Work for us
 
- Job Ref :
All relevant sections should be completed. A Curriculum Vitae is not an acceptable alternative. Further information in support of your application may be provided on separate sheets. We are interested to know why you have applied for this post, why you want to work at Grimsby Institute, what skills you can offer and any special interests you have.

The decision to invite you to interview will be based on the information you provide. You might not be short listed if you do not complete the form correctly or fail to supply additional information as requested above and in the supporting information.
Title: other:
*
First Name:
Your name is required.
*
Surname / Family name:
Your surname is required.
*
Address:
Your address is required.
Telephone (daytime):
Numbers only. 		(home):
Numbers only.
*
Email:
Your email is required.
Invalid format.
*
NI number:
Your NI number is required.
Invalid format(2 letters, 6 numbers and 1 letter).
Dept. of Education reference Number: (where applicable):
IFL Membership No.:

CURRENT/MOST RECENT EMPLOYMENT

Please give details of employer's name and address, your position, a brief description of your main duties, grade or salary, dates from and to, full or part-time and reason for leaving. Voluntary or unpaid work should be included. Please explain any gaps in employment.

Current / Most Recent Employer
Position:
Employer's Name:
Address:
Date Appointed:  To: 
Wage / Salary: £ 
Numbers only.		 Full or Part-time: 
Notice Period:
Brief details of main duties / responsibilities:
Reason for leaving:
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Previous Employer
Position:
Employer's Name:
Address:
Date Appointed:  To: 
Wage / Salary: £  Full or Part-time: 
Brief details of main duties / responsibilities:
Reason for leaving:
   
  Click here to add another Employer

Previous Employer
Position:
Employer's Name:
Address:
Date Appointed:  To: 
Wage / Salary: £  Full or Part-time: 
Brief details of main duties / responsibilities:
Reason for leaving:

EDUCATION & QUALIFICATIONS

Please give details of all school examinations, certificates, diplomas, degrees and membership of professional bodies. Details should include, where relevant, place of study, examining or awarding body, grade or level, dates of study, full or part time and date of award. Start with the most recent. You will be asked to provide evidence of these if your application is successful. Certificates of Degrees, Masters, Doctorates and Professional Qualifications will be validated with the Awarding Body.
Establishment where course was taken: Dates Full time
or
Part time		 Results:
From: To:
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More
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Particulars of research or personal work, publications etc
Chief Subject(s) you are prepared to teach
Subsidiary Subjects:
Please idenify the strengths, skills and abilities you will bring to the job and any further information which you feel may be relevent, for example, information about yourself and your interests, voluntary / work experience and work in the community. It is important that you relate your experience to the requirements of the job.

Miscellaneous
Do you have a current valid car driving licence?
Yes No
If you are related to any employee of Grimsby Institute or member of its Corporation, please give his/her name and state the relationship:
If you are successful in this application and it is your intention to work in some other capacity anywhere else, please give details:
Where did you learn about this post?
if other please Specify

REFERENCES for External Applicants

One referee should be your present or most recent employer. If you are currently working or have previously worked with children, young people or vulnerable adults, either on a paid or voluntary basis your current and/ or previous employer will be asked about any disciplinary offences relating to children (including any for which the penalty is time expired) and whether you have been the subject of any child protection concerns, and if so, the outcome of any enquiry or disciplinary procedure.
Title:
Name:
Status/position:
Address:
Telephone:
Numbers only.
Title:
Name:
Status/position:
Address:
Telephone:
Numbers only.

Additional Information

This section must be completed and returned with your application form. It will be separated from your application form and retained in the Personnel Department. None of the information on this section of the form will be used in the short listing process. All information given will be dealt with on a confidential basis.
Previous Surname(s) / Family name(s):
The Institute wishes to provide opportunities for disabled persons. If you have a disability that the Institute should know about, please give details.
Please give the extent of your absences from work through ill health or injury over the last 24 months, showing the number of periods of absence, total time off (e.g. 3 periods = 11 days in total) and any details. Please enter as numerals, not words.
Absence Periods:
Absence period is required.
Numbers only.		 Days sick:
A value is required.
Numbers only.
Details:
Rehabilitation of Offenders Act 1974 (Exceptions) (Amendment) Order 1986 The post you have applied for involves access to young people under the age of 18, as defined in the above Act. Consequently it is necessary for you to disclose all criminal cautions and convictions you may have, even those which might otherwise be deemed spent under the above Act.
Have you ever had a CRB Check?
Yes No
If so what level:?
Was this cleared?:
Do you have any criminal convictions/ cautions?
Yes No
I have the following criminal convictions/cautions: Please give date and nature of offences.
I confirm that I am not on List 99, disqualified from work with children, or subject to sanctions imposed by a regulatory body, e.g. the General Teaching Council and either have no convictions, cautions or bind overs.
Please confirm you are not on List 99
*

Diversity &Equality

What best describes your racial or Cultural Origins?
What is your gender?
Male Female
Date of Birth
Do you consider yourself to be :
Disabled Able-bodied

Declaration

I understand that any offer of employment will be subject to a number of checks, including Documentary evidence being produced to substantiate the details given on this application form Satisfactory Disclosure from the Criminal Records Bureau (although a conviction may not automatically prevent you from receiving an offer of employment). Under the Data Protection Act 1998 we need your written consent to hold and process information in relation to your application and any subsequent employment for various administrative, academic and health and safety reasons, and by signing below you give that consent. Without your consent, we regret that we will be unable to continue to process your application.
The information on this form is correct and complete to the best of my knowledge and belief.
*

Please confirm


 
 

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Telephone :
0800 315002

Fax :
01472 879924

Minicom :
01472 315532

Email :
infocent@grimsby.ac.uk