and main duties Salary Reason for Leaving VOLUNTARY WORK EXPERIENCE
Outline your communications (online and offline) skills and experience, using practical examples where relevant: Outline your content development/management (online and offline) experience, using practical examples where relevant: DRIVING ABILITY Do you hold a full current Driving Licence? Yes/No REFERENCES Please give details below of two people whom we may contact for references. At least one of the referees should have knowledge of you in a working environment, either paid of unpaid and one should be your current/last employer. Previous surname (if necessary) for reference purposes: __________________ Reference 1 Reference 2 Name Name Company Company
POST/S APPLIED FOR: THIS APPLICATION FORM SHOULD BE COMPLETED IN FULL. APPLICATIONS WILL NOT BE CONSIDERED IF THEY ARE SUBMITTED IN THE FORM OF A C.V. Please note this application form is designed to expand with your answers to the questions. SECTION 1: Personal Details Surname: Forename: National Insurance Number: Address: Post Code: Telephone Numbers: Home- Business- Extension- Are you currently employed by WomenCentre? YES/NO Do you hold a full current driving licence? YES/NO SECTION 2: Education/Training/Qualifications Qualifications of education i.e. Secondary School / College / University. Date from Date to Qualifications Gained (State Level) Grades Date Relevant non-qualification courses attended within the last 5 years Organising Body Course Details Date from Date to Membership of Professional Bodies Body Membership Status Date from Date to Please note –if you are called for interview please bring your qualifications and membership certificates with you. SECTION 3: Present or most recent Employer Name and Address Nature of Business Present Salary (incl grade) Other benefits and emoluments Telephone Number Job title Responsible to Date of appointment Notice required
Cautions, reprimands and final warnings are not considered to be convictions and become ‘spent’ immediately unless relevant to ‘expected’ posts. A spent conviction will remain on your criminal record The Rehabilitation of Offenders (Exceptions) Order (NI0 1979 (Amended by 1987, 2001 and 2003 Orders A range of occupations are exempted from the legislation for these posts, applicants MUST disclose information on both ‘spent’ and ‘unspent’ convictions. The list of posts is extensive and can be summarised as follows: Work that involves contact with children or people or vulnerable adult groups – e.g. provision of health care or social services, work with children such as youth work, education, or with adults with learning disabilities, mental illness, the elderly. Professions that are regulated by law – e.g. medical practitioner, chemist, optician, accountant, manage of an insurance company Posts involving national security e.g. security personnel or senior civil service posts Posts concerned with administration of justice e.g. police officers For confidential advice or information please contact NIACRO’s Employment Advice Line on: 02890 320157 Disclosure of Criminal Convictions (Non Excepted) Please read this information carefully Statement of non- discrimination Statement Question Below you are asked to disclose any criminal convictions except those which are considered ‘Spent’ under the Rehabilitation of Offenders (NI) Order 1978. Having unspent convictions will not necessarily debar your application form being considered. To decide if your convictions are ‘Spent’, please refer to the information attached. Advice to applicants Please complete this disclosure form as accurately as possible and return with the Equal Opportunities Monitoring Form. The information provided will not be discussed at the shortlisting or interview and a separate arrangement will be
English language skills: Native speaker Excellent Good Fair Write Read Understand Education (please indicate the higher degree obtained): Date degree received (month/year): / / Name of institution: Subject(s) studied: Qualifications obtained: Title and subject of thesis: Other formal studies: Have you previously applied to participate in ETTC? if yes, which location? Have you ever participated in any of the past ETTCs? if yes, where? ____________________________________________________________________ 3) PROFESSIONAL EXPERIENCE Teaching experience: Start date (month/year): / End date (month/year): / Name of institution: Subject(s) taught: Job title: Current university/Institution affiliation: Position: Department: University: City: Country:
From mm / yy To mm / yy If applicable, please describe the type of school including age range, number of pupils, boarding, day, co-ed etc.: Current salary and package: Notice period: Previous Positions – starting with most recent Dates of Employment Name and Address of Employer Job Title and brief summary of main responsibilities From mm / yy To mm / yy Reasons for leaving: Reasons for leaving: Reasons for leaving:
Name and Address of Employer (state nature of business) Telephone No: Job Title: From: To: Present or final salary: Reason for leaving Description of duties and responsibilities EMPLOYMENT HISTORY & VOLUNTEERING EXPERIENCE (most recent first) Date From Date To Employer’s Name and Address Position Held Reason for Leaving
Application: 2018 Fellowship Expression of Interest Application for: Fellowship category Intended Research Group (if relevant) Select one of the following: Early Career Fellowship (ECF) – 2 Years Mid-Career Fellowship (MCR) – 3 Program/Research Group you propose to work in: Head of Research Group: Primary disease or condition being researched: NOTE: Grant Period: 1 July 2018 – 30 June 2020 (ECR) or 30 June 2021 (MCR) ________________________________________ Applicant details Title: First name: Initial: Last name: Institution Name: School/Centre/Institute: Faculty: Full Postal Address – work (including DX#): Phone Number: E-mail Address: Appointment held, including year of appointment: Current position renewal date: Date of Award of Higher Degree: Number of years’ research experience post PhD: Research Experience: Institution Position title Research activities (short description) Inclusive dates worked
Application: 2018 Fellowship Expression of Interest – BioMed City Application for: Fellowship category Intended Research Group (if relevant) Select one of the following: Early Career Fellowship (ECF) – 2 Years Mid-Career Fellowship (MCR) – 3 Years Program/Research Group you propose to work in: Head of Research Primary disease or condition being researched: NOTE: Grant Period: 1 July 2018 – 30 June 2020 (ECR) or 30 June 2021 (MCR) ________________________________________ Applicant details Title: First name: Initial: Last name: Institution Name: School/Centre/Institute: Faculty: Full Postal Address – work (including DX#): Phone Number: E-mail Address: Appointment held, including year of appointment: Current position renewal date: Date of Award of Higher Degree: Number of years’ research experience post PhD: Research Experience: Institution Position title Research activities (short description) Inclusive dates worked
Name and address of employer: Type of business: Your job title: Your main duties and responsibilities: Basic salary p.a: Dates of employment: Notice period required: B) Please give details of previous employment beginning with the most recent. You may use a continuation sheet. your Job Title Name and address of employer Main duties Dates employed Reason for leaving Please explain any gaps in your employment history:
POST APPLIED FOR: Finance Officer NAME OF SCHOOL: Central Finance Team 1. Personal details Name: Surname: Home address Street address: Town/city: County: Post code: Country of residence UK/EU If other please state Do you have the right to work in the UK? YES NO Do you require a work permit or VISA? YES NO If yes, please give details National Insurance Number If your mailing address is different to please insert here Street address: Town/city: County: Post code: Telephone numbers (please only list numbers we should call to contact you) Work: E-mail address Home: Mobile: 2. Employment History (Please start with most recent and explain any gaps) Job Title. Employer Name and Address Reason for leaving
Under review (2) Achievements: Grants [Please list ALL grants related to ARC research since the birth of your ARC; include also from pre-ARC era] (Add rows as needed) of / Grant Agency/ Grant Number/(specify which; via BMC or BUSM?) Grant Title Funding Period Funded (F) / Pending (P) / Revised (R) If funded, specify $ direct cost per year Were the co-PIs Of this grant Awarded together a grant of sort during 2006-2009 (prior to ARC birth): Yes or No (3) Distribution of ALL ARC participants (Core and non-core members): Please list % of faculty from Charles River Campus vs. Medical Campus vs. other participants (e.g., industry), and within each % in different departments. Pie charts with an index are welcome.
Personal Statement: Please outline briefly why you you are suitable for appointment, and the particular knowledge, skills and qualities you bring to this position. (100 max words) REFERENCES Please provide names, addresses and position/occupation of two people (other than relatives or friends) with knowledge of you and your work to whom professional reference can be made. One should be your current or most recent employer. Both people should been in a position of responsibility within the employing organisation(s). They must not be related to you, or be known to you only as a friend.
10. Member Diversity Privacy Notice RICS are actively monitoring the diversity of our members to ensure we have a true understanding of working in the profession. To do this we are collecting and monitoring information on the age, gender, disability and ethnic origin of the membership. As the data we are collecting is personal data it is collected and held strictly in accordance with the Data Protection Act 1998. This information will be used purely for statistical purposes and will not be passed onto other organisations. Please note you do not have to provide the data requested and have the right to request a copy of the personal information RICS holds on you. If you do wish to do so or have any questions regarding RICS diversity monitoring please contact RICS Contact Centre on Please select your ethnic origin: □ Other Asian □ Chinese □ Indian □ Black Caribbean □ Other ethnic group □ Pakistani □ Black African □ Bangladeshi □ Other Black □ 11. and conditions
We nominate Mr. / Ms. ……………………………………………………………….., Designation ………………………………………… as our representative in Open Access Users Association. Address : Pin Code: Land LineNumber: MobileNumber: Fax Number: Email ID : ……………………………………………………………………………………………………………………………………………………… Open Access Users Association Charges Particular Amount ( in INR ) Annual Subscription Fees for Corporate Membership 10,000.00 (Per Annum) Add : GST (IGST) @ 18% 1800.00 Total Annual Charges (Cheque / DD Value ) 11,800 Cheque / DD to be in favor of: “OPEN ACCESS USERS ASSOCIATION” payable at Delhi
1.3 Address: 1.4 Telephone: 1.5 Email: 1.6 Title of study: 1.7 Proposed Date: 1.8 Proposed End Date: 1.9 Are there YES NO 1.10 First Name (Primary co-investigator): 1.11 Family Name (Primary co-investigator): 1.12 Email (Primary 1.13 List name and email of any other 1.14 Is this a student project? YES NO 1.15 First Name (Supervisor): 1.16 Family Name (Supervisor): 1.17 Email (Supervisor): 1.18 Course of study: 1.19 Project deadline: 1.20 Has your supervisor read and agreed to this application? YES NO Section Two – Project Summary
In reading the vision of Reach Academy Feltham and the Job Description and Person Specification please answer the question below. In your own what role do you see the position of (insert) ________________________ playing in helping Reach Academy to achieve its vision? 7. Attainment (applicable for teaching roles only) For your areas of responsibility, please indicate the results in the table below School Name Areas of responsibility SATS results at KS1, KS2, KS3 or 5+ A*-C (including English and maths) 2009 2010 2011
In reading the vision of Reach Academy Feltham and the Job Description and Person Specification please answer the question below. In your own words, what role do you see the position of (insert) ________________________ playing in helping Reach Academy to achieve its vision? 7. Attainment (applicable for teaching roles only) For your areas of responsibility, please indicate the results in the table below School Name Areas of responsibility SATS results at KS1, KS2, KS3 or A-level 5+ A*-C (including English and maths) 2009 2010 2011
Are you a South African Citizen? Yes No If no, what is your Nationality? Work Permit Number (if any): Do you hold any political office in a political party, whether in a permanent, temporary or acting capacity? If yes, provide information below: No Political Position: Expiry date: Do you hold a professional membership with any professional body? If yes, provide information below No Professional Body: Membership Number Expiry date: CONTACT DETAILS Preferred language of correspondence Telephone number during office hours Preferred method for correspondence (Mark with an X) Post Email Fax Correspondence contact details (in terms of above) QUALIFICATIONS (Additional information may be provided on CV) Name of School/ Technical College Highest Qualification Obtained Year Obtained Name of Institution Name of Qualification NQF of Qualification Year Obtained
Reason for leaving: Job Title: Employer: Length of Service (start & finish dates): Salary on leaving: Key Responsibilities: Reason for leaving: Job Title: Employer: Length of Service (start & finish dates): Salary on leaving: Key Responsibilities: Reason for leaving: Job Title: Employer: Length of Service (start & finish dates): Salary on leaving: Key Responsibilities: Reason for leaving: MEETING THE PERSON SPECIFICATION (Please provide your interpretation of why you think you meet the person specification. Please attach on a separate sheet if necessary)
Sl. No. Name of the Employer Period of Service Position/ Designation Scale of Pay & Basic Pay Reason for leaving From To work experience: ________________________________________________ years Total Post-Ph.D. Teaching Experience at P.G. level: _________________________ years Total Work Experience as Assistant Professor/Associate Professor: _____________ years Details of Publications and Research works (Please attach separate sheet if necessary): (a) Research Papers Published S. No. Co-authors Year Title of Paper Journal ABDC Journal Category Vol. No. pp. (b) Books Authored/edited S. No. Name of the Book Co-authors Publisher Year of Publication Edition (c) Papers Presented in the Conference
Country of residence: Do you require a student visa to study in the UK? Yes No If you do not require a student visa what leave do you have to enable you to study in the UK (e.g. Indefinite Leave to Remain, Refugee status, Discretionary Leave or if some other form of leave please specify and provide evidence of your status). Please ensure you send in a copy of your passport details page and any visa you may hold with your application. Are you applying via an Educational Agency or Representative? Yes No If you are applying via an Educational Agency / Representative, please provide the name of the Agency / Representative and sign the following statement: ‘I have been advised and counselled by the above agency, have been informed of their terms and conditions and authorise them to represent me in my application’ Signature: Date: Please be aware that the University will provide some support for your academic needs but cannot provide support for personal care (for example, walking) which must be funded by the student. International Students Disability Support Canterbury Christ Church University welcomes applications from prospective disabled students and is committed to ensuring that all students have right of access to all the University’s buildings and services. It is important to note that International and non-UK EU students are not entitled to the UK Government allowances for disabled students and, whilst the University will make effort to support you, it will be the responsibility of you and your sponsors to fund any additional support costs which arise as a consequence of your disability. Additional Funding Disabled students from outside the UK may find that they are eligible to apply for financial support to a charity or other funding body. The decisions on eligibility and amount of funding are made by them, not by the University.
PROFESSIONAL BACKGROUND RELEVANT PROFESSIONAL EXPERIENCE Please briefly summarise your work history, with dates, including documentary photography projects, publications and exhibitions. CURRENT PHOTO ESSAY If you have started the essay you would like funding for, please provide a DropBox Link or a URL to the work you have completed so far. Please make sure a summary and captions are available. If you have not yet started the project please write N/A (not applicable) in this box. EXISTING WORK SUBMISSION OF EXISTING WORK Please provide a DropBox Link or a URL to one specific photo essay you have completed prior to this project. Please make sure a summary and captions are available. SUPPLEMENTARY INFORMATION
Please provide the name, address and telephone number of your current/most recent employer. Current/most recent employer: Brief description of responsibilities: Current/most recent job title: Date started: Current salary/salary on leaving: Date employment ended (if applicable): Do you/did you receive any employee benefits? If so, please provide details of these. Reason for seeking employment: Please state when you would be available to take up employment if offered: Section 5 – Previous employment and/or activities leaving secondary education Please continue on a separate sheet if necessary. Name and address of employer: Job Title and (for teaching posts only) subjects taught: Dates: From/To Reason for leaving: Section 6 – Interests Please give details of any interests, hobbies or skills that you could bring to the school for the purposes of extra-curricular activity.
Name: Organisation: Address: Occupation: Telephone number: Email: May we contact prior to interview? Yes No Name: Organisation: Address: Occupation: Telephone number: Email: May we contact to interview? Yes No Section 12 – Declaration I declare that the information I have given in this Application Form is accurate and true. I understand that providing any misleading false information will disqualify me from appointment or if appointed, may result in my dismissal. I confirm that I am not on a Barred List, disqualified from work with children or subject to sanctions imposed by a regulatory body. I consent to the School processing the information given on this form, including any 'sensitive' information, as may be necessary during the recruitment and selection process. I consent to the School making direct contact with the people specified as my referees to verify the reference. Signature ………………………………………………………………………………. Date ……………………….………………….. PLEASE RETURN YOUR COMPLETED APPLICATION FORM TO THE BURSAR. Reviewed by DW: Autumn Term 2016 Application and Recruitment Process Explanatory Note To be read in conjunction with the School’s Safer Recruitment Policy and Procedures. 1. General Parkside School (the School) is committed to ensuring the best possible care and education to its pupils and to safeguarding and promoting the welfare of children and young people. The School aims to recruit staff that share and understand our commitment and to ensure that no job applicant is treated unfairly by reason of a protected characteristic as defined within the Equality Act 2010. All queries on the School's Application Form and recruitment process must be directed to the Head or Bursar. 2. Safer Recruitment statement Advertisements for all posts – whether in newspapers, journals or online – will include this statement:
PREVIOUS JOBS Most recent employer first Please note that all time since leaving full time education must be accounted for, e.g. training, unemployment or time taken out of paid employment due to caring responsibilities – the following page has sections for further detail if required. Please ensure you include the month and the year for employment dates. Name and address of employer Date From/ To Job title and brief overview of post and responsibilities, Reason for leaving Grade/Salary
Expenditure Item Description Grant Contributions $ AU, ex-GST Other Contributions – Grantee Cash and in-kind $ AU, ex-GST Other Contributions – Cash and in-kind $ AU, ex-GST Total Cost $ AU, ex-GST [insert reference] e.g. equipment/consumables/ travel/services e.g. Research Assistant Product name Service type [insert amount of Grant contributed] [insert amount of Grantee’s own funds contributed] [insert amount of other sources of funding contributed] [insert total of all contributions] TOTAL [total grant contributions must equal total grant funding requested amount] * Add rows as required.
Please return your completed form, either by post to: Joanna Manser Personal Assistant to the Archdeacon of Canterbury 29 The Precincts Canterbury Kent CT1 2EP Or by e-mail to: Name: Role/Job Title: Organisation/Church Name: E-mail: Address: Phone: Access and Dietary Requirements:
£2k - 50k Reactive Day Work: Normal Hours 8am – 5 pm Monday – Friday Emergency Reactive Day Work Normal day Hours 8am – 5pm (within 2 working hours) Monday – Friday Emergency Out of 5pm – 8am and weekends Quotations and Tenders only and not Reactive/Emergency Day Work *Please see enclosed Shropshire Area Map on the next page.
4. Emergency Call-Out – only for Reactive Day Work 4.1 Companies interested in being considered for Reactive Day Work repairs must confirm below if they can provide an 24 hour 365 days a year emergency repair service with a maximum response time of 24 hours or maximum response time to attend a site within 2 hours. FAILURE TO COMPLY WITH THIS WILL RESULT IN NEGATIVE RAG RATING (see Condition & Operations Section I) Please confirm that you to provide emergency cover ‘in working hours’ (Monday – Friday 8am – 5pm) Y E S / N O Please confirm that you agree to provide this cover ‘out of hours’ Y E S / N O (Any other time out of working hours – 365 days) If yes, please state below how this cover will be resourced and organised: ……………………………………………………………………………………………………… ……………………………………………………………………………………………………… ……………………………………………………………………………………………………… Out of Hours Contact Telephone Numbers Include names, telephone numbers (mobile and fixed) of all individuals to be used. …………………………………………………………………………………………………….. ……………………………………………………………………………………………………..
Full Chronological History Please provide a full history in date order, most recent first, since leaving secondary education, including periods of any post-secondary education/training, and part-time and voluntary work as well as full time employment, with start and end dates, explanations for periods not in employment or education/training, and reasons for leaving employment. Job title or positon Name and address of school, other employer, or description of activity Number on roll and type of school, if applicable Full or Dates (DD/MM/YYYY) Reason for leaving From To Please enclose a continuation sheet if necessary.
Sexual orientation Please tick Bi-sexual Gay Man Gay Woman Heterosexual Other Prefer not to say Gender Please tick Female Male Transgender Prefer not to say Personal relationship Please tick Single Living together Married Civil Partnership Prefer not to say Religion or belief Please tick No religion Christian (including Church of England, Catholic, Protestant and all other Christian denominations) Buddhist Jewish Muslim Sikh Any other religion (Write in) Prefer not to say Disability Do you consider that you have a disability? Please tick Yes - Please complete the grid below No Prefer not to say My disability is: Physical Impairment Sensory Impairment Mental Health Condition Learning Disability/ Difficulty Long standing illness Other Prefer not to say
Secondary Education and Qualifications (e.g. GSCE) Name of school/college From To Qualifications gained Further or Higher Education Please provide details of any recognised qualifications or courses attended which are relevant to the job application. Name of FE college, university or awarding body Dates Full or part-time Qualifications obtained From To
Sexual orientation Please tick Bi-sexual Gay Man Gay Woman Heterosexual Other Prefer not to say Gender Please tick Female Male Transgender Prefer not to say Personal relationship Please tick Single Living together Married Civil Partnership Prefer not to say Religion or belief Please tick No religion Christian (including Church of England, Catholic, Protestant and all other Christian denominations) Buddhist Hindu Jewish Muslim Sikh Any other religion (Write in) Prefer not to say Disability Do you consider that you have a disability? Please tick Yes - Please complete the grid below No Prefer not to say My disability is: Physical Impairment Sensory Impairment Mental Health Condition Learning Disability/ Difficulty Long standing illness Other Prefer not to say
Additional Education & Qualifications – Initial Teacher Training University / College / Designated Recommending Body (DRB): Date: Qualification gained: Date: Age range for which trained: Principal Subject: Subsidiary subject: Further Qualifications & Further Training (Including one year and one term courses and any recent short courses (e.g. NPQH) University, College or Organising Body Subjects & Course Any Qualification Obtained Length of courses & Dates If awarded QTS since May 2001 – Qualified Teacher Skills Tests (Please select as appropriate) Have you passed the QTS skills tests for: Numeracy Yes No Literacy Yes No ICT Yes No Current or most recent teaching post (Please give the fraction of full-time where the post is / was part-time) Name & Address of employer: Name of Authority: Name & Address of School/Establishment: Type of school: Boys Mixed (Please select as appropriate) Number on roll:
Other History (Please ensure that you provide a complete chronological history by listing below any periods not covered above in your employment history, e.g. travel, unemployment, sabbatical, carer responsibilities etc.) From To Reason Declaration by Applicant The Working Time Regulations 1998 The working time Regulations were introduced on and working in the are now governed by statute. Employment which you intend to continue if successfully appointed to the post applied for please details below or state none: Pension Have you opted out of the Teacher Pension scheme? Yes No If ‘YES’, please state your opting-out date: Are you in receipt of a pension awarded through the teachers’ ill health retirement arrangement? Yes No If ‘YES’, give details (including the date pension arrangements took effect) (Please note that if you were awarded an ill-health pension on or after 01 April 1997, you are not eligible for future employment as a teacher) Safety and Welfare of children Have you ever been the subject of any allegations in relation to the safety and welfare of children, either substantiated or unsubstantiated? Yes No If you have answered ‘YES’ to the above question, you must supply details on a separate sheet of paper, place it in a sealed envelope marked confidential and attach it to your application form. I have attached details as requested. Yes No Disciplinary Record Are you (or have you ever been) dismissed from a teaching post for alleged misconduct or incompetence or resigned in the face of such allegations? Yes No
Please identify your ethnic origin either by putting an ‘x’ in ONE of the boxes below or by giving your own description in the space provided. a. White British Irish Gypsy/Roma Traveller of Irish Heritage Any other White background b. Mixed White and Black Caribbean White and Black African White and Asian Any other mixed background c. Black or Black British If other, please specify: African Any other Black background d. Asian or Asian British Indian Pakistani Bangladeshi Any other Asian background e. Other ethnic groups Chinese Any other ethnic group
DfE Registration Number Do you hold Qualified Teacher Status (QTS) or Qualified Teacher Learning and Skills (QTLS) status? YES NO If yes, please confirm below whether you hold QTS or QTLS and the date it was awarded: Do you currently have the right to work in the UK? YES NO If no, please specify your circumstances below: Education and Qualifications: Please also include any relevant professional qualifications. Name of Institution (e.g. School, College or University) Dates Attended Courses/Subjects Taken and Examination Results or Award From To Membership of Professional Bodies: Please give details of any relevant professional bodies to which you belong. Name of Professional Body Membership Status Date Membership Commenced Professional Development: Please give details of any courses undertaken which you have not already detailed and which you consider to be relevant to this application.
B1. Evidence accepted as representative of prior credit (in relation to the module(s)/programme learning outcomes. Programme title Total number of credit exemption awarded and level(s) of study School of Health Sciences only: if credits are from Greenwich, Brighton, Kent and Canterbury Universities, also indicate marks gained for transferred modules Module(s) title and module(s) credits against which the exemption claim was made successfully (insert additional rows if required) B2. Further evidence required/ Evidence rejected: please note here what additional type of evidence is required, OR provide reasons and describe how applicants/students may change their approach in describing supporting evidence, etc for future credit exemption claims. B3. Feedback: RPL/RPC Assessor’s comments RPL Moderator’s comment (for RPL claims only): B.4 Signatures / (to be completed by academic members of staff) Admissions Tutor / RPL/RPC Assessor [print title and name] Signature [electronic signature where possible] Date of the decision RPL Moderator [print title and name] Signature [electronic signature where possible] Date of the moderation Chair of Board of Examiners [print title and name] Signature [electronic signature where possible] Date SECTION C. RPL or combined RPL/RPC claim record keeping (to be completed by admin members of staff)
APPLICATION FORM FOR AFFILIATION TO AGRICULTURE SKILL COUNCIL OF INDIA (ASCI) GENERAL INSTRUCTIONS The application has to be applied by the VTP interested for affiliation. The link to the application is available on A print-out of this application form along with hard copies of the relevant documents (duly signed & stamped) has to be sent to the Agriculture Skill Council of India (ASCI) by the VTP at the below mentioned address-
Postal Address Phone Number with STD code Email ID Area of the Centre (sq. m.) List of Tools & Equipments Available in the Centre (pertaining to the job roles) 1. 2. 3. 4. 5. 6. Whether the Training Centre Owned or Leased In case of lease, years of lease *The Training Partner to declare the Training Centre Details on the Organization letter head. Brief background of the organization (including brief of projects accomplished in last 3 years) Medium of instructions in Institute: English Hindi Any Other Please specify: __________________ Does the Institute have branches? Yes No (If Yes, attach the list of Branches as Enclosure 2) Tan No. Pan No. (Attach photocopy of the PAN card and IT Return of last 3 years as Enclosure 3)
Chinese or other ethnic: CHINESE □ ANY OTHER □(please specify): Prefer not to say: □ SEXUAL ORIENTATION LESBIAN/GAY □ BISEXUAL □ HETEROSEXUAL □ PREFER NOT TO SAY □ RELIGION CHRISTIAN □ (including Church of England/Scotland/Ireland, Catholic, Protestant and all Christian denominations) BUDDHIST □ HINDU □ JEWISH □ MUSLIM □ SIKH □ ANY OTHER RELIGION □(please state): PREFER NOT TO SAY □ Thank you for applying.
Attended From To University/College Qualification/Subject with grade/level Please give details of post graduate and/or professional qualifications applicable to your Summer School application Attended From To University/College Qualification/Subject with grade/level Please give details of TEFL qualifications (if applicable) Attended From To Awarding Institution Qualification and grade achieved Present Post and Responsibilities Date started Name and address of employer Post and Responsibilities Employment History Please complete the Employment History overleaf, ensuring any gaps in employment are explained below. Gaps in employment: Employment History Please give details of all previous employment, including previous positions held with your current employer.
Address line 1 (House number/ Street name) Address line 2 (Unit or Apartment No.) Postcode/Zip code City/Postal District Country Address line 1 (House number/ Street name) Address line 2 (Unit or Apartment etc.) Postcode/Zip code City/Postal district Country Phone and Email (Please indicate all numbers with country and area codes) Home Mobile E-Mail 3. Educational Background Bachelors level university education Name of the University/College City/Country Name of the Degree Major Start of Studies (dd.mm.yyyy) Date of Graduation (dd.mm.yyyy) Grade Masters Level University Education Name of the University/College City/Country Name of the Degree Major Title of Master Thesis (grade, if available) Start of Studies (dd.mm.yyyy) Date of Graduation (expected) (dd.mm.yyyy) Final Grade (if known) Note: If you have more university degrees/diplomas in addition to above, check the box below and provide the information on a separate sheet attached to the end of this application form. I have more university degrees/diplomas and details are attached in a separate 4. Work experiences (Starting with your present employment, list in reverse order every position you held)
3. OTHER RELEVANT, NON-ACCREDITED COURSES (most recent first) 4. SUBJECTS AND LEVELS TAUGHT Subject Details (Please specify subjects taught during last 3 years only – tick as appropriate and indicate length of time) LC H LC O JC TY LCA JSCP SEN Team Teaching Subject 1: Indicate number of months Subject 2: Indicate number of years/ months Subject 3: Indicate number of years/ months IF NEWLY QUALIFIED, PLEASE INSERT TEACHING PRACTICE GRADES (most recent first) Name and Address of School Dates Subject Taught Levels Taught Grade 5. POSTS OF RESPONSIBILITY (IF ANY) (most recent first) Name of School Position Held Dates 6. OTHER RELEVANT EXPERIENCE (most recent first)
Volume to weight conversion factors Waste category Typical types Cubic metres to tonnes - multiply by: Cubic yards to tonnes – multiply by: Inactive or inert waste Largely water insoluble and non or very slowly biodegradable: e.g. sand, subsoil, concrete, bricks, mineral fibres, fibreglass etc. 1.5 1.15 General industrial waste - non-special, not compacted. (As compaction can significantly increase the density of this category of waste, if compacted wastes are accepted it will be necessary to uplift the conversion factor accordingly) and plastics. Card, pallets, plasterboard, canteen waste, sawdust, textiles, leather. Timber, building and construction wastes, factory waste and sweepings, etc. Foundry sands, slags, pulverised fuel ash, ashes from waste incineration. 0.15 0.4 0.6 1.5 0.11 0.3 0.46 1.15 Household waste - not compacted Non-special, non-inert wastes from domestic premises, including collected household waste. 0.2 0.15 Household waste - compacted (includes all bulk disposals) Non-special, non-inert wastes from domestic premises, including collected household waste. 0.4 0.30 Commercial waste - not compacted. (As compaction can significantly increase the density of this category of waste, if compacted wastes are accepted it will be necessary to uplift the conversion factor accordingly) Non-special, non-inert wastes from shops, hospitals, leisure centres, offices, etc., including civic amenity waste, parks and gardens waste, supermarket, shop and restaurant waste, general office waste. 0.2 0.15 Other wastes not otherwise referred to 1.0 0.76 Note: If a consignment of waste falls into more than one of the categories specified in the above table, the higher conversion factor shall apply to all of the waste. 1.4 Additional Documents to be Included: Documents and information which must be supplied with the application are presented as a checklist in Appendix 1 of this application form. The applicant is advised to complete the checklist and submit with the application. Any applicant who not submit all of the relevant documents will be contacted by the local authority to supply the missing documents within a set timescale. Five copies of all documents are required.
Reasons for leaving: Reasons for leaving: Gaps in employment Please give details of any gaps in employment leaving full-time education Start date mm / yy Finish date mm / yy Reason Interest and activities Please tell us about your interests and activities outside work Other comments Are there any other comments that you would like to make about yourself or your application, or anything you would like the selection panel to know?
Production Sites, Subcontractors (all the production unit entering in the process should be listed)/加工场所与分包单位（应列出涉及有机加工的所有加工单元）: company name & contact name & production stages/加工工序 Handler, subcontractor or Requested Number of employees on Spoken In case of wet processing, does the unit treat the wastewater in an internal or external wastewater treatment plant before discharging to surface 名称：Societé ABCD 地址：ZI Pont Peyrin, 36200 L'Isle Jourdain, Name: Mr Dupont dupont@abcd.fr Fax:+33-5555553 Dyeing/染色 Handler/操作方 GOTS & ERTS 52 english,french 英语/法语 Yes/是 名称：Societé X 地址：ZI Pont Peyrin, 36200 L'Isle Jourdain, Name: Mr Dupond Email: dupond@x.fr Phone:+33-5444444 Fax:+33-5444443 Weaving/织造 NA/不适用 OCS 113 english,french 英语/法语 NA/不适用 Name/姓名: Phone/电话: Fax/传真: Name/姓名: Email/邮箱: Phone/电话: Fax/传真:
Name/姓名: Email/邮箱: Phone/电话: Fax/传真: Name/姓名: Email/邮箱: Phone/电话: Fax/传真: Name/姓名: Email/邮箱: Phone/电话: Fax/传真: Name/姓名: Phone/电话: Fax/传真:
9. Partial shipment *Allowed / Not Allowed (circle one) 10.Transshipment Allowed / Not Allowed (circle one) 11. Terms FOB / CIF / CFR / DDP ( circle one) 12. Shipment by SEA / AIR / LAND ( circle one) 13. Pro Forma invoice Merchandise Description: Number: 1/A Date: 14. Documents Required Please list here: INVOICE CMR CERTIFICATION OF QUALITY 15.Special Conditions L/C Transferable Yes / No (circle one) YES Others: 16. Sending Instrument Via SWIFT / COURIER / TELEX (Circle one) SWIFT If by Courier, please fill out below: Beneficiary Contact Peron Full address: Phone:
Name of Professional Body of Membership (Where appropriate) Employment history (Please list chronologically, starting with current or last employer) maximum 2 A4 pages Name and Address of Employer and Nature of Business: of employment From: To: Job Title Job Function/ Responsibilities Final Salary and Reason for Leaving