APPLICATION FORMApplication for Position of: Post Ref No:

Post Location:

Preferred Title: Surname: First Name(s):

Address:

Postcode:

Home Phone No: Work Phone No:

Mobile Phone No: Email Address:

Are you eligible to work in the UK? Yes No(Relevant documents will need to be provided as part of the recruitment process)

National Insurance No:

Name and Address of present employer:

Nature of employers business:

Job title:

Date appointed: Notice required or date left:

Annual salary: Other benefits:

Full or part time: Reason for change:

Please provide a brief description of your main duties and responsibilities:

If you have more than one employment, please attach these supplementary details separately, following the format of this form.

PERSONAL DETAILS

PRESENT/MOST RECENT EMPLOYMENT

Are you, or have you been, known by any other name? Yes No If yes, please give details

EMPLOYMENT HISTORY (starting with most recent first)

Employer (if employed by an LEA, give LEA and

school/college)Job Title

DatesToFrom Reason for Change

MM/YY

Continue on a separate sheet if necessary; you may wish to use this section to explain gaps in your employment history.

EDUCATION AND TRAINING

SECONDARY EDUCATION

From School(s) Attended Qualifications Gained and Grade Obtained

FURTHER/HIGHER EDUCATION

Name of Establishment Main Subject AreaType and

Class of Award eg Hons II(ii)

Date of Award

DatesTo

FromDates

To

DETAILS OF TEACHING QUALIFICATIONS

Primary Secondary or Further Age Range Trained Date of AwardQualification Held

Main Teaching Subjects:

Subsidiary Subjects:

MM/YY

MM/YY MM/YY

MM/YY MM/YY

MEMBERSHIP OF PROFESSIONAL/VOCATIONAL BODIES

Name of Body Type of Membership Date Obtained

PROFESSIONAL AND VOCATIONAL QUALIFICATIONS

Organising Body and Course Title Qualification or Level Gained

SKILLS AND EXPERIENCE

Please detail why you are interested in the post and clearly specify the skills and experience you can bring to this role ensuring that you address the criteria contained in the person specification. You may wish to type and attach this section separately.

FromDates

ToMM/YY MM/YY

please continue on following page

SKILLS AND EXPERIENCE continued from previous page

REFERENCES

Title: Title:

Name: Name:

Position: Position:

Address: Address:

Postcode: Postcode:

Telephone: Telephone:

Email: Email:

It is the colleges policy to request two written references in respect of each new recruit and to make all offers of employment conditional upon those references being satisfactory to the college. These references should be your last two employers and normally no offer of employment will be made without reference to both. If you have not previously been employed then Head Teachers, Lecturers or other persons who can authoritatively comment on your educational background and personal qualities are acceptable referees. Human Resources will be responsible for obtaining references.

HEALTH/MEDICAL DETAILSOnce a formal offer of employment has been made, applicants will be required to complete a confidential statement of medical history and may be required to undergo a medical examination.

RECRUITMENT APPEALS PROCEDUREAny applicant who considers that they have been unfairly treated at any stage of the recruitment and selection process should make a formal, written complaint to the Head of Human Resources within 3 weeks of the closing or interview date. Please state the grounds on which it is considered the unfair treatment has occurred.

PROTECTION OF CHILDREN AND VULNERABLE ADULTS

This post will potentially have contact with children and vulnerable adults and as such a satisfactory disclosure from the Disclosure and Barring Service (DBS) is required as a condition of any offer of employment. Having a criminal record will not automatically bar an applicant from working for the college; this will depend on the nature of the position and the circumstances of the offence.

GENERAL

Do you have a current driving licence?

Do you own a car?

Are you related to any college employee? Yes No

If yes, please provide details:

DATA PROTECTION ACTThe information you provide on this form will be used for recruitment and selection purposes only. If your application is not successful your details will be confidentially stored for a period of one year. If you require access to this information, or wish to request that it is not retained, please contact the Human Resources team. If your application is successful your personal details will be confidentially retained and will be used only for matters relating to your employment.

DECLARATIONI declare that:

To the best of my knowledge and belief, the information contained on this form is accurate. I understand that providing false information is an offence and could result in the application being rejected or summary dismissal, and potentially referral to the police or relevant agency.

I am not on either the ISAs barred Childrens List or Vulnerable Adults List.

I am not disqualified from working with children or subject to sanctions imposed by regulatory bodies.

I am aware that it is a criminal offence to knowingly not declare such information.

I have no convictions, cautions, or bind-overs, or I have attached details in a sealed envelope marked confidential or emailed to confidentialhr@centralnottingham.ac.uk.

Signed: Date:

Your completed application, together with supporting documents, should be returned to:

Human Resources Department Central College NottinghamHigh RoadChilwellBeestonNottingham NG9 4AH

Alternatively, you can save this document and email it to vacancies@centralnottingham.ac.uk

Post Ref No: Preferred Title: MissSurname: SharpFirst Names: RachelPostcode: NG11 8NSname Yes: No: OnIf yes please give details: Home Phone No: Work Phone No: Mobile Phone No: 07549682638Email Address: rachsharp@hotmail.co.ukNational Insurance No: JW 31 49 63 DName and Address of present employer: Ruth Janicki, New Southlands Hotel, West Street, Scarborough Nature of employers business: HotelDate appointed: 16/09/2011Notice required or date left: 10/09/2012Annual salary: Other benefits: Full or part time: Full TimeReason for change: To attend UniversityPlease provide a brief description of your main duties and responsibilities: I worked as a waitress for seven months and bar tender for 5 months. My duties were to treat guests with professional customer service, take meal orders from guests, serve meals, clean tables, polish cutlery and glasses, vacuum the carpets, set the restaurant for breakfast and dinner before service. Welcome guests into the bar, serve alcoholic beverages behind the bar, clean, cash up and close the bar at night.Main Teaching Subjects: Subsidiary Subjects: SKILLS AND EXPERIENCE continued from previous page: Do you have a current driving licence: Provisional Are you related to any college employee: Relative NoSigned: R.SharpDate: 14/06/2013Application for Position of: Sports Facilities AttendantPost Location: Charnwood Football Centre, CliftonAre you eligible to work in the UK?: UK YesJob Title: Bar Tender/WaitressHistory Employer Row 2: Millets StoreHistory Job Title Row 2: Part Time Sales AssistantHistory Dates From Row 2: 09/2009History Dates To Row 2: 09/2011Reason for Change Row 2: To gain a new experienceHistory Employer Row 3: JJB SportsHistory Job Title Row 3: Part Time Sales AssistantHistory Dates From Row 3: 06/2009History Dates To Row 3: 07/2009Reason for Change Row 3: To gain a new experienceHistory Employer Row 1: New Southlands HotelHistory Job Title Row 1: Bar Tender/WaitressHistory Dates From Row 1: 09/2011History Dates To Row 1: 09/2012Reason for Change Row 1: To attend UniversityHistory Employer Row 5: History Job Title Row 5: History Dates From Row 5: History Dates To Row 5: Reason for Change Row 5: History Employer Row 4: History Job Title Row 4: History Dates From Row 4: History Dates To Row 4: Reason for Change Row 4: History Employer Row 6: History Job Title Row 6: History Dates From Row 6: History Dates To Row 6: Reason for Change Row 6: Secondary Ed Dates From Row 2: Secondary Ed Dates To Row 2: Secondary Schools Attended Row 2: Secondary School Qualifications Row 2: OCR Gateway Science B, OCR Additional Science BSecondary Schools Attended Row 1: St Augustine's RC Secondary SchoolSecondary School Qualifications Row 1: GCSE's: English Language A, English Literature A, Secondary Ed Dates From Row 3: Secondary Ed Dates To Row 3: Secondary Schools Attended Row 3: Secondary School Qualifications Row 3: Religious Studies B, PE B , Music B, History B, Maths CSecondary Ed Dates From Row 1: 09/2004Secondary Ed Dates To Row 1: 06/2009FE/HE Dates To Row 1: 06/2011FE/HE Establishment Row 1: Scarborough Sixth Form CollegeFE/HE Main Subjects Row 1: PE B, History CFE/HE Type and Class of Award Row 1: A LevelFE/HE Date of Award Row 1: 08/2011FE/HE Dates From Row 1: 09/2009FE/HE Dates From Row 2: FE/HE Dates To Row 2: FE/HE Establishment Row 2: FE/HE Main Subjects Row 2: Philosophy & Ethics CFE/HE Type and Class of Award Row 2: A LevelFE/HE Date of Award Row 2: 08/2011FE/HE Dates From Row 3: 10/2012FE/HE Dates To Row 3: 06/2015FE/HE Establishment Row 3: Nottingham Trent UniversityFE/HE Main Subjects Row 3: Sports ScienceFE/HE Type and Class of Award Row 3: BScFE/HE Date of Award Row 3: n/aTeaching Qualification Row 1: Primary Secondary or Further Row 1: Age Range Row 1: Date of Award Row 1: Teaching Qualification Row 2: Primary Secondary or Further Row 2: Age Range Row 2: Date of Award Row 2: Professional Qualification Awarding Body Row 1: Higher Sports Leader AwardProfessional Qualification or Level Gained Row 1: Level 1, 2 & 3Professional Qualifications From Row 1: Professional Qualifications To Row 1: Professional Qualification Awarding Body Row 2: Duke of Edinburgh AwardProfessional Qualification or Level Gained Row 2: Bronze and SilverProfessional Qualifications From Row 2: Professional Qualifications To Row 2: Professional Qualification Awarding Body Row 3: UKCC Coaching in Netball, Basketball, GoalballProfessional Qualification or Level Gained Row 3: Level 1Professional Qualifications From Row 3: Professional Qualifications To Row 3: Professional Qualification Awarding Body Row 4: HABC Award in Food Safety in Catering (QCF)Professional Qualification or Level Gained Row 4: Level 2Professional Qualifications From Row 4: Memberships Name of Body Row 1: Memberships Type Row 1: Membership Date Obtained Row 1: Memberships Name of Body Row 2: Memberships Type Row 2: Membership Date Obtained Row 2: Memberships Name of Body Row 3: Memberships Type Row 3: Membership Date Obtained Row 3: Skills and Experience Row 1: I feel I would be a prime candidate for this position because I have a passion for sport and exercise and enjoy making people smile. I'm currently a first year undergraduate student studying Sports Science at Nottingham Trent University, I aim to gain a career in sport and exercise preferably a Personal Trainer or Sport Development Officer and I feel that being a Sports Facilities Attendant will give me an insight of a sport and exercise working environment.

Also, I have gained experience volunteering abroad:April 2013 - I spent 10 days in Cape Town, South Africa coaching sport and distributing sports equipment to children in disadvantaged and poverty-stricken townships across Cape Town. I learned skills such as teamwork, communication, organisation, confidence and patience It has always been something Ive wanted to do and it was a very rewarding, inspiring and humbling experience.

April 2012 I fundraised for a year and then spent two weeks in Tijuana, Mexico building a new home for a disadvantaged family out there. I learned practical skills e.g. cementing, hammering, building and also social skills such as teamwork, communication and patience. It was a very rewarding and humbling experience.

March 2011 - I took part in the Holocaust Educational Trust's Lessons from Auschwitz Programme which enabled me to fully understand the Holocaust and to visit Auschwitz Birkenhau in Poland. The visit to Auschwitz helped me to understand the importance of equality and respect of others. It enabled me to understand the scale at which many people suffered.Reference Title: MrsReference Name: Ruth JanickiReference Position: Hotel ManagerReference Address: Southlands Hotel, West Street, ScarboroughReference Postcode: YO11 2QWReference Telephone: 01723 361461Reference Email: Reference Title 2: Reference Name 2: Hannah Cantrell Reference Position 2: Volunteering OfficerReference Address 2: 52 Terrace Royal, Clarendon Street, NottinghamReference Postcode 2: NG1 5JDReference Email 2: hannah.cantrell@ntu.ac.ukDo you own a car?: NoReference Telephone 2: 0115 848 2341Provide details: Are you or have you been known by any other name: Room K0645, Peverell, Clifton Campus, Clifton Lane, Nottingham