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Equality Monitoring Form
Application for the post of
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Select a Post
Data Engineer - Hamwic Education Trust
Applicant's details
(Required)
First
Last
Any other last names
Title
(Required)
Address
(Required)
Field Hiden
Postcode
(Required)
Day time contact no.
(Required)
Evening / Mobile no
(Required)
Email address
(Required)
Secondary / Further Education
Establishment (Name & town) 1
Date From 1
DD slash MM slash YYYY
Date To 1
DD slash MM slash YYYY
Subject/Qualification/Grade/Date awarded 1
Establishment (Name & town) 2
Date From 2
DD slash MM slash YYYY
Date To 2
DD slash MM slash YYYY
Subject/Qualification/Grade/Date awarded 2
Establishment (Name & town) 3
Date From 3
DD slash MM slash YYYY
Date To 3
DD slash MM slash YYYY
Subject/Qualification/Grade/Date awarded 3
Establishment (Name & town) 4
Date From 4
DD slash MM slash YYYY
Date To 4
DD slash MM slash YYYY
Subject/Qualification/Grade/Date awarded 4
Higher Education and Courses leading to other relevant qualifications
Establishment attended 1
Date From 1
DD slash MM slash YYYY
Date To 1
DD slash MM slash YYYY
Subject/Qualification/Grade/Date awarded 1
Establishment attended 2
Date From 2
DD slash MM slash YYYY
Date To 2
DD slash MM slash YYYY
Subject/Qualification/Grade/Date awarded 2
Establishment attended 3
Date From 3
DD slash MM slash YYYY
Date To 3
DD slash MM slash YYYY
Subject/Qualification/Grade/Date awarded 3
Establishment attended 4
Date To 4
DD slash MM slash YYYY
Date To 4
DD slash MM slash YYYY
Subject/Qualification/Grade/Date awarded 4
Job related training
Institute / courses studied 1
Date To 1
DD slash MM slash YYYY
Date To 1
DD slash MM slash YYYY
Subject/Qualification/Grade/Date awarded 1
Institute / courses studied 2
Date To 2
DD slash MM slash YYYY
Date To 2
DD slash MM slash YYYY
Subject/Qualification/Grade/Date awarded 2
Institute / courses studied 3
Date To 3
DD slash MM slash YYYY
Date To 3
DD slash MM slash YYYY
Subject/Qualification/Grade/Date awarded 3
Institute / courses studied 4
Date To 4
DD slash MM slash YYYY
Dates To 4
DD slash MM slash YYYY
Subject/Qualification/Grade/Date awarded 4
Current employer
Employer’s name
(Required)
Address
(Required)
Date appointed
(Required)
DD slash MM slash YYYY
Post held
(Required)
Date appointed
(Required)
DD slash MM slash YYYY
Salary
(Required)
Grade
(Required)
Other allowances
(Required)
Notice period
(Required)
Previous experience You should not provide a curriculum vitae as a substitution. Please include details of gaps in employment here If part-time appointment, please state. A continuous employment history is required from when you left full time education.
Employer’s name and type of business 1
Post held 1
Date From 1
DD slash MM slash YYYY
Date To 1
DD slash MM slash YYYY
Reason for leaving 1
Employer’s name and type of business 2
Post held 2
Date From 2
DD slash MM slash YYYY
Date To 2
DD slash MM slash YYYY
Reason for leaving 2
Employer’s name and type of business 3
Post held 3
Date From 3
DD slash MM slash YYYY
Date To 3
DD slash MM slash YYYY
Reason for leaving 3
Employer’s name and type of business 4
Post held 4
Date From 4
DD slash MM slash YYYY
Date To 4
DD slash MM slash YYYY
Reason for leaving 4
Reasons for applying for this post
(Required)
Statement in support of application
(Required)
If you are shortlisted, may we contact your current employer for a reference prior to the interview?
(Required)
Yes
No
Present employer
Name
(Required)
Position
(Required)
Address
(Required)
Tel No (inc. STD code)
(Required)
Email address
(Required)
Occupation
(Required)
Other
Name
(Required)
Position
(Required)
Address
(Required)
Tel No (inc. STD code)
(Required)
Email address
(Required)
Occupation
(Required)
Canvassing in any form may disqualify you from employment. Please state whether, to the best of your knowledge, you are related to a senior employee of the Trust or a governor, or senior employee of any school within the Trust
(Required)
Yes
No
Canvassing in any form may disqualify you from employment. Please state whether, to the best of your knowledge, you are related to a senior employee of the Trust or a governor, or senior employee of any school within the Trust
(Required)
Yes
No
Nature of relationship
(Required)
If YES, please state the nature of relationship and the name of the governor or senior employee.
Where did you see the advertisement for this post?
(Required)
Do you hold a UK driving licence (circle applicable)?
(Required)
Yes
No
Do you have the use of a car for work?
(Required)
Yes
No
Would you require sponsorship (previously a work permit) to take up this post?
(Required)
Yes
No
National insurance number
Field Hiden
Signature of Candidate
Date
DD slash MM slash YYYY
Equality Monitoring Form
We would be grateful if you would complete the following in order for us to monitor equalities information and ensure that we are treating all candidates fairly and appropriately. This information will be treated confidentially and will not be used in any part of the selection process.
Post applied for:
(Required)
Name
(Required)
First
Last
Date of Birth:
(Required)
DD slash MM slash YYYY
Gender Identity
(Required)
Female
Male
Transgender (M-F)
Transgender (F-M)
Intersex
Gender neutral
Non-binary or you choose to define your gender in another way
Sexual Orientation
(Required)
Heterosexual (straight)
Gay woman / Lesbian
Bisexual
Gay man
Other
Prefer not to say
Nationality
(Required)
British
Irish
Other EU country
Other non-EU country
Ethnicity
(Required)
British
White & Black Caribbean
Indian
Irish
White & Black African
Pakistani
Other white background
White & Asian
Bangladeshi
Caribbean
Other Mixed background
Other Asian background
African
Chinese
Other Black background
Any other background
I do not wish to disclose my ethnic origin
*Please indicate any other ethnic background:
Do you consider yourself to have a disability?
(Required)
Yes
No
I do not wish to disclose my disability data to the school or Trust
CAPTCHA
Phone
This field is for validation purposes and should be left unchanged.
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