Application Form
For Posts NOT Exempt from Section 4(2) of the Rehabilitation of Offenders Act 1974
DEPARTMENT : Commercial Development
POST TITLE : Bar Staff (Casual)
POST NUMBER:
corporate use only
Personal Details
Family or Last Name:
First Name:
Address:
Postcode:
Telephone (Home): Telephone (Mobile):
Telephone (Work):
Can we contact you on your work number?: Yes No (Tick as appropriate)
Email address:
Referees
One reference should be your present or most recent employer, the other a previous employer.
References will only be requested for the successful candidate and will not be taken up until an offer
of employment has been made in writing.
1 Name: 2 Name:
Job Title: Job Title:
Company Name: Company Name:
Address: Address:
Telephone Number: Telephone Number:
Fax Number: Fax Number:
Email: Email:
Relationship: Relationship:
I hereby authorise you to take up references from my present Employer, my previous Employer(s) or
the people that I have submitted as personal referees, once the offer of employment has been
confirmed in writing. In addition, I hereby authorise you to take up other reference checks as you
may deem appropriate.
Signed: Dated:
Please give any dates on which you will NOT be available for interview:
Education and Qualifications
Please give details of your education and qualification (most recent first)
Dates School, College, Subject(s) Studied Qualifications/
From To University, etc Certificate/ Grades
Work related or professional qualifications / membership & NVQ’s etc
Dates Details : Name of Association / Level/or grade of membership
From To Institute/Qualifications
Relevant Training
Dates Title of Course Details
From To
I hereby authorise you to carry out checks on all and any of my qualifications from any establishment
or employer.
Signed: Dated:
Present or last employment
Post:
Name and Address of Employer:
Date Commenced: Grade / Salary:
Is your present post your sole regular employment? Yes No (Tick as appropriate)
If No to the above please name your other employer(s):
Reason for leaving / wishing to leave:
Notice required/Date left (if applicable):
Outline of main duties:
Previous employment
Starting with your most recent job, please give a summary of all employment, including any relevant
unpaid work. Please explain any breaks in employment dates.
Dates Employer Post Title / main duties Reason for leaving
From To
Where did you see this post advertised?
If seen on the internet, please specify
website:
Are you related to, or the partner of, any Member or employee of the City of London Corporation? If
so, please give details (failure to disclose such information shall disqualify the candidate concerned):
(Note: Canvassing of Members or employees of the City of London Corporation or any Committee of
the City of London Corporation directly or indirectly for any appointment under the City of London
Corporation shall disqualify the candidate concerned.)
Please use this section to support the information that you have already provided regarding your
suitability for this post and how you meet the requirements of the post. Include everything that is
relevant (such as training and experience gained through out-of-work activities) as concisely as
possible. Continue on a separate sheet(s) if necessary
Please tick boxes as appropriate in the following sections:
Other details:
Do you have the legal right to live and work in the UK? Yes No
Is this subject to having a work permit? Yes No
You will need to produce photographic identification and proof of the above if you are called to
interview.
Disabilities
Do you have a disability as defined in the Equality Act 2010 (i.e. a permanent Yes No
and substantial disability)?
The City of London Corporation is a Disability Symbol User. An applicant with a disability who meets
the essential criteria for the job (with a reasonable adjustment where appropriate) will be invited to
interview.
Do you want your application to be considered under the disability symbol Yes No
users scheme?
Will you require any reasonable adjustments to be made as part of the Yes No
recruitment process?
Convictions
Do you have any unspent convictions? Yes No
If ‘Yes’ please give details of the convictions. Spent Convictions do not have to be declared as
the job is not one covered by the Exceptions Order 1975.
It will be a condition of your employment that you inform the City of London Corporation if you are
convicted of any criminal offence (including driving offences). Failure to do so may result in
disciplinary action being taken including the termination of your employment.
Data Protection Act
Information from this application may be processed for purposes registered by the Employer under
the Data Protection Act 1998. Individuals have, on written request and on payment of a fee of £10
the right of access to personal data held about them.
I hereby give my consent to the City of London Corporation processing and retaining the data
supplied in this application form for an appropriate period of time for the purpose of recruitment,
selection and employment.
Signed: Dated:
This authority is under a duty to protect the public funds it administers, and to this end may use the
information you have provided on this form for the prevention and detection of fraud. It may also
share this information with other bodies responsible for auditing or administering public funds for
these purposes.
For further information, please visit our website at www.cityoflondon.gov.uk
Declaration
I declare that the information given in this application is to the best of my knowledge complete and
correct.
Signed: Dated:
Note: Any false, incomplete or misleading statements may lead to dismissal.
Equal Opportunities Form
Please complete this monitoring form and return with your application form. Below we explain why the
details that you provide are important both for you as an applicant, and for us as an organisation
committed to equal opportunities. The City of London Corporation is a Disability Symbol User. An
applicant with a disability who meets the essential criteria for the job (with a reasonable adjustment
where appropriate) will be invited to interview.
The City of London Corporation is working towards equal opportunities in employment, with the aim of
ensuring that everyone who applies to work for us receives fair treatment. To help us to achieve this
aim we ask you to complete this monitoring form. This information will be used to monitor the
effectiveness of our Equal Opportunities Policy and for no other reason.
We understand that some applicants will be hesitant to provide the personal details requested, but
please be assured that this information is confidential and will only ever be processed or analysed on a
completely anonymous basis. Although you do not have to complete the form, by completing as much
of the information as possible, you will be helping us to ensure that you and others receive fair
treatment when applying for jobs with us.
The request for this information and the uses to which it will be put are within the scope of the Data
Protection Act 1998 which allows for the collation and reporting of sensitive data for monitoring
purposes.
Please complete this form, which will be detached from your application form before your
application is progressed to the shortlisting stage of the recruitment process.
The monitoring form will be kept separate from the job application form, to ensure that none of the
information you have provided is used in the selection decision. The information that you provided will
be treated as strictly confidential and only used to monitor the fairness of our recruitment and selection
procedures.
If you have any queries or concerns about any part of this monitoring form, please write to the
Equalities Manager, Corporate HR Unit, Town Clerk’s Department, City of London Corporation, PO Box
270, Guildhall, London, EC2P 2EJ, and we will look into the points that you raise.
Alternatively you may e-mail: -
edhr@cityoflondon.gov.uk
Thank you for completing this form. We wish you success with your application.
Equal Opportunities Form
HOW TO COMPLETE THIS FORM:
Mark your responses by putting an 'X' in the box or by clicking on the appropriate box
1. I consider myself to be: Male Female Non-binary
2. I consider myself to have a disability: Yes No Prefer not to say
3. I would describe my racial or cultural origin as:-
a Asian b Black c Chinese
Asian – Bangladeshi Black – African Chinese
Asian – British Black – British
Asian – Indian Black – Caribbean d Irish
Asian – Pakistani Any other Black Irish
Any other Asian background
background Please specify:
Please specify:
e Mixed f White g Other Ethnic Group
Asian & White White British Please specify:
Black & White White European
Union
Any other mixed Any other White
background background
Please specify: Please specify:
4. I am a CITIZEN of (please specify country, eg UK, Germany, Bangladesh)
5. I am aged: Years Months Date of Birth (DD/MM/YY):
6. I consider myself to be:
a Bisexual b Gay / c Heterosexual
Lesbian (Straight)
7. I am a member or follower of the following religious group:
a None / No religion d Hindu g Sikh
b Buddhist e Jewish h Other
Please
c Christian f Muslim specify:
____________________________________________________________________________________________________________________________
8. I hereby give my consent to the City of London Corporation processing the information
given above in accordance with the purposes stated above.
Signed: Date:
TO BE COMPLETED BY APPOINTING OFFICER ONLY
Short Listed Interviewed Appointed
