Application for Employment This is the first stage in the selection procedure for the Football Association of Wales and will identify suitable applicants to attend for interview. This part of the assessment is based on the information, which you provide below. It is important, therefore, that you include as much information as possible about yourself and what you have done. Please complete each section below in black ink as this form may be photocopied. Please ensure that all parts of the application form are completed in full and returned to The Football Association of Wales via e-mail to recruitmentcardiff2017@faw.co.uk Title of post applied for: Visitor Experience Manager – Cardiff 2017 Closing Date: 17:00hrs 25th January, 2016 1. PERSONAL PARTICULARS (BLOCK CAPITALS PLEASE) Surname: Former surnames if different: Forenames: Preferred title (Dr, Mr, Mrs, Ms, Miss etc): Tel No (home): Address: Tel No (business): Tel No (mobile): <Town> <Post Code> Preferred Contact: E-Mail address: Nat. Insurance No: Nationality: Do you have the right to work in the UK? Yes No Applicants will be required to provide documentary evidence of their right to work in the United Kingdom if invited for an interview. If you already have a work permit, when does it expire? How did you hear about the post? Preferred work arrangements: UCL Final 2017- application form Full-time Job share Term time only Part-time 2. EDUCATION AND PROFESSIONAL QUALIFICATIONS Please detail in chronological order, with most recent first. Please continue on a separate page if necessary. (Include professional qualifications, apprenticeships or government-sponsored schemes, as appropriate. Indicate whether full-time, part-time or home study). Original documents as proof of qualification may be required at interview Secondary School / College / University/ UCL Final 2017- application form Dates From To Examinations taken Date Result Professional Qualifications and/ or membership currently held: Grade and date Other relevant Educational or Training Courses, with dates (including Health and Safety related- i.e. Manual Handling or First Aid) 3. PRESENT POST Title of Post: Salary/Grade: Name of Employer: Business of Employer: Address: Date Commenced: Date Ended (if applicable): Town. Post Code. Please outline your responsibilities, to whom you are responsible and staff responsible to you (if applicable): UCL Final 2017- application form Reason for leaving or wishing to leave: Period of notice required to terminate present employment: Please notify us of any dates you are not available for interview: 4. PREVIOUS EMPLOYMENT Name and Address of Employers Description of duties: Description of duties: Description of duties: UCL Final 2017- application form Position held Dates From To Reason for leaving Final grade/salary 5. RELEVANT SKILLS, ABILITIES, KNOWLEDGE, EXPERIENCE AND YOUR REASONS FOR APPLYING FOR THIS JOB. (Please read the Job description and outline how you feel you match the requirements of the job- continue on a separate sheet if necessary) (Please include any language and relevant IT Skills) UCL Final 2017- application form 6. OTHER INFORMATION What activities outside work interest you? (State any positions held you consider relevant.) Do you hold a current driving license? Yes No Do you own a car? Statement Have you ever been convicted of a criminal offence (which is not a spent conviction under the Rehabilitation of Offenders Legislation) Any unexplained gaps in employment in the last 5 years? Change this to - Does your license have any endorsements? Other questions to consider; Yes Yes No No Are you currently subject to any contractual “restraints of trade” clauses? Do you have any commitments that might limit your working hours? Are you willing to work overtime and weekends when required? Please give details of any holidays that you have arranged: If answered yes to any of the above, please give details. (You are reminded that failing to disclose information requested as above or falsification of information may lead to dismissal from the company on the grounds of gross misconduct.) If offered a job with the Football Association of Wales, you will be required to obtain and submit to the Company a certificate from the Criminal Records Bureau, giving details of any convictions. UCL Final 2017- application form 7. REFERENCES Please give the details of two referees who are not related to you, who we can approach for a confidential assessment of your suitability for this job. (One of these must normally be a previous employer). (Tick in box if you do not wish your employer to be contact before an offer of employment is made) Referee 1 Title (Mr, Mrs etc): Referee 2 Title (Mr, Mrs etc): Full Name: Full Name: Job Title: Job Title: Organisation: Organisation: Address: Address: Town. Post Code. Town. Tel No: Tel No: E-mail address: E-mail address: Fax No: Fax No: Please state if we may obtain this reference prior to interview. UCL Final 2017- application form Yes No Please state if we may obtain this reference prior to interview. Post Code. Yes No 8. DECLARATION Data Protection Act 1998 Any data about you will be held in secure conditions with access restrictions. Data will also be used for employment monitoring purposes however all data will be kept anonymous. If you are unsuccessful, your application will be destroyed after 3 months. If you are the successful candidate, relevant information will be taken from this form and used as part of your personal record. Rehabilitation of Offenders Act 1974 Under the Rehabilitation of Offenders Act 1974 criminal convictions can become spent or ignored after a rehabilitation period, although they remain on the Police National Computer. The rehabilitation period varies depending on the sentence or order imposed by the court - not the offence. Custodial sentences of more than two and half years can never become spent. Asylum and Immigration Act 1996 (Section 8) This act makes it a criminal offence for an employer to take on new staff whose immigration status prevents them from taking up the post in question. This applies to all types of employment, including part-time, temporary or casual appointments. For most jobs you will only be asked to produce one or two documents if you are offered the job. Documents will be checked as a completely separate process. Declaration DECLARATION OF APPLICANT I confirm that the above information is correct. I consent to The Football Association of Wales using and keeping information I have provided on this application or elsewhere as part of the recruitment process and/or personal information supplied by third parties such as referees, relating to my application or future employment. I understand that the information provided will be used to make a decision regarding my suitability for employment and if successful the information will be used to form my personnel record and will be retained for the duration of my employment. If I am not successful, I understand that The Football Association of Wales will retain the form for as long as is deemed necessary and that The Football Association of Wales may use it to contact me in the event of there being any other vacancies for which I may be suitable. I declare that the information contained in this application is complete and correct. I understand that, if I have knowingly provided false information in my application, I may be disqualified or dismissed after appointment. I consent to the use of this information as outlined above. Signature: _________________________ UCL Final 2017- application form Date: ________________________