zilongwang/ReadingBank huggingface dataset:
a disqualification order or disqualification undertaking under the Company Directors Act 1986, a disqualification order under Part 2 of the Companies (Northern Ireland) Order 1989, a disqualification undertaking accepted under the Company Directors Disqualification (Northern Ireland) Order 2002, an order made under Section 492(2)(b) of the Insolvency Act 1986 (failure to pay under a County Court administration order); has been removed from the office of charity trustee or trustee for a charity by the Charity Commissioners or High Court on grounds of any misconduct or mismanagement, or under Section 34 of the Charities and Trustees Investment (Scotland) Act 2005 from participating in the management or control of any body; is included in the list of people considered by the Secretary of State as unsuitable to work with children; is disqualified from working with children or subject to a direction Section 142 of the Education Act 2002; is disqualified from registration for child-minding or providing day care; is disqualified from registration under Part 3 of the Childcare Act 2006; has received a sentence of imprisonment (whether suspended or not) for a period of not less than three months (without the option of a fine) in the five years before becoming an Academy member or since becoming a Trustee; has received a prison sentence of two-and-a-half years or more in the 20 years before becoming a Trustee; has at any time received a prison sentence of five years or more; has been fined for causing a nuisance or disturbance on school premises during the five years prior to or since appointment or election as an Academy member or a foundation governor in any academy or school; refuses to allow an application to the DBS for a certificate. The level of DBS required for this post is at Enhanced Level. Further information about the Disclosure Service can be found at:
Quality system certification Provide details of the quality management system certification held by the facility. Standard ISO 9001:2008 ISO 9001:2015 ISO/IEC Certificate no. Issue date Expiry date Certification body Scope of accreditation Surveillance audit report Latest surveillance audit or quality assessment report no. Report date List the identified (attach list if required) List the opportunities for improvement / areas of concern identified (attach list if required) The facility address is covered in the surveillance assessment Yes No All actions identified in the surveillance assessment have been addressed Yes No
Limited Liability Company Operating Agreement Articles of Organization Borrowing Resolution Manager Managed or Member Managed State of Oregon Filing Tax Identification Number () Corporation Articles of Incorporation Bylaws State of Oregon Filing Borrowing Resolution Corporation's Tax Identification Number () Secretary's Certification for number of shares authorized, number of shares issued to whom and at what price Governmental Entity Resolution from Appointing Authority Bylaws Borrowing Resolution Management Agent Documents Management Agent Packet Assumption requests include a review of the proposed Management Agent. The review is required even if there is no change in the Management Agent or if the Buyer plans to be the Management Agent. A completed Management Agent Packet (available through the OHCS website) must be submitted for review and approval to the Asset Management Section. Resident Services Plan Depending on the funding resources, a Resident Services Plan approved by the Department may be required. The Management Agent Packet includes the plan forms. LIHTC/GRANTS APPLICATION CHECKLIST Site Control (i.e., Purchase & Sale Agreement)
Safe System of Work Plan (SSWP) Lawnmower and Strimmer Ride on Lawnmower First Aid Pesticide Training (Safe Use of Pesticides and Hand Held Applicator) Driver CPC Employment History From (D/M/Y) To (D/M/Y) Position Held (Permanent/Temporary/ Acting) Name and Address of Employer Brief description of duties of post POSITION OF LORRY DRIVER Please outline any other supporting information that you consider would be relevant to your candidature for this particular post.
Further, Higher and Professional Education Type of Educational Establishment Date: From To Qualification Obtained (please indicate level/subject/grade/year achieved.) Section 3: Present Position Name of Organisation Job Title Date of appointment To whom accountable Summary of main duties and responsibilities
REF: MA/0118 Job Title: Medical Services Administration Officer (PT, 20 hours per week) (SI/023) All application forms should be emailed to or a signed hard copy returned to: The Monitoring Officer Sport Northern Ireland House of Sport 2a Upper Malone Road BELFAST BT9 5LA Grade: Administration Officer (AO) Salary: Hours : £18,946 - £22,291 (pro rata) PT 20 hours Closing Date: 12 noon on Wednesday 07 February 2018 Please ensure you read the ‘Information for Applicants’ booklet before filling out this application form. SECTION 1 - PERSONAL DETAILS Surname Forename Title Email Address Home address Postcode Telephone Numbers Home Work Mobile NI Number How did you hear about this vacancy? SECTION 2 – REFERENCES Please state the names of three employment related referees, including your current employer. Reference 1 Name Address Telephone No. Position Reference 2 Name Address Telephone No. Position Reference 3 Name Address Telephone No. Position May SNI contact your present employer?
SECTION B Part 1 – General Education Examination(s) passed Year Overall Result (Pass, Hons, Part 2 – Academic and/or Professional Qualification Degree or Qualification held Year College Attended Result in final Exam (Type of honours etc.) Part 3 – What qualities do you consider you possess which would make you particularly suitable for employment with the Board? Part 4 – Name two responsible persons, to who you are well know but not related, as referees:- Name Occupation Address Name Occupation Address SECTION C For your most recent employments (within the last ten years) please complete Section C (I) below. For all previous employments not within this timescale, please complete Section C (II) below. Supplementary pages may be added for this purpose if required. Section C (I) Title of post held:
Starting Date: Present Leaving Date (if applicable): Duties/responsibilities: Job 3. SECONDARY EDUCATION Schools attended from age 11 Dates Qualifications gained From To Subject Level Date 4. FURTHER TRAINING Name of College or university Qualifications gained From To Title and Subject Class/Level Date 5. OTHER TRAINING AND PROFESSIONAL QUALIFICATIONS Professional Body/Course Membership grade/Qualification Date
8. PLEASE USE THIS SPACE TO PROVIDE FURTHER INFORMATION TO SUPPORT YOUR APPLICATION (continue on a separate sheet if necessary) 9. HEALTH (a successful candidate will be required to complete a Health History Form and may be required to attend a medical examination) Are you in good health? Yes  No  Are any disabilities which may affect your application? Yes  No  Please describe below any disabilities and include any reasonable adjustments which you feel should be made to: The recruitment process to assist you in your application for this post and the job itself which would enable you to carry out your duties ……………………………………………………………………………………………………………………… 10. CRIMINAL RECORD Have you ever been convicted of a criminal offence? Yes  No  If ‘yes’ please describe ……………………………………………………………………………………………………………………… Rehabilitation of Offenders Act 1974 (exceptions) Order 1975 IMPORTANT NOTE FOR ALL PERSONS APPLYING FOR POSITIONS IN SCHOOLS AND COLLEGES, AND OTHERS WHO WILL WORK WITH PERSONS UNDER AGE 18 The Rehabilitation of Offenders Act 1974 (exceptions) 1975 does not allow employees with access to children and young persons under the age of 18 years the right to withhold information regarding previous criminal convictions, as well as cautions, warnings, reprimands and bind-overs, for any offence (not just those involving children) which for other purposes are ‘spent’ under the provisions of the Act. You should disclose in this section any previous convictions, cautions, warnings, reprimands and bind-overs. Failure to disclose any previous convictions, cautions, warnings, reprimands or bind-overs could result in dismissal should it be subsequently discovered. Any information given, either when returning this application form or at interview will be entirely confidential and will be considered only in relation to this application. I confirm that I have no criminal convictions, cautions, warnings, reprimands or bind-overs, or are barred, disqualified from working with children. Signature:
Pakistani (40) Other Asian background (43) African (44) Caribbean (16) Other Black/African/Caribbean background (17) Chinese (42) Arab (47) White and Black Caribbean (35) Mixed - any other ethnic background (38) White – English/Welsh/Scottish/Northern Irish/ British (31) White - Irish (32) Gypsy or Irish Traveller (33) White - any other (34) Any other ethnic group (98) Not provided (99) Male Female Disclosure of criminal convictions (to be completed by all applicants) Have you ever been convicted by the courts, cautioned, reprimanded or given a final warning by the police? No Yes If YES, please give details (If you wish you may give details in confidence to the college’s Safeguarding Manager) Section Two: People You Work With Has a community care assessment, common assessment framework or improving choice for living and work assessment been carried out? If yes, please attach a copy. Yes No Don’t know Name of Careers adviser Address Telephone E mail How often do you see them? Name of contact at current school/college Name of school/organisation Address Telephone E mail How many days a week do you attend? Name of current social worker Address Telephone E mail How often do you see them? Date last seen Name of previous social worker Address Telephone E mail Date last seen Name of current GP Address Telephone E mail Name of CAMHS worker/psychologist/ other mental health worker Job role Address Telephone E mail How do you see them? Date last seen
Email: 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 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 Other 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
Indian (39) Pakistani (40) Other Asian background (43) African (44) Caribbean (16) Other Black/African/Caribbean background (17) Chinese (42) Arab (47) White and Black African (36) White and Black Caribbean (35) Mixed - any other ethnic background (38) White – English/Welsh/Scottish/Northern Irish/ British (31) White - Irish (32) Gypsy or Irish Traveller (33) White - any other (34) Any ethnic group (98) Not provided (99) Male Female Disclosure of criminal convictions (to be completed by all applicants) Have you ever been convicted by the courts, cautioned, reprimanded or given a final warning by the police? No Yes If YES, please give details (If you wish you may give details in confidence to the college’s Safeguarding Manager) Section Two: Other People You Work With Has a community care assessment, common assessment framework or improving choice for living and work assessment been carried out? If yes, please attach a copy. Yes No Don’t know Name of Careers adviser Address Telephone E mail How often do you see them? Name of contact at current school/college Name of school/organisation Address Telephone E mail How many days a week do you attend? Name of current social worker Address Telephone E mail How often do you see them? Date last seen Name of previous social worker Address Telephone E mail Date last seen Name of current GP Address Telephone E mail Name of CAMHS worker/psychologist/ other mental health worker Address Telephone E mail How often do you see them? Date last seen
Irish Traveller of Irish Heritage Any other White background b. Mixed and Black Caribbean White and Black African White and Asian Any 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. ethnic groups Chinese Any other ethnic group
b) Offices held ordination and any other work done (full and part-time not including present appointment) with details of the nature of the work and responsibilities. Please provide in date order, and explain any gaps. Please list these, with separate entries for offices held concurrently (e.g. Rural Dean, chaplaincies etc.). Please indicate major parish features (e.g. type of area, team ministry, ecumenical). Please provide a contact address where the post is not parochial or diocesan. From To Office and description (nature of work and responsibilities) Contact address if not a parochial or diocesan post c) Responsibilities in the wider Church Please indicate tasks undertaken for the wider Church, e.g. synodical responsibilities at any level, diocesan committees and working parties served on, ecumenical involvement, or work for a Church voluntary organisation, and how you contributed to progressing their agendas. From To Description
c) What spiritual disciplines mould your daily life and ministry? d) How do you see your role as an ordained minister in relation to lay people? e) What do you consider to be your particular strengths and weaknesses in (i) Mission (ii) Ministry? f) Please list any theological books which you have read during the past year
Please explain any gaps in your employment, please note that Changing Lives welcome applications from individuals who have used our services or services similar to those provided by Changing Lives. Education Starting with the most recent, please list your education history, including any professional qualifications: Date Completed Names of School, College or University Subject Taken Qualification Grade Achieved Training and Development
From: dd / mm / yy To: dd / mm / yy From: dd / mm / yy To: dd / mm / yy From: dd / mm / yy To: dd / mm / yy Section 6: Gaps in your employment If are any gaps in your employment history, eg looking after children, sabbatical year, please give details and dates._____________________________________________________________________________ Section 7: Interests Please give details of your interests, hobbies or skills - in particular any which could be of benefit to the School for the purposes of enriching its extra curricular activity.
Application Form – Lay Pastoral Assistant This form is to be completed for each person applying to become a Lay Pastoral Assistant. The completed form should be signed by the incumbent and the applicant. Details will be kept on the diocesan database. Name of Applicant: Address: Postcode: Telephone: E-mail address: Parish/Benefice/LMG: PCC Approval of the Applicant Date Approved: Safer Recruitment policy followed and completed Yes No ENHANCED DBS Certificate Children Yes No Adult Yes No Adult & Children Yes No Number: Issue Date: Confidential Declaration (completed and signed) Date Signed: Data Protection Notice (completed and enclosed) Yes No Ministry for Mission LPA Training completed (or appropriate training) Date: Details: Copy of the Ministry Specification enclosed Yes No Incumbent LPA Applicant Signed: Name in print: Date:
Course details Course date 20 September 2017 Course title New Stewards Network & Follow Up Training Day 2017 Course code (if known) n/a Closing date for the course 6 September 2017 Your details Male Female Surname First name Membership no. Branch Service (e.g Health, Local Gov) Address for correspondence Contact no. Mobile Please provide your email address below so we can send further information by email: Email Facilities Do you have special dietary needs? Yes / No Are you disabled? Yes / No Do you have any access needs? Yes / No Do you need assistance with care to attend this course? Yes / No If you have answered yes to any of the above please give details: _______________________________________ _______________________________________ PLACES CANNOT BE GUARANTEED. THEREFORE YOU ARE ADVISED NOT TO MAKE TRAVEL ARRANGEMENTS A PLACE HAS BEEN CONFIRMED. Monitoring To help us work towards fair representation, please answer the following questions: Do you identify yourself as being: White British Irish Any other White background Mixed race White & Black Caribbean White & Asian Any other Mixed background Asian or British Indian Pakistani Any other Asian background Black & Black British Caribbean African Any other Black background Chinese or other ethnic Chinese group Any other ethnic background ---------------------------------------------------------------- All applications must ask their Branch Secretary or Education Coordinator to complete this section. There is no registration or attendance fee for branches, however branches will need to cover attendees’ travel and subsistence expenses. This application is supported by the Branch Signed Date Branch position Return to: Cath Still UNISON South East, 3rd Floor, Christchurch House, Beaufort Court, Sir Thomas Longley Road, Strood, Kent, ME2 4FX Fax to: 01634 717848 Email to: c.still@unison.co.uk
CONFIDENTIAL APPLICATION FORM Please note that this is the standard Church of England form with an amended heading, an additional section numbered six and subsequent sections re-numbered. Application for the office of Team Vicar & Team Missioner in the Newton Abbot Team Ministry SECTION 1 Surname Christian names Address Home telephone number Mobile number E-mail Ordained deacon in the Diocese of In (year) Ordained priest in the Diocese of In (year) Lay ministers First licensed/commissioned in the Diocese of In (year)
c) What spiritual disciplines mould your daily life and ministry? d) How do you see your role as an ordained minister in relation to lay people? e) What do you consider to be your particular strengths and weaknesses in (i) Mission (ii) Ministry? f) Please list any theological books which you have read during the past year
FORM NGSE-01 National Graduate School of Engineering College of Engineering UNIVERSITY OF THE PHILIPPINES Diliman, Quezon City 1101 Philippines Staple three pieces of passport-sized photographs here APPLICATION FORM ADMISSION TO THE GRADUATE PROGRAM Last Name GIVEN Name Middle/Maiden Name INSTRUCTIONS Accomplish properly FormNGSE-01. Pay a non-refundable application fee of PHP100.00 for Filipino and resident foreign applicants at the Cashier's Office. For non-resident applicants, send a check of USD20.00 payable to the “University of the Philippines”together with the application documents. Request three (3) former professors or technical experts acting as your supervisor as references to accomplish FormNGSE-02. Each accomplished form should be enclosed in a sealed envelope, with a signature across the seal.Accomplished forms may be returned to the applicant or may be sent directly to the NGSE Office. Submit all the accomplished together with the following requirements: One (1) official copy sealed in an envelope and two (2) photocopies of Transcript of Records bearing the school seal and the registrar's signature Application fee receipt Three (3) recent passport size pictures Original and one (1) photocopy of NSO Birth Certificate (for Filipino applicants) Photocopy of passport (for foreign applicants) TOEFL official score (Only for foreign applicants whose native language or primary medium of instruction in secondary school and college is not English).A score of at least 61 in the internet-based Test of English as a Foreign Language (Education Testing Service, Princeton, , ) is required. Wait for the final decision on your application, which will be communicated to you by email and/or phone. For National Graduate School of Engineering Office Use Only (To the applicant: Do not fill this portion) Date of Submission O.R. Number Received by SCHOOL AVERAGE BS MS For Department/Institute/Program Admission Committee Use Only (To the applicant: Do not fill this portion) The Department/Institute/Program Admission Committee recommends that the applicant be admitted as a graduate degree student admitted as a non-degree student (probationary admission) subject to the following condition(s): refused admission Department Chairman/Institute Director/ProgramCoordinator Printed Name & Signature Date
Employment History Period (MM/YYYY) Full-Time (F) or Part-Time (P) Name of Employer Title/Position From To FORM NGSE-01 ACADEMIC BACKGROUND Secondary Educationa Last High School Attended Date Started / School Name Date Graduated / School Address Tertiary Educationa,e Name of Institution Location Degree Received Enrollment (MM/YYYY) From Until 4.c. Post-Graduate Studiesa,b,e Name of Institution Location Degree Received Enrollment (MM/YYYY) From Until Scholastic Honors & Awards Receivede Title Awarding Institution Date Received Recent Scientific Publicationsc,e of Paper of Publication Date Published 4.f. Recent Scientific Conference Presentationsc,e
b program with the College of Science. FORM GPC-02 PERSONAL INFORMATION Kindly write in BLOCK LETTERS 2.a. Last Name Male Female Given Name Birth Date (MM/DD/YY) Middle Name Birth Place Maiden Name for married female applicants Civil Status Country of Origin Citizenship 2.b. Current Address No P.O. Box Postal Code Country Permanent Address Postal Code Country 2.c. Telephone Number Fax Number E-mail Address Father’s Name Mother’s Name Write the Maiden NAME. 2.e. Emergency Contact Person Complete Name Complete Address Relationship Contact Number EMPLOYMENT INFORMATION 3.a. Current Employment Statusc Self-Employed Employed Employed Part-Time Unemployed 3.b. Currently Employed Applicants (Full-Time/Part-Time) Position Length of Service Company Name Telephone Number Office Address Fax Number E-mail Address Company Website 3.c. Self-Employed Applicants Business Name Business Address E-mail/Website Telephone Number Type of Business of Operation 3.d. Employment History Period (MM/YYYY) Full-Time (F) or Part-Time (P) Name of Employer Title/Position From To
Type of Business Years of Operation Employment History Period (MM/YYYY) Full-Time (F) or Part-Time (P) Name of Employer Title/Position From To FORM NGSE-01 ACADEMIC BACKGROUND Secondary Educationa Last High School Attended Date Started / School Name Date Graduated / School Address Tertiary Educationa,e Name of Institution Location Degree Received Enrollment (MM/YYYY) From Until 4.c. Post-Graduate Studiesa,b,e Name of Institution Location Degree Received Enrollment (MM/YYYY) From Until Scholastic Honors & Awards Receivede Awarding Institution Date Received Recent Scientific Publicationsc,e Title of Paper Title of Publication Date Published
(b) University Education: Name and Place of Institution Name of Degree Passing Year obtained / Total Marks CGPA Division % Age of Marks obtained must be written Major Subjects Note: Mention only those degrees which have been completed on or before due date. (c) Other Formal Training Education: Name and place of Institution Leaving Certificate OR Diploma obtained Years Attended Major Subjects From To (d) Academic Distinction: Name and of School, College and University /Institution Certificate / Degrees obtained Years attended Distinction Certificate / Major Subjects From To (e) Distinction in Games and Sports: ________________________________________________________________________________ 13. MODERN LANGUAGES: List all the languages in which you are proficient. Language Extent of proficiency Diploma obtained Year of passing Institution attended
14. Give particulars of whole-time employment / experience /service: Name of Post held Name of the Institution where Employed Federal or Provincial Govt. / Autonomous or Private Permanent / Temporary / Contract / BPS Monthly Salary Duration Give Exact Dates: of leaving Brief Description From To (i) What is the total length of experience Years Months Days NOTE: Experience Certificate mentioning exact dates duly signed / issued by the Competent Officer/Authority of the concerned Department should be attached otherwise the claimed experience will not be accepted. Specimen of NOC/departmental permission and experience certificate is attached at the end for guideline.
Guaranteed interview scheme We guarantee, under the 'Positive about Disabled People' scheme, an interview for all applicants with a disability who meet the minimum criteria on the job description. Are you a disabled person applying on that Yes No _____________________________________________________________________ Job share The City of York Council welcomes individuals to apply on a job-share basis (unless specified otherwise in the job advert). Please indicate below if you wish to be considered for a job share. Are you applying for this post on a job share basis? Yes No (Job sharing is different to part time working – see the How to Apply guidance for further information) _____________________________________________________________________ Relationship with the council Are you related to any employee of City of York Council or do you have any substantial connection with any employee of City of York Council? Yes No If yes please give details _____________________________________________________________________ Applicant status For monitoring purposes please indicate if you are already an employee of City of York Council. Yes No Bottom of Form (Work with York /City of York Trading workers, Explore, Be Independent and Veritau employees are not considered CYC employees). ____________________________________________________________________ Availability for interview
Application form for Non-Teaching Posts PRIVATE AND CONFIDENTIAL VACANCY DETAILS Post applied for Where advertised? PERSONAL INFORMATION Title (Mr, Mrs, Miss, Ms etc) First name Middle name(s) Surname Former name(s) Date of birth Current address Postcode Email address Telephone number Mobile number NI Number Teacher reference Date of QTS Are you eligible to work in the UK? YES NO Do you hold a full, current driving licence? YES NO* Do you have your own transport? YES NO* Are you currently employed? YES NO* If yes, please advise how much notice you would have to give. *delete as appropriate Please give details of any other employment that you would continue with if you were successful in obtaining this position. Please include daily start and finish times and total weekly working hours.
I therefore confirm below that I am not barred from working with children or vulnerable adults. Name………………………………………………………………………………….. Signature……………………………………………………………………………… Date………………………………………………………………………………........ FAILURE TO COMPLETE THIS FORM WILL RESULT IN YOUR APPLICATION/APPOINTMENT NOT PROCESSED
Do you have one of the following? Qualified Teacher Status (QTS) Yes No Qualified Teacher Learning & Skills status (QTLS) Yes No If yes, please provide date of award: If no, please give details: SECTION 4: PROFESSIONAL DEVELOPMENT Please list any courses you have completed are NOT detailed above which you believe are relevant to your application: Course Title Course Provider Dates (mm/yyyy) From To Qualification SECTION 5: PROFESSIONAL BODY MEMBERSHIPS Please tell us if you are a member of any professional bodies: Name of Professional Body Membership status SECTION 6: HOBBIES AND INTERESTS
Registered Business Address: Postcode: Contact Address: (If Different) Post Code: (If Different) Principal Contact: Telephone: Mobile: Email: Website: FOR REFERRALS ONLY: Referred By – Contact Name: Company Name: 2 Business Structure Date Started Trading: Structure of Ownership: Eg: Limited Company, Sole Trader etc. Turnover: Number of Employees: 3 Description of the Business Please provide a description of the business. Eg: Product / Service concept, idea or innovative content at the heart of the business; present business status and growth potential; composition and structure of management team and details of skills still required for success; any IPR held or being developed; target markets; key objectives for the next 3- 6- 12- 24- months; clinical trials or research supports required (current / future). 4 Specific Business Activities Please describe the specific types of activities you propose to carry out at The MedBIC.
Signature Date Recruitment and Data Protection It is the School's policy to employ the best qualified personnel and to provide equal opportunity for the advancement of employees including promotion and training and not to discriminate against any person because of their race, colour, national or ethnic origin, sex, sexual orientation, marital status, religion or religious belief, disability or age. All new posts are subject to a probationary period. The School is committed to safeguarding and promoting the welfare of children and young people and expects all staff and volunteers to share this commitment. Our Safeguarding Children Policy is available on our website: www.stmaryscolchester.org.uk. If your application is successful, the School will retain the information provided in this form (together with any attachments) on your personnel file. If your application is unsuccessful, all documentation relating to your application will be confidentially destroyed within six months. The information that you provide on this form will be used to process your application for employment. The personal information that you provide will be stored and used in a confidential manner to help with our recruitment process. If you succeed in your application and take up employment with the school, the information will be used in the administration of your employment. Please read the Privacy Notice for Candidates is available in the application pack. Health In accordance with the Education (Health Standards) (England) Regulations 2003 any of employment made by the School will be conditional upon the School verifying the successful applicant’s medical fitness for the role. Therefore if your application is successful you will be required to complete a medical declaration. The responses will be assessed by the School’s nominated medical advisor who may be given access to your medical records and/or be referred to a specialist clinician. Monitoring Form
Disability or Health Condition I do not have a disability Visual impairment/blind Hearing Impairment/ deaf Physical impairment Chronic health condition Cognitive or learning disability Mental health condition Prefer not to say Other (please specify) Identifying Gender Female Male Non-binary Prefer not to say Age 24 and under 25 to 34 35 to 44 45 to 54 55 to 64 65 or above Sexual Orientation Heterosexual/straight Gay/lesbian Bi-sexual Other Prefer not to say Where did you hear about this opportunity? Head of Finance
Do you consider yourself to be a disabled person or to have a long-term, limiting condition? Yes No Ethnicity What is your ethnic group? Please choose one section from A – E, and then tick one box to best describe your ethnic group or background. A English / Welsh / Scottish / Northern Irish / British Irish Gypsy or Irish Traveller Any other White background, please write in B / multiple ethnic groups White and Black Caribbean White and Black African White and Asian Any other Mixed / multiple ethnic background, please write in C Asian Pakistani Bangladeshi Indian Chinese Any Asian background, please write in D Black / African / Caribbean / Black British African Caribbean Any other Black / African / Caribbean background, please write in E ethnic group Arab Any other ethnic group, please write in
London Borough of Camden V A L U I N G D I V E R S I T Y I N E M P L O Y M E N T The London Borough of Camden is committed to equality and diversity in employment. In order to monitor and ensure the effectiveness of this, all applicants are asked to provide the following information. Any information given will be treated in the strictest confidence, and will be used solely for the purposes of monitoring. This part of the form will be separated from the rest of your Job Application Form upon receipt and will not be considered as part of the short listing or appointment process. What is your gender?: Please tick (✓) Male Female What is your date of birth? Disability: Under the terms of the Disability Discrimination Act 1995 ‘a person has a disability if he/she has a physical or mental impairment which has a substantial and long-term adverse effect on his/her ability to carry out normal day to day activities’. Individuals with the following conditions can now automatically be classified as having a disability: HIV, cancer, multiple sclerosis, severe disfigurements, certified blindness or partial sightedness. Do you consider yourself to have a disability as defined above? Yes No Mixed: and African White and Asian White and Caribbean Any Mixed background, please specify: Asian Bangladeshi Indian Pakistani Any other Asian background, please specify: What is your ethnic group?: Please tick (✓) Our ethnic background describes how we think of ourselves. Ethnic background is not the same as nationality or country of birth. The groups listed below reflect the largest ethnic groups in Camden. You are asked to choose the ethnic group that is closest to how you see yourself and specify a more specific group if you wish. White: Albanian (excluding Kosovan) or Greek Cypriot Kosovan Turkish or Turkish Cypriot White British White Irish Black: African Congolese African Nigerian African Somalian Caribbean Any other African background, please specify: Any other Black background, please specify: Chinese or other ethnic group: Chinese Any other White background, please specify:
REF: PFMA/0516/ Job Title Development Assistant - Finance & Monitoring (Part-time) All application should be returned to: The Monitoring Officer Sport Northern Ireland House of Sport 2a Upper Malone Road BELFAST BT9 5LA Grade Executive Officer II (EOII) Salary £23,428 pro rata per Closing Date 12 noon on Tuesday 3 May 2016 Please ensure you read the ‘Information for Applicants’ booklet before filling out this application form. SECTION 1 - PERSONAL DETAILS Surname: Forename Title If Other please specify Email Address Address Postcode Telephone Numbers Home Work Mobile NI Number How did you hear this vacancy? SECTION 2 – REFERENCES Please the names of three employment related referees, including your current employer. Reference 1 Name Address Telephone No. Position Reference 2 Name Address Telephone No. Position Reference 3 Name Address Telephone No. Position May SNI contact your present employer?
Application for employment with Exmoor National Park Authority Please type or write in BLACK ink for photocopying purposes Application for: Planning Assistant (Policy) Closing Date: 18 June 2018 (12.00 midday) How did you hear about this job? (Please specify which website/paper/social media platform): Please do not send curriculum vitae, testimonials or other documents – we will only shortlist based on this application form. You may continue on separate sheet(s) if there is insufficient space on the form. If you need to use another format to enable you to please contact Ellie Woodcock via or 01398 322231 Please return your completed application to: Personnel (Confidential), Exmoor National Park Authority, Exmoor House, Dulverton, Somerset, TA22 9HL or email to: PART A: PERSONAL DETAILS (If handwritten, BLOCK CAPITALS please) Preferred Title (e.g. Mr, Mrs, Ms, Dr): Family Name/Surname: Forename(s): name: (if different to forename) Home Address: Post Code: Date of Birth: ………../………./…………… National Insurance No: Tel/Mobile No where you can be contacted during office hours (9-5): Tel/Mobile No evenings (if different from above): Email Address: PERSONAL TRANSPORT – for posts which involve travel within please answer the following questions: Are you able to travel within the National Park? YES NO Do you have a current full driving licence? YES NO Do you have a car or other means of transport available for work? YES NO Our commitment as a employer Exmoor National Park Authority welcomes applications from people with disabilities. Wherever possible and reasonable we will make adjustments and offer alternatives to enable a person with a disability to access the application and appointment process fairly. Do you consider yourself to have a disability? YES NO If you have answered YES to the above question and are offered an interview, would you welcome a pre interview meeting or discussion to identify any particular needs that you may have? YES By telephone In person NO Disclosure of criminal offences – Rehabilitation of Offenders Act 1974 The Rehabilitation of Offenders Act 1974 gives individuals the right not to disclose details of old offences, which are seen as ‘spent’. Please give details, including dates and places, of pending prosecutions and any convictions, cautions and bind-overs since the age of 17 years, which are not ‘spent’.
Application for the position of Director of Regional Development RDA Illawarra Title* Full first name* Last name* Post nominal (e.g. OAM, AM, AO) Date of Gender Do you identify yourself as an Indigenous Australian? Do you identify yourself as a person with a disability? Were you born in Australia? Do you identify yourself as a person from a speaking background? If ‘Yes’, please state ethnicity Current employment status? If employed please state: Position Employer Residential address Street Suburb State Postcode Postal address (if different) Street Suburb State Postcode Home phone Business phone Mobile phone
2 3 4 VERIFICATION Do you have any criminal convictions? YES NO DETAILS Have you ever been dismissed for misconduct or poor work performance? YES NO DETAILS Is there any disciplinary action against you (current or pending) with your current employer? YES NO DETAILS Have you ever resigned from a post whilst undergoing a disciplinary action/investigation YES NO DETAILS Have you ever been medically boarded? YES NO DETAILS Are you related to any current /past employee of UNIZULU? YES NO DETAILS Do you confirm that all the information provided in this application and supporting documents is true and correct? YES NO DETAILS Do you consent to verification of the information you provided including qualification verification , criminal checks and credit checks as appropriate YES NO DETAILS Do you have any other part remunerative work to declare? YES NO DETAILS Are you a member of a company (or CC)? YES NO DETAILS Do you wish to declare any information which UNIZULU should, in the interests of full and fair disclosure, be aware of when considering you for the position for which you have applied? YES NO DETAILS YOU FOR COMPLETING THIS APPLICATION FORM. PLEASE NOTE THE FOLLOWING: UNIZULU RESERVES THE RIGHT TO: NOT FILL THIS POSITION FOR WHATEVER REASON IT DEEMS FIT VERIFY ALL INFORMATION PROVIDED IN THIS APPLICATION FORM CONTACT REFEREES AND TO REQUEST ADDITIONAL REFEREES CONDUCT CREDIT AND CRIMINAL CHECKS IF WARRANTED
Name and address of employer Job title and location From To Rate of pay Duties Reason for leaving Name and address of employer Job title and location From To Rate of pay Duties Reason for leaving Name and address of employer Job title and location From To Rate of pay Duties Reason for leaving
Please indicate any other information not already provided, which you feel may be helpful in assessing your suitability for the position and the duties outlined in the Job Description. If necessary, attach additional sheets. Please include details of your current/most recent employer in addition to one other referee. Referees must not be related to you. Any offer of employment will be made subject to the receipt of satisfactory references. Name and Position of Referee Capacity in which known to Referee Address, E-mail and Telephone Number
You may return this form electronically but if called for interview, you will be required to sign a copy. Please return the completed form to: bridget@communityenterprise.co.uk Community Enterprise Ltd. Fleming House Fleming Road Livingston EH54 7BN
SOUTH ULSTER HOUSING ASSOCIATION – Application Form Confidential To complete the form from within Word, please type into the boxes and email when completed to recruitment@southulsterhousing.org. Alternatively, print and complete by hand in black ink only and post to this address, marked Private and Confidential (please use additional sheets where necessary): Mrs Sharon Garrity, South Ulster Housing Association, 18-22 Carleton Street, Portadown BT62 3EN Completed application forms received before the closing date will only be considered. Please refer to the Applicant Pack for more information. All information provided will be held in the strictest of confidence. Job Title: Property Services Officer Job Ref No: PSO/18 Personal Details First Name(s): Surname: Address: Postcode: address: Contact home number: Mobile number: Please indicate if you have a disability you would like us to take into account Yes/No If yes, please provide details of accommodations: Have you ever been convicted of a criminal offence, which is not spent under the terms of the Rehabilitation of Offenders (NI) Order 1978? Yes/No If yes, please provide details: Education Please provide the Main Details of your Basic Education below TYPE OF SCHOOL (Secondary/ Grammar/ Third Level/ University/ College etc.) OF EDUCATION (GCSE/ A-Level/ HND/HNC/ Degree/ Post Grad etc.) FROM – TO (date) SUBJECTS STUDIED GRADES/ QUALIFICATIONS OBTAINED Membership of Professional Bodies NAME OF PROFESSIONAL BODY DATES MEMBERSHIP STATUS FROM TO Employment History (where necessary please insert another sheet)
REF: PS/0116/ Job Title Personal Secretary All application forms should be returned to: The Monitoring Officer Sport Northern Ireland of Sport 2a Upper Malone Road BELFAST BT9 5LA Grade Personal Secretary (PS) Salary £23,428 per annum Closing Date 12 noon on Friday 19th February 2016 Please ensure you read the ‘Information for Applicants’ booklet before filling out this application form. SECTION 1 - PERSONAL DETAILS Surname: Forename Title If please specify Email Address Address Postcode Telephone Numbers Home Work Mobile NI Number How did you hear about this vacancy? SECTION 2 – REFERENCES Please state the names of three employment related referees, including your current employer. Reference 1 Name Address Telephone No. Position Reference 2 Name Address Telephone No. Position Reference 3 Name Address Telephone No. Position May SNI contact your present employer?
Enclosed with this application form should be the following: Equal Opportunities Monitoring Form Convictions Declaration Disability Discrimination Act DDA1 Form Information for Applicants* Role Profiles* *(may be accessed on the PBNI website , under ‘Recruitment’, along with copies of PBNI’s Recruitment Policy, Recruitment Procedure and Equal Opportunity Policy & Procedure) If you have not received all documents or if due to disability you require any element of the pack in a different form or format or you require any assistance, please contact the HR department on 028 9026 2441. N.B. Information about PBNI may be accessed via our website Of the documents you must complete and return the following with your application form. Failure to do so will mean your application will not proceed. Please X as appropriate
QUESTION 1 Do you wish to give any information in relation to a disability? YES NO If you answered YES please feel free to give details below and answer Question 2. QUESTION 2 Are there any reasonable adjustments which you would want us to consider in your situation? YES NO NAME: (BLOCK LETTERS) DATE:
Application form ICCCAD Urban Short Course, 16th-20th September 2018 On “Climate Resilient, Migrant-Friendly Cities” Family name Given names Address Phone Home Office Email address(s) Country of residence Nationality Passport information for international participants only Name as on passport Passport no Date of issue Date of expiry Gender (tick) Male Female Date of Food preference Please write your full name that you want to see in the certificate Employment Current position (with name and address of organization): Date of employment: Education (post school) Years Institution What other international courses/Training/Workshop have you attended? Describe your standard of English Use the scale 1 to 5 as follows: 1 – I find it difficult unless people speak slowly 3 – I only have difficulties with certain words 5 – I consider myself fluent Spoken Written Is English your mother tongue? Was your university education in English? Describe goal and main activities your organisation
Thank you for completing and returning this form FOR OFFICE USE ONLY: ACTION Yes/No/Date ACTION Yes/No/Date ACTION Yes/No/Date Received Interviewed Start date Shortlisted Proof of British Citizenship/ID scanned Salary agreed Notified Interview handed back and summary completed Offer letter sent with payroll forms References Requested Notified if unsuccessful Offer letter returned Ref 1 Received Offer made (verbal) Payroll starter completed Ref 2 Received Accepted (verbal) Payroll notified
Management system – Radiation protection programme (indicate one of the listed possibilities below): confirms to have acknowledged the radiation protection programme and management system of the applicant for the recognition as carrier of 7 dangerous goods and shall apply these. confirms to use his own radiation protection programme and management system to execute the transports of 7 dangerous goods and adds these as attachment (if not yet transferred to FANC). Emergency procedure – warning diagram (indicate one of the listed possibilities below) confirms to have acknowledged the Emergency procedure and warning diagram of the applicant for the recognition as carrier of Class 7 dangerous goods and shall apply these. confirms to use his own emergency procedure and warning diagram to execute the transports of Class 7 dangerous goods and adds these as attachment (if not yet transferred to FANC). Generala confirms not to subcontract the transports assigned to him by the applicant. confirms that the drivers shall be informed about the requirements from the radiation protection programme, the management system and the emergency procedure regarding the responsibilities of the driver. Name, date and signature of the legal representative of the applicant, preceded by the handwritten statement “read and approved”. Name, date and signature of the legal representative of the subcontractor, preceded by the handwritten statement “read and approved”.
Tel. number References (Please provide 2 referees, at least one of whom must be academic; please fill in all fields for each referee) Referee’s full name Position / Direct number (preferably mobile) and e-mail address Referee’s employer (official name and postal address) Employer’s central phone number (reception) Explain how referee knows applicant (institutional context + duration) 1. 2. Language qualification reference: Test type Minimum level My score (insert information if already available) TOEFL 90 -- Internet-based 233 -- Computer-based 577 -- Paper- based Academic IELTS 7.0 Cambridge Certificate of Proficiency in English -- CPE Pass Cambridge Certificate in Advanced English – CAE Grade B ITACE C1 I affirm that the foregoing statements are true and complete Date Signature