Durham County Council

Job Application Form

Thank you, for using Durham County Councils Job Application Form.
This form should only be used to make applications for advertised Council jobs.
You are advised to save this form to your hard drive so it can be filled in at your own time and
pace. To do this click on File, then Save As and finally click the Save button (you can
change the filename and location if you wish).
If you wish to fill in an application form by hand, you can print the Adobe Acrobat PDF file - found
on the same page as the link to this document. Alternatively, phone the contact telephone number
on the job you are interested in (see bottom of job page for details of this number) to receive an
application form in the post.

How to submit Your Job Application Form

Please fill in the following pages, ensuring you complete all relevant parts.
Once you have completed your application form please ensure you have detailed which post
it is you are applying for and that it is sent to the correct address. The address will be
detailed on the advert of choice. Please note if application forms are received late or sent to
the incorrect address they are at risk of being excluded from the recruitment process.

Problems filling in this form or requests for other formats

If you have any queries/problems completing this form and it is not in the guidance notes
document or you need this form in another format such as large print or Braille, then please:

email us at hrschools@durham.gov.uk or

telephone the HR Schools team on 03000 267247 (24 hour answerphone service) or Fax
us on 0191 328 0067 (outside the UK, please replace the first 0 with +44).

Return completed forms as detailed on the advert , i.e. to the school

Vacancy Reference Number

Equal Opportunities Monitoring Form

We are an equal opportunities employer and want to ensure that all applicants are considered
solely on their merits. Therefore we need to check that decisions are not influenced by unfair or
unlawful discrimination. To help us we should be grateful if you would complete this short
questionnaire. You only need to answer if you feel happy to do so. Your answers will be treated
with the utmost confidence and will only be used for statistical purposes.
1. Are you:
Male
Female
2. Date of Birth:

Prefer not to say

3. Do you consider yourself to be a person with a disability?
This may include a physical or mental impairment which has a substantial and long-term adverse
effect on your ability to carry out normal day-to-day activities. Long-standing means that it has
lasted, or is likely to last, for over a year.
Yes

No

Prefer not to say

4. What is your religion or belief?

Christianity
Judaism
Bahai
Hinduism
Sikhism
No Religion
Islam
Buddhist
Prefer not to say
Other e.g. Humanist, Atheist, etc (Please state)

5. How do you describe your sexuality?

Heterosexual/Straight
Bisexual
Prefer not to say
Gay Man
Gay Woman / Lesbian
6. Please describe your ethnic origin
White
Black or Black British
British
Caribbean
Irish
African
Any other White background
Any other Black background
Arab or Middle Eastern
Travelling Community
Gypsy/Roma
Arab
Traveller of Irish Descent
North African
Any other Arab or Middle Eastern
Other member of the travelling community
Background
Asian or Asian British
Mixed
Indian
White & Black Caribbean
Pakistani
White & Black African
Bangladeshi
White & Asian
Chinese
Any other Mixed Background
Any other Asian background
Other ethnic groups: Please state
Prefer not to say

Prefer not to say

7. What is your Relationship Status?
Married/Civil Partnership
Prefer not to say
Looked After Young People are guaranteed an interview if they meet the essential criteria of the
post. Are you Looked After by a Local Authority i.e. Durham County Council?
I confirm that I am currently Looked After by a Local Authority.
2

Durham County Council

Application Form
Strictly Confidential
Please read the Guidance Notes before completing this form
To be completed by the Applicant
Post Ref. No:

Post Title:

Service/Location:
Surname:

Forename(s):

Address:

Closing Date:

Title:

Telephone No: Home

Mobile:

Work (if convenient):

Postcode:
E-mail address:

Job Share
If this post is open to job share, do you wish to apply for this post in a job share capacity?
Yes

No

Please state where you saw the advertisement for this post.
Durham County
Evening Chronicle
Council Website
Newspaper
Vacancy Bulletin
Specific Journal

Northern Echo
Newspaper
DCC Intranet

Sector1 Website
Jobcentreplus
Fish4Jobs Website
Northeastjobs
Advertiser Newspaper
Other
Do you consider yourself to be a person with a disability? This may include a
physical or mental impairment which has a substantial and long-term adverse
effect on your ability to carry out normal day-to-day activities. Long-term means
that it has lasted, or is likely to last, for over a year. Applicants with disabilities will
be invited for interview if they meet the essential criteria on the person
specification.
Yes

No

Prefer not to say

If you have answered yes please detail below any specific requirements to assist you with an
interview and we will try to make the necessary arrangements.

IMPORTANT INFORMATION
FOR POSTS WHICH REQUIRE A DBS CHECK ONLY AS STATED ON THE JOB ADVERT/JOB DESCRIPTION
The amendments to the Exceptions Order 1975 (2013) provide that certain spent convictions and cautions are
protected and are not subject to disclosure to employers and therefore cannot be taken into account. Further
guidance and details on the criteria on the filtering of these cautions and convictions can be found on the Disclosure
and Barring Service website (www.gov.uk/dbs)
Do you have any convictions, cautions, reprimands or final warnings that are not protected as defined by the
Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (amended in 2013)?
YES / NO
If YES, please provide relevant details of the offence, date of offence and sentence below. If you would prefer not to
include this information on the application form, please provide the details in a sealed envelope addressed to:
Team Leader HR Operations & Data, Durham County Council, County Hall, Durham, DH1 5UL marked Strictly
Confidential For the attention of the Lead Officer only to be opened by the addressee also please ensure
that you state the job title of the job you are applying for and the job reference number (as detailed on the job
advert).

Data Protection Statement

The Council is committed to confidentiality and complies with the Data Protection Act 1998. All information
will be handled and stored sensitively and used only for its intended purpose.

Declaration
Under the Councils new constitution you are required to state in writing whether to the best of your belief
you are the parent, grandparent, partner, child, step-child, adopted child, grandchild, brother, sister, uncle,
aunt, nephew or niece of an existing Councillor or Officer of the Council; or of a partner of such persons.

Name

Relationship

Canvassing of Members of the Council or any Committee of the Council or any appointing officer
directly or indirectly for any appointment with the Council is prohibited and shall, if deemed
appropriate, disqualify the candidate for that appointment.

I have read the guidance notes including the information regarding Criminal Convictions and I
declare that the information I have given is true in all respects. I understand that false information
may render me liable for dismissal if I am appointed.
I agree to the above statement and will sign and date a copy of this application as a true record if I am
invited for an interview:

Signature:

Date:

(For Office Use Only)

Candidate Ref. No:

Post Title and Ref. No:

A Education
Secondary Education
N.B. appointment will only be confirmed subject to receipt of official certificates in support of below.
(Please use continuation sheets if required)
School attended
Qualifications
Subject
Date
Grade

Further and Higher Education: Please include YT, apprenticeships etc.

School, College
or University

Qualifications

Subject

Date

Grade

Technical or Professional Membership/Qualification:

Institute

Grade of
Membership

Year of
Election

Registration
Number

Expiry Date
(if
applicable)

For Posts Requiring General Social Care Council Registration:

Should your post require you to be registered
with the General Social Care Council please
quote your registration number and expiry
date.

Registration Number

Expiry Date

B Employment Details

Including Work Experience, Training Schemes e.g. YT, ET, New Deal
Present/most recent post*:

(*If currently unemployed please give your most recent post with date of finish and reasons for
this.)
Name and address
of Employer

Employers
Business

Date
From

To

Grade and present

salary
6

Do you have any additional employment which you intend to continue if appointed to this post?
If yes, please detail the nature of the work and the hours

Period of notice required or termination date

Reason for seeking new employment?

Person Specification:
Please use this section to demonstrate that you have the essential and where possible desirable
experience, skills and knowledge as stated on the person specification of the post for which you
are applying. Candidates who do not evidence that they meet the essential qualifications and
experience listed on the person specification will not be shortlisted. (Please use continuation
sheets if required).

C Full Employment History

Please provide full details of all previous posts you have held, including those with Durham County
Council (if applicable) starting with the most recent first. You will also need to include any dates (if
applicable) when you have not been in employment. (Please use continuation sheets if required).
Dates (dd/mm/yy)

Reason for leaving

Appointment
held/Grade and/or
salary (if any)

Name and Address

of Employer

From

To

D Referees
Give name, job title, relationship to referee and address of TWO people, who must know you well
to whom a reference may be made. Referee 1 should be your present (or most recent) employer,
or if you are a recent school leaver, should be the Head Teacher of your last school. Next of kin or
immediate relatives should not be named as referees.
Please note that for positions in contact with children and vulnerable adults the Council has
the right to seek references from any or all previous employers and line managers prior to
interview.
Referee 1 Name:

Referee 2 Name:

Job Title:

Job Title:

Relationship to Referee:
Address:

Relationship to Referee:
Address:

Post Code:

Post Code

Telephone No:
E-mail:

Telephone No:
E-mail:

This reference can be requested prior to

interview:

This reference can be requested prior to

interview:

N.B. Appointment will only be confirmed subject to satisfactory references.

Additional Information

In this space provided can you detail any other additional skills information (not already detailed in
section B) which is considered relevant to this post. This may include any particular skill and
qualities, which will help us assess your suitability for this post. Please use continuation sheet if
necessary.

10

Continuation Sheet

Please use this space for any other details you could not complete in the rest of the application
form

11

G Continuation Sheet
Please use this space for any other details you could not complete in the rest of the application
form

12

G Continuation Sheet
Please use this space for any other details you could not complete in the rest of the application
form

13

G Continuation Sheet
Please use this space for any other details you could not complete in the rest of the application
form

14