For Office Use Only: Application no. CONFIDENTIAL Application Form The first two pages will be separated from the rest of your application form and will form no part of the selection process. Please read carefully all instructions before completing this form. Please use block capitals and dark ink or type as it will be necessary to photocopy your application. *Please email your completed application form to recruitment@neweconomics.org Post Applied For: Chief Economist To be received by: 9am Monday 25th January 2016 1. SURNAME: 2. FIRST NAME(s): 3. HOME ADDRESS in full: 4. ADDRESS FOR CORRESPONDENCE if different from 3. above: 5. TELEPHONE NUMBER(s): 6. EMAIL ADDRESS: Chief Economist For Office Use Only: Application no. 14a. Are you subject to any conditions relating to your employment in the UK? Yes No 15a. Do you have or have you ever had any major illness/disability? Yes 14b. If YES, please give details: 15b. If you are a registered disabled person, please give the reference number of your certificate of registration and date of expiry. No 15c. If you have a disability, please give details of how this may affect your ability to carry out the tasks as described. 15d. If you are disabled, please give details of any special arrangements you would require to attend interview. 16. If you were selected, when could you start? Please give periods of notice if applicable. 17. EDUCATION/QUALIFICATIONS (including any examinations which you are about to take or awaiting results): a. SECONDARY EDUCATION Name of school or college Chief Economist Dates Qualification e.g. GCSE/ Alevel Grade Subjects b. HIGHER EDUCATION Name of institution Dates Qualification Grade/ Class Subjects c. OTHER QUALIFICATIONS Name of body Dates Membership grade Was membership gained through examination? 18. EMPLOYMENT HISTORY (including voluntary or unwaged work – please continue on separate sheet(s) as necessary) Name and address of employer Position held and brief description of duties Dates Salary and other allowances 19. REFEREES Please give the name, address, telephone number and email address of two professional/associate referees. One should be you current/ latest employer. Applicants leaving full-time education should give appropriate academic referees. 1. Chief Economist 2. Please tick if you want us to notify you before contacting referees 20. REASONS FOR APPLYING FOR THIS POST Please make full use of this section, attaching additional sheets if necessary to support further information in support of your application. Please be sure to include the following: Reasons why you are applying for this post Details of waged or unwaged work experience which you believe make you suitable for the post and relating this specifically to the person specification required for this position Please feel free to also enclose any examples of your work which you believe to be relevant Chief Economist 21. DECLARATION The information provided on this application form is private and confidential and will be used for the purpose of recruitment. Where the application is successful nef may, from time to time, wish to process this information (as updated periodically) for personnel and business management purposes. Where this is the case, processing will take place in accordance with the provisions of the Data Protection Act 1998. Please also note that nef may approach third parties to verify the information that you have given. By signing the declaration below you will be providing nef with your consent to all these uses. In completing this application form, I hereby confirm that the information contained in this document is accurate to the best of my knowledge. I am willing to provide original certificates as proof of qualifications, if requested, and also consent to the new economics foundation contacting any educational establishment or institution for confirmation of these qualifications, of which I will be informed about prior to any contact being made. I understand that any false declaration or misleading statement or a significant omission may disqualify me from employment and render me liable to dismissal. Signature of applicant Please tell us where you saw this post advertised ____________________________________________________ Chief Economist Date