Strictly Confidential - Worcester City Council
Worcester City Council is committed to equality of opportunity for both its customers and its emplyees. The Council has overall responsibility for the implementation of this policy.
Employment selection criteria and procedures will be frequently reviewed to ensure that individuals are selected, promoted and treated on the basis of their relevant merits and abilities.
This information will be separated from your application as soon as it is received. It will not be passed on to anyone involved in the short listing or appointment process for this post.
If
you have any queries please contact the Personnel Section
on 01905 722233.
Are you male or female?
Male
Female
Marital Status:
Married
Single
Divorced
Widowed
My Ethnic Group:
---WHITE---
White British
Irish
Other White Background
---ASIAN OR ASIAN BRITISH---
Indian
Pakistani
Bangladeshi
Other Asian Background
---MIXED---
White and Black Caribbean
White and Black African
White and Asian
Other Mixed Background
---BLACK OR BLACK BRITISH
Caribbean
African
Other Black Background
---CHINESE---
Chinese
Other Ethnic Group
Any Other Group (Please Specify)
Explanatory Notes
The ethnic groups set out above are those recommended by the Commission for Racial Equality and were used by the 2001 Census. Ethnic origin questions are not about nationality, place of birth or citizenship, they are about colour and ethnicity. UK citizens can belong to any of the groups indicated.
If you feel you belong to more than one ethnic group, please select the group to which you consider you belong, or fill in the 'Any Other Group' field.
Background Information - Current Position
The Council adopted the Commission for Racial Equality Standard in July 1998. It was modified to include gender and disability discrimination and an equality issues. Targets have been established and will be reviewed periodically. Action plans for each department are being developed to achieve the targets set. A working Party, chaired by the Head of Personnel Services, was established in 1993 and meets on a regular basis to discuss equality issues.
Personal Details
National Insurance Number:
Surname:
First Names:
Title:
Title...
Mr
Mrs
Miss
Ms
Previous Names:
Full Address:
Postcode:
Home E-mail Address:
Home Telephone:
Work Telephone:
Date of Birth (DD/MM/YY):
Disability
Do you suffer from any disability that might affect you in this job?
NO
YES
If YES, please give details.
For information the Disability Discrimination Act 1995 defines disability as " a physical or mental impairment which has a substantial and long term adverse effect on a person's ability to carry out normal day to day activities".
Job Sharing
Most jobs may be open to sharing. Please indicate if you wish your application to be considered
on this basis:
YES
NO
In which publication did you see the advertisment for this work?
Relationships
To the best of your knowledge are you related to any Councillor or to any employee of Worcester
City Council:
Yes
NO
If Yes please give details:
Present Employer
Employer's Name:
Employer's Address:
Type Of Business:
From (Date DD/MM/YY):
To (Date DD/MM/YY):
Positions held including details of duties and responsibilities:
Reason for wishing to change employer:
Grade/Scale if applicable:
Present Salary:
Other Allowances:
Period of notice required by present employer:
