Application Form

Job you are applying for*:

Department/Location:

Full name*:

Your email*:

Home Telephone Number: Mobile Telephone Number:

Address (including postcode):

Please tell us why you're interested in applying for this role. It will help your application if you can make reference to our Values (Care, Inspire, Together) and the Person Specification:

Please upload your CV*:

Please explain any Gaps in your employment history – this will speed up your application:

Do you know anyone currently working for Strode Park Foundation?*

Right to Work

Strode Park Foundation has a responsibility to ensure that you provide the relevant Right to Work in the UK documents to satisfy the requirements of the Immigration Asylum and Nationality Act, 2006.

Are there any restrictions on your right to work in the UK?*

Criminal Offence(s)

Have you ever been convicted of a criminal offence?
(Declaration subject to the Rehabilitation of Offenders Act 1974)

Driving licence

Do you have a full driving licence?

NoYes

Disabilities

Do you require any special arrangements to be made for your interview on account of a disability?

Please tell us if there are any dates when you will not be available for interview:

References

Please supply three references. Two must be your previous employers and one character.

Reference 1*

Full name*: Address*: Email*: Occupation*: How do you know this person*:

Reference 2*

Full name*: Address*: Email*: Occupation*: How do you know this person*:

Reference 3

Full name:

Address:

Email

Occupation:

How do you know this person:

Diversity Monitoring Form

Strode Park Foundation is committed to Equal Opportunities for all candidates and shall adhere to such a policy at all times. We aim to select and promote all staff solely on merit. In order to monitor the effectiveness of our Equal Opportunities Policy, we ask all applicants to complete these questions. The information you provide is for monitoring purposes only and will be kept separate from your application form. It will not be used regarding any decision making of employment and will be treated in the strictest confidence.

Please tell us your gender: ---FemaleMaleNon-BinaryPrefer not to say Which age group do you belong to? ---Under 1818-2930-3940-4950-5960-6566+

Do you consider yourself to have a disability?
The Equality Act 2010 defines disability as 'a physical or mental impairment which has substantial long-term effect on a person's ability to carry out normal day to day activities

If you are appointed to this post, would you require any reasonable adjustments to your working arrangements?

Please tell us your ethnic origin

Ethnic origin categories are not about nationality, birthplace or citizenship. They are about the group to whom you see yourself as belonging to. Please indicate your ethnic origin by selecting the appropriate box:

Asian / Asian British:
IndianPakistaniBangladeshiChineseAny other Asian background

Black, Black British, Caribbean or African:
CaribbeanAfricanAny other Black, Black British, or Caribbean background

Mixed or multiple ethnic groups:
White and Black CaribbeanWhite and Black AfricanWhite and AsianAny other Mixed or multiple ethnic background

White:
BritishIrishGypsy or Irish TravellerRomaAny other White background

Other:
ArabAny other ethnic group

Declaration

Data Protection Statement

The personal data you provide for this application and otherwise as part of the recruitment process will be held and processed for the purpose of the selection processes of Strode Park Foundation and in connection with any subsequent employment or placement, unless otherwise indicated. The personal data will be initially controlled by or on behalf of Strode Park Foundation and, if unsuccessful, will be retained for six months and then destroyed securely. Further information about how Strode Park Foundation processes individual's personal data is provided at www.strodepark.org.uk/privacy-policy.

I have read and accept the above statement and confirm that the details which I have provided in all sections of the application form are, to the best of my knowledge, true and correct.