APPLICATION FOR EMPLOYMENT

ALL 14 PARTS OF THIS APPLICATION MUST BE FILLED, OTHERWISE MARK N/A

1. Biodata
Application for the post of:	Job Ref No:
Last Name:	Title: ☐ Mr ☐ Mrs ☐ Miss ☐ Ms ☐ Dr ☐ Prof Please check the appropriate box.
First name:	DOB:
E-mail:	Phone:
Address 1:
Address 2:	Postcode:
National Insurance Number:
Are you eligible to work in the UK: YES ☐ NO ☐
Do you require UK sponsorship for working visa clearance: YES ☐ NO ☐
Passport Number:	Expiry date:
Nationality:
If not British, please state the type of visa and its expiry date below.
Visa type:	Expiry date:

2. Current Employment [Academic & Professional Practice]
Name of current employer	Country	Position held, Grade, FT or PT [if PT, state weekly working hours]	From: DD/MM/YY	To: DD/MM/YY	Annual Goss Salary OR rate/hour
4. Pre-University Education & Qualification [Most Recent First]: General Education, i.e., GCSE/A/AS/NVQ Level (or equivalent)
Name of School/College	Country	Dates:	Qualification &Subject	Grade/Level	Date
From	To

Brief description of main duties/responsibilities:
Period of Notice	Weeks/Months

3. Previous Employment
Name of previous employer [most recent first]	Country	Position held: Grade, FT or PT [if PT state weekly working hours]	From: DD/MM/YY	To: DD/MM/YY	Reason for leaving

5. Further and Higher Education: [Most Recent First]
Name of College/University	Country	Dates:	Qualification &Subject	Grade/Level	Date
From	To

6. Qualifications currently being studied for:
Name of College/University	Country	Dates:	Qualification &Subject	Grade/Level	Dates exams to be taken
From	To

7. Training courses: Please list any training or course(s) which you have undertaken relevant to the position applied for and/or specified in the Person Specification
Dates and Duration	Country	Establishment attended	Course title and type of training

8. Membership of Professional Bodies: e.g., Higher Education Academy, etc..
Professional Body	Country	Date Elected	Membership Grade & Membership Number or PIN	Date Elected

9. Publications & Research-Please give brief details of MOST RECENT publications [please include journal papers ONLY, Books with ISBN’s and Thesis titles ]

10. Brief Supporting Statement [including unpublished/pending books/papers with dates]:

11. Essential Requirements:
Please briefly respond to the following: Your Weakness: Your Strengths: Do you hold valid driving license: Do you need car parking permit on campus: Your notice of termination, if applicable: Your current or most recent Gross Annual salary or your hourly rate: Are you a freelancer? If so, state your UTR reference number: Are you a contracting company? If so, state company registration number: If you are applying for Administrative/Supervisory Role please provide a brief statement of your: (A) Past or present HE Administrative Experience [Max 100 words]: (B) Past or present engagement with” HE Regulating Bodies” [Max. 100 words]:
12. Referees
The details of TWO UK-based professional referees whom both have good knowledge of your current & past FE/HE Teaching/administrative experience if relevant to this position. Your TWO referees must be your current or recent line manager or head of organisation : Referee-1: Referee-2:
13. Warning
Regrettably we are unable to consider applications from candidates requiring WORKING VISA CLEARANCE.
14. Declaration
I declare that the information given on this application is to the best of my knowledge true, accurate and verifiable. I understand that any misrepresentation or omission may result in my application not proceeding any further or if appointed render me liable to dismissal. Please tick the box to confirm the above statement is true and sign (type your name). ☐
Name:	Date:

NOTEFYI: How our Interviewing Panel selects a Candidate for this position
Each member of the interviewing panel will complete a Secret Ballot Form where each shortlisted candidate will be awarded an overall percentage mark on a set of selecting criteria and the candidate that scores the highest percentage mark will be offered the position.

Please forward your completed application to: personnel@lcuck.ac.uk