Application for EmploymentThis application comprises of four sections which you must complete for your application to be considered:

Section 1- Personal Details Section 2- Application Form Section 3- Monitoring Information (internal candidates do not need to complete

this section) Section 4- Guaranteed Interview Scheme (GIS)

Supporting information is available in the application guidance document.

Please contact recruitment@equalityhumanrights.com should you require this form in an alternate format.

Position applied for: Parliamentary and Public Affairs Manager - Temporary - Maternity Cover only

Vacancy reference: A064

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Section 1 - Personal DetailsTitle ☐ Mr ☐ Mrs

☐ Ms ☐ Miss

☐ Dr ☐ Other

Surname

Forename(s)

Any other name used

Current home address (including postcode)

Telephone number

E-mail address

National Insurance number

Working Pattern

Full time (36 hours per week)

Part time (Please specify number of hours)

Job share

Nationality and Immigration Status

Nationality at birth

Present nationality

Have you possessed any other ☐ Yes ☐ No

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nationality or citizenship?

If yes, please specify

Are you subject to immigration control?

☐ Yes ☐ No

If yes, please specify

Are you lawfully resident in the UK?☐ Yes ☐ No

Are there any restrictions on your continued residence in the UK?

☐ Yes ☐ No

If yes, please specify

Are there any restrictions on your continued freedom to undertake employment in the UK?

☐ Yes ☐ No

If yes, please provide details

Your Current Employment

Are you currently employed by the Equality and Human Rights Commission?

☐ Yes ☐ No

Are you an existing civil servant? ☐ Yes ☐ No

If no, please proceed to the next section (‘Rehabilitation of Offenders’).

If yes, has your role been declared surplus?

☐ Yes ☐ No

What is your employment status? ☐ Permanent ☐ Temporary

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What is your substantive grade?

Have you successfully passed your probationary period?

☐ Yes ☐ No

If you are applying for a loan/secondment opportunity do you have permission from your manager to apply and then to return to your current employer at the end of the period?

☐ Yes ☐ No

If no, we are unfortunately unable to accept your application.

Rehabilitation of Offenders

Do you have any convictions that are unspent under the Rehabilitation of Offenders Act (1974)?

☐ Yes ☐ No

If yes, please provide further details:

References

Please note referees will be contacted only once you have accepted a provisional offer, by returning this form you are giving your permission to contact the referees at the stated time.

We require a minimum of two satisfactory references covering your employment for the previous three years.

If you have been with one employer for the past three years, please provide an additional reference from that employer

If you have been in full time education during this period one of your referees should be from the relevant academic establishment

If none of the above apply to you, please provide a personal reference from a person who is known to you but not a relative and is of professional standing for example doctor, accountant or civil servant

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Referee 1

Full name

Occupation

Full address (Including country if overseas)

Email address

Telephone number (Including dialling codes)

Referee 2

Full name

Occupation

Full address (Including country if overseas)

Email address

Telephone number (Including dialling codes)

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Section 2 - Application FormCurrent Employment Details

Name and address of current or most recent employer

Current job title

Employment date from: Till:

Current salary

Other allowances and benefits

Notice period

Reason for leaving (if applicable)

Please provide a brief description of your duties and responsibilities

Maximum word limit 500 words, any words in excess of this will be removed.

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Previous Employment

Starting with the most recent, please provide details of your full employment history over the last five years.

Name and address of employer

Job title and description of main duties

Date

from

Date till Reason for leaving

Please provide details of time spent abroad within the last three years for periods of six months or longer (if not applicable, please state N/A).

Date from

Date till Details

Education

Please provide details of your education, you may be requested to provide copies of certificates for verification.

School, college, university or awarding body

Date completed Qualification Level / Grade

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Training

Please provide details of training courses you have attended, you may be requested to provide copies of certificates for verification.

Course title Date completed Qualification (if applicable)

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Professional Memberships

Please include details of memberships of professional associations.

Current memberships of professional associations

Date attained Level

Experience, knowledge and skills

Please demonstrate through using specific examples how you meet the criteria listed below, a maximum of 250 words must be adhered to for each section, any words over 250 will be removed and discounted.

1: Experience: Strong track record in developing and delivering successful influencing parliamentary and public affairs strategies.

Maximum 250 words

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2: Experience: Evidence of influencing Goverment policy, legislation and other policy-making processes and sound knowledge of relevant processes.

Maximum 250 words

Competencies

Please refer to competency framework.

Competency 1: Communication – Band C

Maximum 250 words

Competency 2: Analysis and use of evidence – Band C

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Maximum 250 words

Competency 3: Adaptability and Flexibility– Band C

Maximum 250 words

Competency 4: Strategic Thinking– Band C

Maximum 250 words

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Declaration of Interest

Do you have any business or personal interests that might be relevant to the work of the Equality and Human Rights Commission and which could lead to a real or perceived conflict of interests were you to be appointed?

☐ Yes ☐ No

If yes, please specify:

Declaration

I declare that the information given on this form is correct. I understand that, if appointed, any false information later revealed may

invalidate any subsequent contract of employment. I understand that all posts require successful applicants to undergo pre-

employment security checks in accordance with the Government’s Baseline Personnel Security Standard, including Criminal Records Checks where appropriate. Refusal to comply with any request to undertake checks will lead to any offer of employment being withdrawn.

Any data relating to you will be treated in the strictest confidence. It will be held and processed in accordance with the Data Protection Act 1998. All data relating to unsuccessful candidates will be securely retained for 12 months after which it will be destroyed. If you do not consent to your data being held for this period you must notify The People Team of this in writing with this application.

Signature

Print name

Date

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Please return completed application forms by the specified deadline to:

Email: recruitment@equalityhumanrights.com

Post: The People Team, Equality and Human Rights Commission, Arndale House, Manchester, M4 3AQ

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Section 3 - Monitoring InformationThe Equality and Human Rights Commission is committed to treating all applicants equally based on their merits regardless of age, disability, gender, gender reassignment, marital status, pregnancy, race, religion or sexual orientation. By completing this section of the application will assist us in monitoring our efforts towards achieving an inclusive and diverse workforce.

Vacancy Details

Vacancy title

Vacancy reference

Where did you see this post advertised?

☐ Civil Service Jobs ☐ Job Centre

☐ EHRC website ☐ Equality and Diversity Forum

☐ Twitter ☐ Facebook

☐ LinkedIn ☐ Other (please state):

Equal Opportunities

What is your gender? ☐ Male ☐ Female

☐ Prefer not to say

Is your present gender the same as the one assigned at birth?

☐ Yes ☐ No

☐ Prefer not to say

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Are you married or in a civil partnership?

☐ Yes ☐ No

☐ Prefer not to say

Age ☐ 16 - 24 ☐ 45 - 54

☐ 25 - 34 ☐ 55 - 64

☐ 35 - 44 ☐ 65 +

☐ Prefer not to say

How would you describe your national identity?

☐ British ☐ Northern Irish

☐ English ☐ Welsh

☐ Scottish ☐ Prefer not to say

What is your ethnic background?

White

☐ English ☐ Scottish

☐ Welsh ☐ Irish

☐ Northern Irish ☐ Gypsy/Irish Traveller

☐ Any other white background

Mixed

☐ White and Asian ☐ White and Black

☐ White and Black African

☐ Any other mixed background

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Asian or Asian British

☐ Indian ☐ Pakistani

☐ Bangladeshi ☐ Chinese

☐ Any other Asian background

Black or Black British

☐ African ☐ Caribbean

☐ Any other Black background

Other ethnic group:

☐ Arab ☐ Any other ethnic group

☐ Prefer not to say

Do you consider yourself to be disabled?

☐ Yes ☐ No

☐ Prefer not to say

What is your sexual orientation?

☐ Heterosexual ☐ Other

☐ Gay / lesbian ☐ Prefer not to say

☐ Bisexual

What are your religious or ☐ Buddhist ☐ Sikh

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other beliefs? ☐ Christian ☐ Other religion

☐ Hindu ☐ No religion or belief

☐ Jewish ☐ Prefer not to say

☐ Muslim ☐ Other belief

Do you have caring responsibilities?

☐ Primary carer of a child or children (under 18)

☐ Primary carer of disabled child or children

☐ Primary carer of disabled adult (18 and above)

☐ Primary carer of older person (65 and above)

☐ Secondary carer ☐ None

☐ Prefer not to say

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Section 4 - Guaranteed Interview Scheme (GIS)The Equality and Human Rights Commission operates a guaranteed interview scheme for anyone with a disability as defined in the Equality Act 2010 (EA). If you apply under this scheme you must demonstrate in section 2 of the application for employment that you meet the minimum criteria for the role. You will then be invited to the first stage interview for the position.

I consider myself to have a disability as defined above and want to apply under the guaranteed interview scheme.

I consider myself to have a disability as defined under the Equality Act (2010) and want to apply under the GIS scheme

☐ Yes ☐ No

Assistance at Selection Stage

To support us in minimising barriers in our recruitment process and to help us implement our equal opportunities policy effectively, please let us know if you need any particular assistance during the selection stage:

To support us in minimising barriers in our recruitment process and to help us implement our equal opportunities policy effectively, please let us know if you need any particular assistance during the selection stage

☐ Induction loop ☐ Keyboard for written tests

☐ Someone with you at the interview (e.g. speech facilitator)

☐ Car parking

☐ Assistance in and out of a vehicle ☐ Wheelchair access

☐ Accessible toilet facilities ☐ Other, please specify:

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If you have equipment of your own which you would like to bring to help you to compete on equal terms either at the interview or in an assessment, please give details below:

Arrangements to be made (EHRC use only):

Declaration

I declare that the information given in this section is correct I understand that, if appointed, any false information later revealed may

invalidate any subsequent contract of employment I understand that a false declaration under the GIS to obtain a guaranteed

interview, which results in employment, may invalidate any subsequent contract of employment.

Signature

Print name

Date

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