Application

Please remember to save your progress if you can't complete the form in one sitting.

Part I

Please complete both parts of the form fully and accurately.

Ref no

Closing date

Post advertised in

Position applied for

Available start date

Available start date

Personal Details

Title

Forename(s)

Surname

Email

Address inc. Postcode

Day Telephone No.

Home or work?

Mobile Telephone No.

Do you have the right to work in the UK?

Do you have the right to work in the UK?

References

Please give details of two referees (other than relatives), including your present or last employer or place of education if you have not worked since leaving full-time education:

Name

Position

Address

Telephone

Name

Position

Address

Telephone

Health

If you have a disability and would like us to make reasonable adjustments to assist you when attending an interview or with your application, please let us know:

Criminal offences

Have you ever been convicted of a criminal offence which is not spent as defined in the Rehabilitation of Offenders Act 1974?

Criminal offence

If yes, please give details

Equal opportunities

Date of Birth

Gender

Gender

Marital status

Marital status

Ethnic/Racial Origin

Ethnicity

* This section for HR use only. Information requested in Part I of this form enables us to administer and monitor recruitment according to our policy of non-discrimination. The information is restricted to HR except for information relating to criminal offences which may be disclosed to the recruiting manager if specifically relevant to this particular job.

Part II

1. Secondary Education

(if you have a degree, only show "A" levels or equivalent School Leavers Exams. Otherwise gives all exam results)

Date of exam

School / College and Town

Level

Subjects and grades

Date of exam

School / College and Town

Level

Subjects and grades

Date of exam

School / College and Town

Level

Subjects and grades

Date of exam

School / College and Town

Level

Subjects and grades

2. Tertiary Education (Degree)

Completion date

University or Institution

Degree/Class

Title of Course

3. Post Graduate (including Masters Degrees) and Professional Qualifications

Completion date

University or Institution

Degree/Class

Title of Course

Completion date

University or Institution

Degree/Class

Title of Course

Completion date

University or Institution

Degree/Class

Title of Course

4. Work experience

Include all work for the last 10 years or 5 jobs, whichever spans the longest period. Start with the most recent job. Explain career breaks.

From

To

Position

Salary (£)

Reason for leaving

Employer name / address / business

Key responsibilities

Key achievements

From

To

Position

Salary (£)

Reason for leaving

Employer name / address / business

Key responsibilities

Key achievements

From

To

Position

Salary (£)

Reason for leaving

Employer name / address / business

Key responsibilities

Key achievements

From

To

Position

Salary (£)

Reason for leaving

Employer name / address / business

Key responsibilities

Key achievements

From

To

Position

Salary (£)

Reason for leaving

Employer name / address / business

Key responsibilities

Key achievements

5. Do you have a full, clean Driving Licence?

Driving licence

6. If no, do you have access to independent means of transport? Please explain type of transport/arrangement.

7. With which IT programs/packages do you have familiarity?

(indicate whether Advanced, Intermediate or Basic)

8. Any other relevant training, interests or information?

For research posts only - please list published papers, including a URL to the abstract where possible

9. Referring to the job description & Person Specification, describe what you would bring to the role in terms of skills, experience, aptitudes and attitudes

Upload a covering letter

You must upload a covering letter in addition to completing the information above. Please do not upload a CV, they will not be accepted.

One file only.
4 MB limit.
Allowed types: pdf doc docx rtf.

Signature

I certify that this application is true and complete to the best of my knowledge. I understand that false or withheld information may result in dismissal/withdrawal of any offer of employment.

I consent to NIAB processing the information that I provide for the purposes of recruitment and selection and employment with the company.

(please tick the box if you agree with the above statement)

I have read and understood the Privacy Notice

(please tick the box if you agree with the above statement)

NIAB actively promotes equality, diversity and inclusion and encourages applications from all sections of society. As a Disability Confident Employer we have a positive approach to employing people living with a disability.

If your application is unsuccessful and you do not wish your data to be held for a further six months, your consent can be withdrawn, by e-mailing: [email protected].