Application Form 

You are advised to read the guidance notes for applicants available with this application form carefully as the decision to shortlist you for interview will be based on the information you provide on this form. 

The advice is designed to help you complete the application form as effectively as possible.

Please return completed application to:

Recruitment and Training Coordinator, Pathfinder House, St Mary’s Street, Huntingdon, PE29 3TN OR email a copy to recruitment@huntingdonshire.gov.uk  

Post Details
Position applied for:		
Where did you learn of this vacancy?		
Are you a redeployee? 
(Internal applicants only)	Yes	No	

Personal Details
First names:		
Surname:		
Home address:		
Home email address:		
Home telephone number:		Mobile telephone number:		
Do you have a current full driving licence?	Yes	No	Do you have use of a vehicle?	Yes	No	

Current or Most Recent Employment
Employers name:		
Employers address:		
Position:		
Salary:		
Notice period:		
Start date:		
End date:		
Reason for leaving:		
Please give a brief description of your duties/responsibilities (if you are currently unemployed please give appropriate details of your last employment): 
		
Previous Employment 
Please give details of employment, starting with your current/most recent position and working backwards.  Please give an explanation for any gaps in employment and continue on an additional sheet if necessary.
Name & Address
of Employer	Date From	Date To	Position held	Details of duties/responsibilities and reason for leaving	

					
Education, training and qualifications
If the person specification requires any qualifications, or you feel it would support your application, please give details and results of any relevant examinations taken; any work based training courses and any further education you may have taken. You may be required to provide copies of certificates upon commencement of employment.
School	Date(s)	Subjects	Grades/Qualification	

				
College or University 	Date(s)	Subject 	Qualification/results	

				
Training 	Date(s)	Subject 	Qualification/results	

				

Supporting Statement 
Please use this section to explain in detail how you meet the requirements of the job description and person specification. Provide any additional information that you consider important and any relevant experience, skills and knowledge you have.  Please continue on a separate sheet if necessary.

Employment Status/Asylum and Immigration Act 1996
We can only employ people who are legally entitled to work in the UK. 
I can confirm that I am entitled to work in the UK:		Yes	No	
Do you require a work permit?	Yes	No	
If you were offered a position with Huntingdonshire District Council 
would you continue to hold any other position?	Yes	No	
If YES please give post title, organisation and hours worked:		

Convictions and Cautions
To be read in conjunction with the convictions and cautions section on the guidance notes for applicants.
Have you ever received a caution, including conditional cautions, been convicted by a court of any offence, been reprimanded or given a final warning?	Yes	No	
Are there any current or outstanding criminal proceedings against you?	Yes	No	

Relationships
Do you have a close personal relationship or are you related to any employee or Councillor of this authority?	Yes	No	
If YES, please state name of person and relationship:		

Disability
Under the Equality Act 2010 disability is defined as ‘A physical or mental impairment which has a substantial and long term adverse effect on a person’s ability to carry out normal day to day activities.’
Do you consider that you have a disability?	Yes	No	
If YES, please give details of your disability:		
Would you require any assistance or adjustments to help you participate in our recruitment and selection procedures? 	Yes	No	
If so, please give details of how we could assist you:		

Date started in Local Government
Have you worked for Huntingdonshire District Council before?	Yes	No	
If yes what was your reason for leaving:	Dismissal	Redundancy	Resignation	End of temp contract	
Service with other local government employers counts towards your continuous local government service for certain terms and conditions (as long as there has not been a break between ending one job and starting the next)
Have you previously worked in local government?	Yes	No	
If yes please give details of the previous local government positions you held below? 
Name of Local Government employer	Start Date
(DD/MM/YYYY)	End Date
(DD/MM/YYYY)	

			
Breaks from Local Government 
(Maternity/childcare/dependants)
Have you previously worked in local government and taken a break from employment to raise a child and/or dependant?	Yes	No	
If yes, please state length of break in months and years:		
Have you had any permanent full-time employment during this period?  	Yes	No	
Privacy Notice 
We (the Council) are collecting this information in order to assess your application for employment with us. Our legal basis is Article 6.1.b, necessary for steps prior to entering a contract.

We only keep your information as long as necessary, for some items this will be dictated by law. You can find out more by looking at the Councils Retention Policy on the web site.

We do not routinely process any information about you outside the UK. We will not transfer your personal data outside of the EU.
	
Huntingdonshire District Council is a registered Data Controller with the Information Commissioners Office. 

You can find out more about how we handle your data by visiting the Councils Privacy Notice page on the web site. If you have a query regarding your rights please contact the Data Protection Officer who can be contacted by emailing infogov@3csharedservices.org or you can write to the Council and mark your letter for the attention of the Data Protection Officer. Alternatively you can call 01954 713318.
You have the right to lodge a complaint with the Information Commissioners Office (ICO) if you have any concerns about how we handle data.

We will use it to:

Assess if your skills and experience meet the demands of the particular job you have applied for
If you are the successful candidate, we will use this information as part of your personnel record, including any previous government service
Assess if you are entitled to work in the UK	
Assess if there are any political conflicts with the job you are applying for	
Verify your qualifications	
Assess whether you need to undertake a DBS check	
Equal opportunities monitoring	
If you are not the successful candidate, we will retain your application for 6 months so that we may consider you for any suitable vacancies that may arise	

Declaration

I am signing this to confirm that all the information I have put in this form is true and accurate, and that I have read all the relevant sections of the application form guidance notes.

I also confirm that I have not directly or indirectly approached an Elected Member or employee of the Council to support me in making this application. I understand this could disqualify me as a candidate.

I understand that if I don’t tell you about relationships with any members or employees of the Council or neglect to tell you about criminal convictions as detailed in the Convictions and Cautions section and this is discovered after appointment, I could be dismissed without notice.

I also understand that satisfactory references, DBS disclosure (if appropriate), medical clearance, qualifications and evidence of the right to work in the UK are required. I understand if these checks are not met satisfactorily during my probation period, it will be deemed that I have failed to pass my probation and may be dismissed without notice. 

Please see guidance notes for applicants before signing and dating this application form.
Signature of applicant:			Date:		
Thank you for submitting your application to Huntingdonshire District Council.