zilongwang/ReadingBank huggingface dataset:
Details of any additional relevant qualifications and training for this post: Are you qualified to drive a minibus: If so - what formal training have you had – please list dates: CAREER HISTORY Please list below a full history in chronological order (including post-secondary education, part-time and voluntary work, as well as full time employment) with start and end dates. Provide, where appropriate, explanations for periods not in employment and in each case reasons for leaving employment. Name & Address of Employer / Voluntary Organisation / Start and Finish Dates (month & year) Job Title and General Description of Duties Reason for Leaving
I have attached details of any convictions, cautions or bind-overs in a sealed envelope marked Confidential. Please be aware that we will retain this personal data securely and in line with data protection regulations. It will only be shared with those involved in the recruitment process and will either be destroyed in 12 months’ time if your application is unsuccessful or retained on our database for the duration of your time employed at the School plus at least 7 years. NAME SIGNATURE …………………………………………. DATE …………………………………………………….. Please your covering letter (maximum 500 words), together with this application form, duly completed, and your CV to: Dr Alex Peterken, Headmaster c/o Jane Drew – Director of Human Resources Charterhouse Godalming Surrey GU7 2DX Email: Monitoring Information The rmation requested on this form does not count towards the assessment of your application. Candidate’s Candidate’s Name: Postcode Role Being Date of Applied for Application Part 1 – Date of birth Part 2 - Gend Male Female Part 3 – Ethnic Origin White Black Asian Chinese and British African Bangladeshi Chinese Asian & white Irish Indian Any other ethnic background Black African & white Any other white background Any other black background Pakistani
Criterion 5: Competency – resource and organisation (do not exceed 350 words) Please demonstrate your experience of resource and organisation management as set out in the person specification for this post: Criterion 6: Competency – relationship management (do not exceed 350 words) Please demonstrate the extent of your ability to manage relationships as set out in the person specification for this post:
If yes please provide details. If your project has been held in previous years, will you be undertaking anything new / different as part of this proposal? Yes No N/A time project has been held) If yes please explain how this proposal differs from any previous iterations. 3.5 Support Material Please provide up to 5 attachments to support your proposal. These may include: CV’s / bios for key project personnel (max. 2 pages) images / portfolios of relevant creative practitioners’ work (max. 5 images) concept rationale / research / designs (max. 2 pages) site / installation URL links to vimeo, youtube or other websites letters of support (2 max.) reviews (3 max.) evidence of consultation with affected businesses / stakeholders any other relevant documentation Please list the support material attached to your application (5 documents maximum).
Struck by Object Objects falling from work platforms Debris from grinding operations Windblown particles Loads slung from cranes All work platforms fitted with toe-boards Fence off areas below to prevent access Materials stacked securely All personnel wear appropriate personal protective equipment (hard hats) Secure loose objects to structure not slung over personnel Loads slung correctly Fall from Height No handrails Working outside handrails Floor penetrations not covered Ladders not secured Unsafe area All work platforms have secure handrails Persons wear full fall arrest type harness All floor penetrations covered or barricaded All ladders secured to prevent movement Ladders to extend at least 1m above landings Tag and fence to prevent access and Falls Access routes obstructed by materials Leads/hoses across access routes Slippery surfaces Safety footwear not appropriate Poor visibility All access routes kept clear of materials and debris All kept clear of ground or covered All access surfaces kept dry and in good condition Personnel wear appropriate safety footwear Provide adequate lighting Using the Hazard Identification and Control Table, complete the Preliminary Risk Assessment Form provided and submit to the City of Adelaide as part of the application process. See example below: Specify Task/Activity Potential Hazards/Consequences Class of Risk Action Required To Control Risk/s Painting wall using a ladder or scaffolding Ladder slipping while in use Objects falling from a height causing injury to passersby Artist falling off ladder/scaffolding due to slippery surfaces Poor visibility leading to fall 2 2 2 2 Secure ladder into position Secure objects on ladder/scaffolding Fence off areas below to prevent access Objects stacked securely Loads not slung over personnel Surfaces to be kept dry Harnesses to be available on scaffolding Awareness of OHS behaviour on site Wearing appropriate footwear Ensure good lighting
Other name (e.g. pen name) Address Postcode Telephone/Mobile Email We need this to let you know the outcome of your application. How did you find out about the Lab? Please choose one. Word of mouth Social media Scottish Book Trust website Other website (please specify) Scottish Book Trust eUpdate Other (please specify) Would you like to receive our monthly Writing including details of future writing opportunities? (Scottish Book Trust will not give your details to anyone else.) Yes/No/Already signed up Experience Please tell us about your publication history (e.g. plays, novels, collections, anthologies and literary magazines) and experience working as a professional writer. Please list no more than 10 examples in total. Please prioritise your most relevant and most recent items.
referees). References for shortlisted candidates may be taken up before interview unless you request otherwise. Referee 1 Referee 2 Name: Occupation: Address: E-mail address: Telephone number: May references be taken up before interview? Yes / No Yes / No Data protection Information from this application may be processed for purposes registered by the Employer under the Data Protection Act 1998. Individuals have, on written request, the right of access to personal data held about them. I hereby give my consent to the Employer processing the data supplied in this application form for the purpose of recruitment and selection. Declaration I declare that the information given in this application is to the best of my knowledge complete and correct. I authorise the organisation to check on any of my qualifications. ___________________________________ Signature Date:______________ ___________________________________ PRINT NAME Note: Any false, incomplete or misleading statements may lead to dismissal.
JOB APPLICATION Position Applied for: Digital Content Producer Return completed form to: jobs@cofebirmingham.com Personal details Forenames: Surname: Home address: Email address: Telephone number: Mobile number: Employment History (please add or expand boxes if needed) Role Employer Dates Main Duties
DATA PROTECTION ACT 1998 The information given in this form may be processed by computer and will be used for recruitment and selection purposes only. If you are appointed, this information will be retained for the duration of your employment with NCH. If you are not successful the information will be kept for a period of 6 months, after which time it will be destroyed. Please return this form to:Human Resources, Newport City Homes, Central Office, Nexus House, Mission Court, Newport, NP20 2DW Or e-mail:
JOB APPLICATION Position Applied for: Finance Manager Return completed form to: jobs@cofebirmingham.com Personal details Forenames: Surname: Home address: Email address: Telephone number: Mobile number: Employment History (please add or expand boxes if needed) Role Employer Main Duties
Employment Status Are you working now (yes/no): If yes please complete below Employer Type of Work Salary Number of hours/week Do you plan to seek employment in NC immediately following graduation? Have you been offered a position in physical therapy at this time? If yes, where? Financial Assistance Status: If receiving help from other sources, will you be permitted to accept a scholarship? List income sources and amounts including loans, scholarships, wages, support from family members, etc.. Please total amounts at bottom. Income Source Amount TOTAL VI. Other List any other activities in which you have participated during the last 5 years (excluding high school) that demonstrate your merit for a scholarship or loan.
JOB APPLICATION Position Applied for: Growing Younger Youth Development Worker Return completed form to: jobs@cofebirmingham.com Personal details Forenames: Surname: Home address: address: Telephone number: Mobile number: Employment History (please add or expand boxes if needed) Role Employer Dates Main Duties
Further formal training From To Diploma/Qualification Job related training courses From To Name of Organisation and subject Leisure interests: Any other details of special relevance to your fitness for the post: When could you start if appointed? Names and addresses of two referees, one of whom should be your present or last employer if possible. Please indicate if we can apply for references straight away. Reference 1 Y/N Reference 2 Y/N Referees will not be approached without your permission. 1. 2. EMPLOYMENT/SERVICE HISTORY Employer and Business: (starting with your present/last post) Post Held & Main Duties Reasons for leaving:
CONFIDENTIAL APPLICATION FORM Please complete by typing all five pages of this form in black ink. Post applied for: Where did you see this post advertised? Personal Details Surname: First Names: Address: State of Origin: Male/Female: Religion: Marital Status: Date of Birth: Telephone Nos: Do not attach a CV, as only the information contained in this form will be considered during the selection process. Please return this form to: Contact telephone no(s) and convenient times for us to contact you: Email address: IMPORTANT INFORMATION - GUIDANCE NOTES ON COMPLETING APPLICATION FORM COMPLETING THE FORM Remember - make sure your application form is well presented to create a good impression. Please type in black ink. Job Description and Person Specification - read these carefully as they list the skills, knowledge, qualifications and experience required The text boxes in the “career history” section are expandable. Take a copy of your completed form for your own reference
The Royal College of Physicians of Edinburgh is committed to providing diversity in all areas of our work. To assist us to monitor the effectiveness of our equality and diversity practices we would encourage you to complete this monitoring form. The information you provide will be treated as confidential. Please note, this form will be separated from your application before consideration of candidates takes place and will not be available to those involved in the selection process. Post applied for: __________________________________________________________________ Please continue on the next page.
SECTION 5 – PRESENT / MOST RECENT EMPLOYMENT Employer: Position: Date Employed: From: To: Reason for Leaving: Salary: Notice Period: Job Title of your Line Manager: Brief description of main duties and responsibilities: SECTION 6 – PREVIOUS EMPLOYMENT Name of Employer & Nature of Business: Dates Employed: From: To: Position: Salary: Reason for Leaving: Main Duties and Responsibilities: SECTION 6 – PREVIOUS EMPLOYMENT CONTINUED
Do you currently have another job which you intend to continue, in addition to this post if successful in your application? Yes No If yes please give details SECTION 8 – VOLUNTARY ACTIVITIES Please give details of any voluntary or community activities, or membership of any voluntary organisations. SECTION 9 – QUALIFICATIONS & TRAINING Please all qualifications in full. Please do not use initials/abbreviations. Qualification Are you currently studying for a qualification? Yes No Please give details of any courses you are currently undertaking and the anticipated completion date.
LOCAL GOVERNMENT (MISCELLANEOUS PROVISIONS) ACT 1982 APPLICATION TO REGISTER A PERSON TO PRACTICE SKIN PIERCING ACTIVITIES I hereby make application under the provisions of the above Act. 1 Full name and home address 2 Contact telephone number 3 Contact email address 4 Practice (delete as applicable) Acupuncture (each acupuncture practitioner will require a separate form) Tattooing Electrolysis Cosmetic Piercing Semi Permanent Skin Colouring 5 Details of qualifications, training and experience (record details on separate sheet if necessary) 6 Details of any convictions under the above Act (record details on separate sheet if necessary). 7 Addresses of all premises within the Bath & North East Somerset area where you intend to practice (record details on separate sheet if necessary). 8 Have you previously been registered in this respect in any other district? If so, where? I have paid the application fee of £137 - receipt number I have paid the maintenance fee of £13 - receipt number You may pay by phone (01225 477531) using a credit or debit card. Please note that although there will be no charge for debit cards, there will be an additional charge of 2.5 % for credit card payments. I/We declare that the information given in this application is true. Signed Date Please return the completed form to or Licensing Services, Bath & North East Somerset Council, Lewis House, Manvers Street, Bath BA1 1JG
PREMISES DETAILS: Description of use: (please indicate) Beauty Therapy Tattooist Hairdresser Piercer Colonic Irrigation Other Hairdresser and Beauty Therapy Hairdresser with Ear Piercing Acupuncture Ear Piercing PREMISES DETAILS: Hotel/Motel Holiday Camp Rooming House Residential Accommodation Student Dormitory Other (Specify) Number of Rooms: Number of Beds: Do you supply any food such as breakfast with The service that you provided? Yes No Do you have a pool? Yes No Where is the pool located Indoor Outdoor TRADING
JOB APPLICATION Position Applied for: Historic Places of Worship Support Officer Return completed form to: jobs@cofebirmingham.com Personal details Forenames: Surname: Home address: Email address: Telephone number: Mobile number: Employment History (please add or expand boxes if needed) Role Dates Main Duties
Property Owner’s Name: Number of properties in this application: Item No. Property Street Address Suburb and Postcode Current Rental Status (Yes/No) Date Property Available No. of Bedrooms Pets Permitted (Y/N) RTA Minimum Standards (Y/N) Current Landlord Insurance* (Y/N) New To Rental Market Property Vacant Currently Rented Current Weekly Rent Charged ($) Short Stay / AirBnB 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 Attach additional if needed * Current Landlord Insurance – must include tenant damage cover. A Certificate of Currency will be required on approval of your application to participate in the initiative
JOB APPLICATION Position Applied for: Programme Manager – People & Places Return completed form to: jobs@cofebirmingham.com Personal details Forenames: Surname: Home address: address: Telephone number: Mobile number: Employment History (please add or expand boxes if needed) Role Dates Main Duties
JOB APPLICATION Position Applied for: Project Manager – Transforming Church, Shaping the Future Return completed form to: jobs@cofebirmingham.com Personal details Forenames: Surname: Home address: Email address: Telephone number: Mobile number: Employment History (please add or expand boxes if needed) Role Employer Dates Main Duties
JOB APPLICATION Position Applied for: Project Analyst – Transforming Church, Shaping the Future Return completed form to: jobs@cofebirmingham.com Personal details Forenames: Surname: Home address: Email address: Telephone number: Mobile number: Employment History (please add or expand boxes if needed) Role Employer Dates Main Duties
Education (you may skip this section if the same details are given in your CV) Dates Name of school, college, polytechnic or university Subjects studied taken and results obtained Previous Employment listed in chronological order (you may skip this section if the same details are given in your CV) Dates Name and address of employer Position held and types of responsibilities Reason for leaving
30 – 39 years 40 – 49 years 50 – 59 years 60 – 65 years Over 65 years Prefer not to say Disabilities None Prefer not to say Physical disability (please specify): Mental disability (please specify): Race/nationality/ ethnic origin White English Scottish Welsh Irish British Other white background (please specify): Mixed White and Black Caribbean White and Black African White and Black British White and Asian mixed background (please specify): Asian Indian Pakistani Bangladeshi British Other Asian background (please specify): Race/nationality/ ethnic origin Black Caribbean African British Other black background (please specify): Chinese Chinese Other ethnic group Other ethnic group (please specify): Prefer not to say
How will it strengthen or develop the participants, organisations and the shire? Financial issues and economic impact – 10% (50 words maximum) Is the project financially viable and will it economic benefit to the shire? Sustainability – 10% (50 words maximum) How will the project strengthen the community and its resources? Is the project achievable and sustainable? Environmental – 10% (50 words maximum) Have environmental issues been considered and is the project environmentally friendly? Section 4 – Project Budget Please provide details of the income and expenditure for your project. Note the total income amount MUST EQUAL the total expenditure amount. You are
Grant Category Council Officer Contact Details Recreation / Public Halls Sharon Bridgewater Acting Recreation Development Officer Ph: 5522 2172 Email: Tourism Carly Garonne Economic Development & Tourism Coordinator Ph: 5522 2239 Email: cgaronne@glenelg.vic.gov.au Arts, Culture and Heritage Lynda Cooper Acting Arts and Culture Manager Ph: 5522 2301 Email: Community Plan Support/ Community Support Ian Moody Community Development Manager Ph: 5522 2220 Email: imoody@glenelg.vic.gov.au Submitting Your Application: In Person: Glenelg Shire Council Customer Service Centres OR By Mail: Glenelg Council “Insert relevant Grant Category” Community Grants Program (Round 2) 2015/2016 PO Box 152 PORTLAND 3305 OR Email to: “Insert relevant Grant Category” Community Grants Program (Round 2) 2015/2016
Applicant’s Details: Name: Current Job Title/Position: If you are currently employed in the Victorian Public Sector what is your VPS Grade/Classification : Response to Key Selection Criteria: KSC 1: Demonstrated experience in undertaking and preparing complex valuations on commercial, industrial and residential properties for commercial and/or taxation purposes. KSC 2 KSC 3 Only for roles requiring mandatory qualification(s) and training: Please outline if you have the following mandatory qualifications and training required for this role. Please note if you are shortlisted for the next selection step HR will verify your qualifications or training with the relevant education provider Name of qualification and/or Training of mandatory qualification (from position description – HR to do this) Name of Educational Institution Date conferred Student ID (if known) (HR insert mandatory qualification or training name from position description) What is your availability during the next 4-6 weeks? Candidate Declaration. I declare that all information provided in my application is true and correct. Yes No I consent to the SRO conducting checks as part of this selection/appointment process which may include: National and International Police Record History Check(s), Evidence of Identity requirements, professional and character reference checks, probationary period, qualification* check, Australian work entitlement check, 5 year background check. Yes No *This may include verification of post-secondary qualifications or training, certificates, registrations, licences and professional memberships you for taking the time to complete the Application Form. Please attach this document with your on-line application for processing. If you have any questions contact the Human Resources Branch on extension 86666. Privacy Statement The State Revenue Office is committed to protecting your privacy. You can read our privacy statement under About Us on our website www.sro.vic.gov.au. The information provided by you will be used by the Human Resources branch and the selection panel to assess evaluate and process your application for recruitment. To process your application we may share your information with recruitment agencies where they have been engaged to assist with our recruitment processes. Should you choose not to proceed with your application you may exit the recruitment process at any time by emailing us at applications@sro.vic.gov.au or by withdrawing your application via the e-recruitment system.
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 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.
SECTION 5 – PRESENT / MOST RECENT EMPLOYMENT Employer: Position: Date Employed: From: To: Reason for Leaving: Salary: Notice Period: Job Title of your Line Manager: description of main duties and responsibilities: SECTION 6 – PREVIOUS EMPLOYMENT Name of Employer & Nature of Business: Dates Employed: From: To: Position: Salary: Reason for Leaving: Main Duties and Responsibilities: SECTION 6 – PREVIOUS EMPLOYMENT CONTINUED
Name of school/college/university Dates of attendance Subject Result Date Awarding body From: dd/mm/yy To: dd/mm/yy From: dd/mm/yy To: dd/mm/yy From: dd/mm/yy To: dd/mm/yy
British Council colleague Word of mouth Speculatively browsing British Council website Press/Publication advert (please specify) …………….. Web advert (please specify) ……………… Agency (please specify) …………………… Other (please specify) …………………… Part 2 Job-related Information Please note, this section of the form will be detached and given to the Recruiting Manager and colleagues involved in the selection process. The Recruiting Manager and the selection panels will have access only to information contained in this section. Job(s) Arts Projects Assistant Personal Information Family name Initials Disability (see guidance notes) Do you have a disability as defined in guidance note? Yes No Regardless of whether you have a disability, do you require any adjustments to be made to facilitate your participation in the selection process? If yes, a member of Human Resources will contact you to ascertain how best to assist you. Yes No Employment and relevant work-related experience (covering no more than 10 years, starting with the most recent) (see guidance notes) Date From/To Job title company/organisation Brief summary of role and responsibilities, max 100 words. Date From/To Job company/organisation summary of role and responsibilities, max 100 words.
PART C Category III : RESEARCH, PUBLICATIONS AND ACADEMIC CONTRIBUTIONS For the following use separate sheets (as Annexures) wherever required in the format indicated. All Annexures should be consecutively arranged and must bear your name and be authenticated with your signature. III A. Published papers in Journals (UGC approved): S. No. Title with page Nos. and date of publication Journal Publisher Location ISSN/ ISBN No. Whether peer reviewed. Impact Factor, if any Source of Impact factor No. and name of Whether you are the API Score Type of Supporting document attached author Corresponding Author / Supervisor /Mentor Total Score III B (i). Text/ Reference Books: S. No. Title with page Nos. and date of publication Book Title, editor & publisher ISSN/ ISBN No. Whether peer reviewed No. of Co-authors Whether you are the API Score Type of Supporting document attached First author Corresponding Author / Supervisor /Mentor Total Score
III B (ii). Subjects Books: S. No. Title with page Nos. and date of publication Book Title, editor & publisher ISSN/ ISBN No. Whether peer reviewed No. of Co-authors Whether you are the API Type of Supporting document attached First author Corresponding Author / Supervisor /Mentor Total Score III B (iii) Chapters in S. No. Title with page Nos. and date of publication Book Title, editor & publisher ISSN/ ISBN No. Whether peer reviewed No. of Co-authors Whether you are the API Score Type of Supporting document attached First author Corresponding Author / Supervisor /Mentor Total Score
III (C). Research Projects III C (i) Sponsored Projects S. No. Agency Period Grant (Rs. Lakh) No. of Co-PI Whether you are the PI/Co-PI API Score Type of Supporting document attached Total Received Score III C (ii) Consultancy Projects: S. No. Title Agency Period Grant (Rs. Lakh) No. of Co-PI Whether you are the PI/Co-PI API Type of Supporting document attached Total Received Total Score III C (iii) Projects Outcome/ Outputs: S. No. Title Agency Patent/ Technology Tansfer/ Product/ Process (Rs. Lakh) Major Policy Document prepared for International bodies like WHO/UNO/UNESCO/ UNICEF etc. Central/ State Govt/ Local Bodies No. of Co-PI Whether you are the PI/Co-PI API Score Type of Supporting document attached Total Received Total Score
Eircode: address: SECTION B – EDUCATION, QUALIFICATIONS and TRAINING GENERAL EDUCATION: Dates Name of Secondary School (s) Examinations Subject Results From To ACADEMIC, PROFESSIONAL OR TECHNICAL QUALIFICATIONS: Dates University, College or Examining Authority Qualification Obtained Level in the National Frameworks of Qualifications Year Qualification Obtained Final Year Examination Subjects From To RELEVANT TRAINING /COURSES (OPTIONAL):
PLEASE COMPLETE RETURN TO: Simpson HR Assistant Morton Fraser Solicitors Quartermile EH3 9GL becky.simpson@morton-fraser.com Position applied for: Closing Date: Date of Receipt: IMPORTANT POINTS Application form must be completed – typed if possible but must be legible. No supporting letters or materials are required. Late or incomplete applications will not be considered. If you require any special arrangements to assist you in completing an application or attending an interview, please contact the HR team. SECTION A: personal details Title: Full name: Address: Daytime telephone number: Mobile telephone number: Email address: Have you applied to Morton Fraser before? Yes No If yes, did it proceed to interview Yes No How did you find out this vacancy? Are you a UK/European Economic Area citizen? Yes No If you are not a UK/European Economic Area citizen, do you hold a valid permission (visa) to work in the UK? Yes No Have you ever been convicted of a criminal offence? Other than those deemed to be “spent” convictions as specified in the Rehabilitation of Offenders Act, 1974. (Solicitors cannot rely on this Act.) Yes No If yes, please provide details: SECTION B: employment history Employer:
PLEASE COMPLETE RETURN TO: Paul HR Assistant Morton Fraser Solicitors Quartermile EH3 9GL Position applied for: Closing Date: Date of Receipt: IMPORTANT POINTS Application form must be completed – typed if possible but must be legible. No supporting letters or materials are required. Late or incomplete applications will not be considered. Please ensure that you have read our Recruitment Privacy Notice (available on our website) before submitting your application. All personal data supplied in this form will be held in accordance with this notice. If you require any special arrangements to assist you in completing an application or attending an interview, please contact the HR team. SECTION A: personal details Full name: Address: Daytime telephone number: Mobile telephone number: Email address: Have you applied to Morton Fraser before? Yes No If yes, did it proceed to interview stage? Yes No How did you find out about this vacancy? Are you a UK/European Economic Area citizen? Yes No If you are not a UK/European Economic Area citizen, do you hold a valid permission (visa) to work in the UK? Yes No SECTION B: employment history Employer: Post title: Dates of employment: Brief description of Key Responsibilities:
10. Please, state whether you belong to SC/OBC/Differently-abled/ General category(Attach relevant certificate from the competent authority prescribed under Govt. rules wherever required): 11. Are you willing to accept the minimum initial pay offered, if not, state what is the lowest initial pay that you would accept: 12. Present post held with designation & name of the organization where employed: 13. Present salary with pay band and Academic Grade Pay: 14. Were you at any time declared medically unfit, asked to submit your resignation, discharged or dismissed from Government or private service: 15. Academic Qualifications (Matric till post graduation): Examinations Name of the Board/ University Year of Passing Percentage of Marks / CGPA Obtained Division / Class Branch/ Subjects/ Specialization High School/Matric/ Secondary Intermediate/ Sr. Secondary Graduation B.E./ B.Tech. B.A./B.Sc. Post Graduation M.Sc. M.E./ M.Tech/ M.Phil. Other examinations, if any
III B (ii). Subjects Books: S. No. Title with page Nos. and date of publication Book Title, editor & publisher ISSN/ ISBN No. Whether peer reviewed No. of Co-authors Whether you are the API Score Type of Supporting document attached First author Corresponding Author / Supervisor /Mentor Total Score III B (iii) Chapters in Books: S. No. Title with page Nos. and date of publication Book Title, editor & publisher ISSN/ ISBN No. Whether peer reviewed No. of Co-authors Whether you are the API Score Type of Supporting document attached First author Corresponding Author / Supervisor /Mentor Total Score
III (C). Research Projects III C (i) Sponsored Projects S. No. Title Agency Period Grant (Rs. Lakh) No. of Co-PI Whether you are the PI/Co-PI API Score Type of Supporting document attached Total Received Total Score III C (ii) Consultancy Projects: S. No. Title Agency Period Grant (Rs. Lakh) No. of Co-PI Whether you are the PI/Co-PI API Score Type of Supporting document attached Total Received Total Score III C (iii) Projects Outcome/ Outputs: S. No. Agency Patent/ Technology Tansfer/ Product/ Process Grant (Rs. Lakh) Major Policy Document prepared for International bodies like WHO/UNO/UNESCO/ UNICEF etc. Central/ State Govt/ Local Bodies No. of Co-PI Whether you are the PI/Co-PI API Score Type of Supporting document attached Total Received Total Score
CONFIDENTIAL The accompanying guidance provide advice on how to fill in this form. Please type or write clearly using black ink. Support Staff Application Form Vacancy Title: Behaviour Support Officer Closing date: Wednesday, 10th October 2018 Personal details Title First Name: Middle Name: Last Name: Preferred Name: Address: Postcode: Home Telephone No. Daytime Contact No. E-mail address: National Insurance No. Are you eligible to work in the UK / EEA? Yes No Do you require further leave to remain? Yes No If ‘Yes’, please clarify your status If your application is successful, you will be asked to provide documentary evidence of your entitlement to work in the UK before you commence employment. Present or most recent employment Name of employer Position held Salary Address Town / County Postcode Telephone Number Salary Full / Part Time If P/T, give details e.g. 0.5 Permanent / Temp Brief description of duties Reason for leaving
Position Applied For Position Code (where provided) 1 – APPLICANT INFORMATION First Name Last Name Passport Number National Identification No. Hukou (Chinese Nationals) Nationality (at birth) Nationality (current) Do you have a Visa for the country applied for? (for non-nationals) Visa Type Visa start Visa end Address Birth Contact Numbers Mobile Email Home Office How do you prefer to be contacted? How did you hear of our vacancy? If other, state where Have you applied to the British Diplomatic Mission within the past 6 months? If yes, please state for which vacancies. Are you currently working in the FCO? If yes, state for which Post. 2 – EDUCATION AND QUALIFICATIONS ACADEMIC QUALIFICATIONS. Start with your highest academic qualification. Start Date DD-MM-YYYY End Date DD-MM-YYYY Institution Attended Qualification attained OTHER QUALIFICATIONS. Include your top 3 qualifications most relevant for the position applied for. Start Date DD-MM-YYYY End Date DD-MM-YYYY Institution Attended Qualification attained LANGUAGE SKILLS. Rate your language skills as Fluent / Good / Basic / None. Language/s Spoken Written Reading Test Taken / Course Attended Score /
Position Applied For Position Code provided) 1 – APPLICANT INFORMATION Name Last Name Do you have a National ID? Type of National ID Do you have a Visa for the country applied for? (for non-nationals) Visa Type Address Contact Numbers Mobile Email Home Office How do you prefer to be contacted? How did you hear of our vacancy? If state where Have you applied to the British Diplomatic Mission within the past 6 months? If yes, please state for which vacancies. Are you currently working in the FCO? If yes, state for which Post. 2 – EDUCATION AND QUALIFICATIONS ACADEMIC QUALIFICATIONS. Start with your highest academic qualification. Start Date DD-MM-YYYY End Date DD-MM-YYYY Institution Attended Qualification attained OTHER QUALIFICATIONS. Include your top 3 qualifications most relevant for the position applied for. Start Date DD-MM-YYYY End Date DD-MM-YYYY Institution Attended Qualification attained LANGUAGE SKILLS. Rate your language skills as Fluent / Good / / None. Language/s Spoken State your proficiency. Written State your proficiency. Reading State your proficiency. Test Taken / Course Attended Score / Qualification attained English Specify Language Specify Language
Rise is committed to promoting fairness and eliminating discrimination within its practices. The information given will be stored anonymously and confidentially in accordance with the Data Protection Act (1998). It will be used for statistical and monitoring purposes only. This form will be removed from your application BEFORE entering the shortlisting process to prevent discrimination. What gender are you? Male Female Transgender Declined to answer Which age group do you fit? Under 18 18 – 24 years 25 – 34 years 35 – 44 45 – 54 years 55 – 60 years 65+ years Declined to answer How would you describe your sexual orientation? Heterosexual Lesbian Gay man Bisexual Don’t know Declined to answer Do you consider yourself disabled? If yes, in what way? No disability Physical Learning Difficulties Mental Health Other Don’t know Declined to answer Please state more details… What is your ethnicity? A White White British other Gypsy / Traveler B Asian Asian British Indian Pakistani Bangladeshi Other Asian background C Black or Black British Black British Caribbean African Other Black background D White and black Caribbean White and black African White and Asian E Other mixed background Arab Chinese ethnic group Please Don’t know Declined to answer What is your religion or No religion Buddhist Christian (all denominations) Hindu Jewish Muslim Sikh Other Declined to answer Don’t know Please note that this page will be removed for the shortlisting process.
What kind of visit do you want to host? Work placement Study visit Are you member of the CIVITAS Community? CIVITAS demonstration city CIVITAS Forum network city CIVINET member city IA or RIA project partner city None Has your city been awarded an for its work on sustainable mobility? If yes, which one? CIVITAS award EUROPEANMOBILITYWEEK award SUMPs award Other (please specify) My city has applied or has been short listed but not selected None Do you have recent experience of hosting an international visit? If yes, please give more details about it. Yes (Please specify below) No Organising the What are the main reason(s) why your city to host a CIVITAS SATELLITE visit? How do you plan to bring and share your city’s experience and know how to the visiting city? theme(s) would you be able to present during the visit fuels and vehicles Collective passenger transport Car-independent lifestyles Demand management strategies Integrated planning Mobility Management Public involvement Safety and security Transport Telematics Urban freight logistics Other: (please specify) Which key local/regional decision makers, project managers and/or
Is this application being submitted elsewhere? Yes /No If yes, to which organisation and by what date is a decision expected? Has this application been submitted elsewhere over the last year? Yes / No If yes, to which organisation and what was the result? If you have been a participant in a grant from the Psoriasis Association with the last 5 years please complete the following: Title of work: Total sum awarded Start date • Close date Publications arising from the work: Research humans or animals Does your project include any procedure which involves patients or normal human subjects? If Yes, has Ethical Committee approval been obtained? (If yes, please enclose the necessary paperwork if available at time of submission) Yes / No Yes / No Does your project involve any procedure requires the use of experimental animals? If yes, have the relevant animal licences been obtained? If yes, do the licences cover the full term of the grant? If yes, has the work been approved by the Ethical Review process? Yes / No Yes / No Yes / No
Is this application being submitted elsewhere? Yes /No If yes, to organisation and by what date is a decision expected? Has this application been submitted elsewhere over the last year? Yes / No If yes, to organisation and what was the result? If you have been a participant in a grant from the Psoriasis Association with the last 5 years please complete the following: Title of work: Total sum awarded Start date • Close date Publications arising from the work: Research humans or animals Does your project include any procedure which involves patients or normal human subjects? If Yes, has Ethical Committee approval been obtained? (If yes, please enclose the necessary paperwork if available at time of submission) Yes / No Yes / No Does your project involve any procedure which requires the use of experimental animals? If yes, have the relevant animal licences been obtained? If yes, do the licences cover the full term of the grant? If yes, has the work been approved by the Ethical Review process? Yes / No Yes / No Yes / No
Relevant training Membership of professional bodies Information in support of your application Please include any skills, achievements and experience you have acquired that can support this application whether within the working environment or outside. Leisure activities and interests Please include any information on your leisure activities and interests. References Please give the names, addresses and telephone numbers of two referees, one of whom should be your present or most recent employer. College leavers should give an academic referee. References will not be taken up before interview without your consent but will be taken up for candidates who are offered employment. Name Job Address Phone number May we contact at this YES NO
Educational Qualifications: Attach self-attested photocopy of marks sheet & degree of each examination Name of the Board /University Year Marks Obtained Maximum marks %age of marks or CGPA Division Subjects studied Matriculation (10th) Higher Secondary / (10+2) Bachelor’s degree ( Name of degree) Master’s degree ( Name of degree) M.Phil. in Ph. D. in Topic: …………………. …………………. …………………. Any other Past Work Experience: (Please from first appointment to the present position). Add additional rows, if needed. Post held Pay Scale/ Band Basic Pay p.m. + GP/AGP Gross Salary p.m. Employer (Name & address of the Organization) Experience Nature of assignment From To Total Experience in Years/ Months
What has been your important / unique contribution(s) in the previous assignment: Details of the Training Programmes attended: Name of the Programme Year Duration (in days) Organising Institution Details of the Management Development Programmes attended: Name of the Programme Year Duration (in days) Organising Institution Details of the Orientation Programmes / Training Programmes / Workshops attended: Name of the Programme Year Duration (in days) Organising Institution Details of the Refresher Programmes attended: Name of the Programme Year Duration (in days) Organising Institution
Further, it is certified that no disciplinary / vigilance case has ever been held or contemplated or is pending against the said applicant. There is no objection for his / her application being considered by the Rani Lakshmi Bai Central Agricultural University, Jhansi. (Signature of the forwarding officer) Name: ___________________ Designation: __________________ Place: __________________________ Date: _________________________ (Seal) Checklist of Documents Enclosed Sl. No Documents Tick (√) 1. Matric / Secondary / High School (10th Class) Marks Sheet 2. Matric / Secondary / High School (10th Class) Certificate 3. Sr. Secondary / Intermediate (12th Class) Marks Sheet 4. Sr. Secondary / Intermediate (12th Class) Certificate 5. Bachelor's Degree Marks Sheet 6. Bachelors' Degree 7. Master's Degree Marks Sheet 8. Master's Degree 9. M. Phil. Marks Sheet 10. M. Phil Degree 11. Ph. D. Degree 12. Experience Certificate(s) from previous employers: 13. Endorsement from the present employer 14. DD for the application fees (in original) 15. SC / ST / OBC / Handicapped Certificate 16. Others, if any:
Position held: Full time or Part time: Start date: Leaving date (If applicable): Current/last salary: Notice period: (Indicate salary, Overtime and Bonus Payments Separately) Reason for leaving this employment: Please summarise your current duties/responsibilities: (Please expand as necessary). EMPLOYMENT RECORD FOR THE LAST 10 YEARS (Excluding current employment; most recent first. Please fill in any gaps in record. Include relevant unpaid work) Employer name & address, position held, full or part time of employment (from m/yyyy to m/yyyy) Summary of duties and reason for leaving (Please expand as necessary). EDUCATION and TRAINING HISTORY: evidence of qualifications obtained may be required University, College, School name and location Subjects studied Qualification(s) gained and dates obtained (if currently undertaking any studies, please indicate the date the result is likely to be known)
Programme of activities for Energise October 2018, the holiday group for children with disabilities aged 5-8 years Name of Parents: please circle which activity you would like your child to attend. Monday Tues Wednesday Thursday Fri Saturday 22nd October Messy play and trip to park for outdoor games at Barn in Whitton 9:30am – 1:30pm 23 24th October Oxygen free Jumping, Moor Lane 10:30am – 2:30pm 25th October Soft play, games, Orienteering and arts and Crafts at Windham Croft Centre 11:00am – 3:00pm 26 27th October Chobham adventure park, Moor Lane 10:30am – 2:30pm Moor Lane Centre (MLC) Address: Windham Croft Centre (WCC) Address: The Barn Address: Moor Lane Windham Road Gostling Road Chessington Kew Whitton Surrey Surrey TW2 6ER KT9 2AA TW9 2HP
EXTRA-CURRICULAR ACTIVITIES AND INTERESTS (optional) [Describe any extra-curricular activities undertaken during your studies in order of importance] Activities Description, nature of participation and involvement 3. KNOWLEDGE OF LANGUAGES * [Indicate your mother tongue and level of knowledge of other languages. Please use the following self-assessment scale (*)] Mother tongue(s) Other language(s) Self-assessment European level (*) Understanding Speaking Writing Listening Reading Spoken interaction Spoken production (*) ADDITIONAL INFORMATION ON YOUR LANGUAGE SKILLS [Specify any relevant language studies and qualifications/certificates obtained] Name and address of the establishment Qualification/certificate obtained or to be obtained (specify main subjects) Period of study and date when qualification/certificate (to be) obtained Official length of study (number of years) * compulsory information
Application Form for the Post of ESHTE Project Officer In order to be considered for the post of ESHTE Project officer with the National Women’s Council of Ireland, candidates must submit this completed application form, to be received by 5pm on Weds, 19th September 2018. Please email applications to Tara Brown ESHTE Project Coordinator Selection will be based on the information in the application form alone and CVs will not be considered. PERSONAL DETAILS NAME: ADDRESS: ________________________________________ TELEPHONE: ________________________________________ EMAIL: ________________________________________ RELEVANT EDUCATION AND TRAINING HISTORY A relevant third level degree or equivalent third level qualification: PRESENT (or if unemployed most recent) EMPLOYMENT – This post requires at least 2 years’ experience in a similar role in a Non-Governmental Organisation (NGO) or other relevant sector
(ii) Ongoing Consultancy Projects: S. No. Title Agency Period Grant (Rs. Lakh) No. of Co-PI Whether you are the PI/Co-PI Total Received (iii) Completed Sponsored Research Projects S. No. Title Agency Period Grant (Rs. Lakh) Whether policy document/ patent as outcome No. of Co-PI Whether you are the PI/Co-PI Total Received (iv) Completed Consultancy Projects: S. No. Title Agency Period Grant (Rs. Lakh) Whether policy document/ patent as outcome No. of Co-PI Whether you are the PI/Co-PI Total Received
PREVIOUS OCCUPATIONS (Please enter most recent first) ORGANISATION JOB TITLE OR OCCUPATION (Clarify if necessary) FROM (Month/Year) TO REASON FOR LEAVING EDUCATION/QUALIFICATIONS AND TRAINING Please include all relevant qualifications obtained and other training courses attended ESTABLISHMENT DATE(s) OBTAINED/ATTENDED QUALIFICATION(s)/TRAINING
2017 Date 12/27 12/28 12/29 12/30 12/31 Week Wednesday Thursday Friday Saturday Sunday 09:00 12:00 Arrive to Taipei 09:00-09:30 Opening Ceremony 09:30-12:00 Cultural Exchange Time with Local Students 09:00 Cultural Class 1 : Calligraphy 09:00 Chinese Class 2 09:00 National Palace Museum 13:30 17:00/17:00~ 18:00 Welcome Dinner 13:30 Chinese Class 1 16:30-17:30 Campus Tour & 13:30 Cultural Class 2: Chinese Yo-Yo/ Chinese Paper Cutting 13:30 Danshui & Fort San Domingo 13:00 Pineapple Cakes DIY 19:00-00:30 Linjiang Street Market New Year Countdown with Taipei 101 Fireworks 2018 Date 1/1 1/2 1/3 1/4 1/5 Week Monday Tuesday Wednesday Thursday Friday 09:00 12:00 Free Time 09:00 Cultural Class 3: Chinese Yo-Yo/ Chinese Paper Cutting 09:00-17:00 National Center for Traditional Arts 10:00-11:30 Closing Ceremony 11:30-13:30 Farewell Depart Taiwan 13:30 17:00 13:30 Chinese 3 13:30 Free Time
Indiquez dans ce tableau, sans aucune interruption, les dates de début et de fin vos dernières affectations et/ou positions. Continuez sur une page supplémentaire si nécessaire. Dates From To Name and address of organisation Tel and contact Job/Role and brief description of duties Full time/ Part time Reasons for leaving EDUCATION, QUALIFICATIONS AND TRAINING Proof of qualification will be required before a position is offered.
Anticipated Benefits / Outcomes / Results [List how your idea might benefit the health of the people in Wales and/or NHS Wales, e.g. improved healthcare outcomes, improved patient experience, resource efficiency etc.] [Guide length – 250 words] Evaluation [Describe how you will measure your idea’s anticipated impact / benefits / outcomes / results] length – 250 words] Additional Information for Health Technology Exemplars ONLY Health Technology Applications only – Industry Partner Details Job Title Forename Surname