application form - Reading FC

Reading Football Club
Madejski Stadium
Junction 11, M4 Reading
RG2 0FLTel 0118 968 1211
Fax: 0118 968 1107
www.readingfc.co.uk
Post applied for
Personal details
Title (Mr, Mrs, etc.)
First name
Middle name
Surname (family name)
All previous surnames
Date of birth:
(Minimum age for a stewarding role
is 18 years old)
National Insurance number
Address details
House name/ number & street
District
Town
County
Postcode
Home phone Area code: number:
Work phone Area code: number:
Mobile phone
Email address
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Current employment or occupation
Current occupation (or course
details if currently a student)
Employer’s name and address
(or school/ college/ university)
Date started (month/ year)
Previous employment or occupation
Please give details of all other jobs you have held, including part-time, voluntary or placement
work, starting with the most recent. If you need to add further jobs, please put these in the
Relevant Skills and Experience section. A brief explanation must be provided for any gaps in your
employment history in the Relevant Skills and Experience section.
Job title Employer's name Date started
(month/ year)
Date left
(month/ year)
Reason for
leaving
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Qualifications
Please list any qualifications you have gained or are undertaking (e.g. GCSEs, A-levels, degree,
NVQs, professional qualifications). If you are shortlisted for interview you will be required to
produce original certificates (or other documentary proof of qualifications) where these are
specified as an essential requirement of the post.
If you need to add further qualifications, please put these in the Relevant Skills and Experience
section.
Name at time of qualification (if different)
Name of qualification
Subjects and grades or
results expected
School/ College/
University attended
Date awarded
(month/ year)
Membership of professional bodies
Please give details of any professional bodies to which you belong. If you need to add further
bodies, please put these in the Relevant Skills and Experience section.
Name of professional body
Level of
membership
Membership
number
Date of
membership
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Training
Please list any additional training you have undertaken which is relevant to the post for which you
are applying. If you need to add further items, please put these in the Relevant Skills and
Experience section.
Name of course
Date completed
(month/ year)
Relevant skills and experience
Please give details of any experience and skills that you feel are relevant to the post and
particularly to the selection criteria listed for the post.
Describe your duties in your present job if appropriate, and details of experience and skills gained
in previous jobs and any other areas such as temporary work, voluntary work, studies or sparetime
activities. Please be specific and give examples wherever possible – these can be drawn from
any aspect of your life.
______________________________________________________________________________
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Referees
Please give details of at least two referees who can confirm that you meet the selection criteria for
the post. Your referees should not be related to you in any way nor writing solely as a friend.
If you are (or have recently been) employed, one must be your current or last employer.
If you are (or have recently been) a student, one should be a senior staff member from your place
of study.
Please note that we normally take up references for all shortlisted candidates and may approach
previous employers for information to verify particular experience or qualifications before interview.
Referees: Referee 1
Referee 2 Referee 3
(Current or most
recent line manager)
Title
First name
Surname (family
name)
Organisation name
and position of referee
Address
Postcode
Telephone (inc. area
code)
Fax number (inc. area
code)
Email address
May we contact this
referee without further
authority from you?
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Additional details
Are you a British subject or national of any EU country?
If not, do you have the right to work in the UK and a current permit?
If so, please state expiry date of your right to work in the UK and/or your
work permit?
When would you be available to start work?
Where did you see this post advertised? (please tick).
Website
Publication
Other
Please provide details of where you saw this post
Convictions policy
Reading Football Club’s recruitment policy requires that you declare any spent or un-spent
convictions when you are applying for a Stewarding job with us. We are asking you for this
information because we have a duty to balance our commitment to help ex-offenders find
work with our need to protect those supporters attending matches at Madejski Stadium.
Reading Football Club’s policy states clearly that only significant and relevant convictions
are taken into account and we will discuss with you any information that you give us and
consider all relevant factors before making a recruitment decision. Any information you
give us will be treated in confidence and used only for the purpose of recruitment to the
post applied for.
Please note that if your application is successful and Reading Football Club subsequently
identify that you did not declare a criminal history there may be disciplinary action or
dismissal. Please also note that if you are offered employment as a Search and Eject
Steward (Response Steward) or Supervisor at Reading Football Club we will require you
to complete an application for an Enhanced Disclosure (CRB). Employment for this role
will depend on a satisfactory outcome from the CRB.
This post is exempt from the provisions of section 4(2) of the Rehabilitation of Offenders
Act 1974 by virtue of the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975.
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Convictions
Have you ever been convicted of any offence or received a caution,
warning, bind-over or reprimand?
If "Yes", please give details including the offence and the date:
Details
Date
Prosecutions pending
Do you have any prosecutions pending?
If "Yes", please give details and proposed date of hearing:
Details
Date of hearing
Disqualifications
Are you disqualified from working with children or vulnerable adults or
named on any of the following lists: Independent Safegurading Authority
(ISA), List 99, Protection of Children Act (POCA), Protection of Vulnerable
Adults Act (POVA)?
If "Yes", please give details:
Details
Date
Additional information
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Data Protection Statement
The personal information you provide on this application form will be used by Reading Football
Club for employment purposes.
If the application is successful, the information will be retained for matters such as payroll,
pensions administration, appraisal of performance, recording details of holiday entitlement,
absences, etc., and monitoring of ethnicity and disabilities for measuring equality of opportunities.
Some of this information, such as, ethnicity, disabilities and criminal convictions, is defined as
"sensitive" under data protection legislation and by submitting this application form you are
consenting to our processing this for the purposes listed above.
If your application is unsuccessful the information will be retained for 12 months and then the
record will be destroyed.
Declaration
The information I have given on this form is true and accurate to the best of my knowledge. I
confirm that I have read the data protection statement contained in this document.
Signed
Date
Equal opportunities monitoring form
To help the football club monitor the effectiveness of this policy (and for no other reason) you are invited
to provide the information requested on page 9 & 10.
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Equal opportunities monitoring form
Reading Football Club is an equal opportunity employer and is committed to promoting equality
and social inclusion. The football club operates a policy to ensure that unlawful or otherwise
unjustifiable discrimination does not take place in recruitment. To help the football club monitor the
effectiveness of this policy (and for no other reason) you are asked to provide the information
requested below.
This information is confidential and does not form part of your application. It will be detached from
your application form when it is received, and the information will not be taken into account when
making the appointment.
I confirm that the information I am giving is accurate and by providing it I am giving my consent to
the county council processing it only for the purposes of monitoring, assessing and developing
employment policies and practices.
The information provided will be held securely on the football club’s personnel information systems
in accordance with the principles of the Data Protection Act 1998 for obtaining and processing
"sensitive" personal data and will not be published on an individual basis.
Information
Ethnicity
White [ ]
British [ ]
Irish [ ]
Any other White background, please write in:
Mixed
White and Black Caribbean [ ]
White and Black African [ ]
White and Asian [ ]
Any other Mixed background, please write in:
Black or Black British
Caribbean [ ]
African [ ]
Any other Black background, please write in:
Asian or Asian British
Indian [ ]
Pakistani [ ]
Bangladeshi [ ]
Any other Asian background, please write in:
Chinese or other ethnic group
Chinese [ ]
Any other, please write in:
Gender
Male: [ ]
Female: [ ]
Date of Birth:
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Additional Information
If you wish you may disclose information about yourself in this section about your:
Religion or Belief:
Sexual orientation:
Disability
Do you consider yourself to have a disability within the meaning of the Disability
Discrimination Act 1995 (see end of this part of form for definition)?
If yes, please state nature of disability:
DISABILITY DEFINITION
Individuals who were registered under the Disabled Persons (Employment) Act 1944 on both 12
January 1995 and 2 December 1996 are treated as being disabled under the Disability
Discrimination Act 1995 (DDA).
The DDA states: ‘a person has a disability…if he has a physical or mental impairment which
has a substantial and long-term adverse effect on his ability to carry out normal day-to-day
activities.’
The person must satisfy the four criteria in bold in the above statement to fall under and,
therefore, be protected under the DDA. This definition is subject to amendments made by the
DDA 2005.
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