Forms

1. APPLICATIONS FOR HOME OFFICE
SCS POSTS
ANNEX C: FORMS
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2. EQUAL OPPORTUNITIES DIVERSITY MONITORING FORM
The Home Office is committed to recruiting, retaining and developing a workforce that reflects at all
grades the diverse communities that we serve. It is vital that we monitor and analyse diversity
information so that we can ensure that our HR processes are fair, transparent, promote equality of
opportunity for all staff, and do not have an adverse impact on any particular group. Your
cooperation in providing us with accurate data will ensure that we, not only meet our legal
obligations, but even more importantly will result in us designing and applying policies and
processes that attract and retain a diverse, talented and motivated workforce.
Any information provided on this form will be treated as strictly confidential. It will be detached from
your application on receipt and will not be seen by anybody directly involved in the selection
process. No information will be published or used in any way which allows any individual to be
identified. It will be held in a password protected database and used for statistical purposes only.
Personal Details:
Post(s) applied for:
Current Grade/Rank:
Age:
Gender: Male Female
Working pattern: Part time Full time
Where did you hear of this
vacancy?
Ethnic origin: Please tick against one of the following:
1. White
English
Welsh
Scottish
Northern Irish
Irish
Gypsy or Irish Traveller
Polish
Other white background
4. Asian/Asian British
Indian
Pakistani
Bangladeshi
Chinese
Any other mixed background
2. Mixed/Multiple Ethnic Groups
White and Black Caribbean
White and Black African
White and Asian
Any other mixed background
3. Prefer not to say
5. Black/African/Caribbean/Black British
African
Caribbean
Any other Black/African/Caribbean
background
Black, Black Scottish or Black British
6. Other Ethnic Group
Arab
Any other ethnic group
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3. Disability: Please tick against one of the following:
Do you consider yourself to have a disability?
Yes No Prefer not to say
The Equality Act 2010 (EA) generally defines a disabled person as:
• someone who has a mental or physical impairment that has a substantial and long-term
adverse effect on the person’s ability to carry out normal day-to-day activities.
Any information you provide here will be used for monitoring purposes only – if you
need any reasonable adjustments you should arrange these separately.
Religion or belief: Please tick against one of the following:
No religion
Bahai
Buddhist
Christian
Hindu
Jain
Jewish
Muslim
Sikh
Other
Prefer not to say
Sexual Orientation: Please tick against one of the following:
Bisexual
Gay Woman/Lesbian
Prefer not to say
Gay Man
Heterosexual/straight
Thank you for completing this form
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4. PEOPLE WITH DISABILITIES:
GUARANTEED INTERVIEW REQUEST FORM
OUR POLICY
As a member of the Employers Forum on Disability, we are committed to actively
encouraging applications from people with disabilities.
As part of our commitment to the Job Centre Plus Disability Symbol, applicants with a
disability are guaranteed an interview if they meet the minimum criteria for a job
vacancy. The job description gives you the minimum criteria.
Declaring a disability for the purposes of a guaranteed interview is your decision and is
entirely voluntary.
Definition of a disability
The Equality Act 2010 (EA) generally defines a disabled person as:
• someone who has a mental or physical impairment that has a substantial and
long-term adverse effect on the person’s ability to carry out normal day-to-day
activities.
We aim to select staff on suitability for the job and welcome your application if your
disability does not stop you from doing the job in accordance with our responsibilities as
an employer in accordance with the EA 2010.
Please tick, if appropriate:
I consider that I have a disability under the terms of the Equality Act 2010 and
wish to apply for a guaranteed interview, providing I meet the minimum criteria for the
job vacancy.
Whether you choose to apply under the Guaranteed Interview Scheme or not you can
still ask us to make particular arrangements for you when attending an interview. You
can also contact us if you want to discuss the criteria for the job or have questions
regarding your application.
Name:
Address:
Date:
If you are applying under this scheme please complete this form and return it with your
application form.
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5. NATIONALITY FORM
PERSONAL DETAILS
TITLE: SURNAME:
FORENAME(S): SURNAME AT
BIRTH:
(if different)
ANY ALIAS USED: ANY OTHER
SURNAME USED:
TOWN, COUNTY,
COUNTRY
OF BIRTH:
DATE OF BIRTH:
NATIONALITY
(including dual
nationalities)
At Birth: NATIONAL
INSURANCE
NUMBER:
Current:
NATIONALITY OF PASSPORT
HELD:
HOME OFFICE
NUMBER
(Immigration /
nationality reference
if appropriate):
PASSPORT NUMBER:
EXPIRY DATE:
ISSUING AUTHORITY:
FULL PERMANENT
ADDRESS:
POSTCODE:
MONTH / YEAR MOVED IN:
OTHER FULL PERMANENT
ADDRESS HISTORY
(covering the last five years
with dates resided at and
postcodes):
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6. SECURITY CLEARANCE
CURRENT OR MOST RECENTLY HELD SECURITY CLEARANCE:
BASELINE CTC SC DV (PLEASE TICK)
EXPIRY DATE OF MOST RECENT CLEARANCE:
ISSUING AUTHORITY:
DOCUMENTATION REQUIRED AT INTERVIEW
If called to interview you will be asked to provide original documentation to verify your
identity and to assist with pre-appointment checks.
A current, valid travel document, for example your passport. EEA citizens may bring either
their national identity card or their passport and should also bring a residence card if they have
one.
Plus two of the following:
1. Bank statements to cover the last six months;
2. Birth certificate issued at birth;
3. Adoption certificate;
4. Driving license (if this is a photocard license you will also need to bring the
paper counterpart with you);
5. Utility bill / council tax bill sent to you at your given address and dated within
the last six months;
6. Cheque book and bank card accompanied by three statements and proof of
signature;
7. Credit card accompanied by three statements and proof of signature;
8. Credit card with your photograph on it.
Plus one of the following as evidence of employment or academic history;
1. Pay slip
2. P60
3. P45
4. Academic reference
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7. SECURITY CLEARANCE
CURRENT OR MOST RECENTLY HELD SECURITY CLEARANCE:
BASELINE CTC SC DV (PLEASE TICK)
EXPIRY DATE OF MOST RECENT CLEARANCE:
ISSUING AUTHORITY:
DOCUMENTATION REQUIRED AT INTERVIEW
If called to interview you will be asked to provide original documentation to verify your
identity and to assist with pre-appointment checks.
A current, valid travel document, for example your passport. EEA citizens may bring either
their national identity card or their passport and should also bring a residence card if they have
one.
Plus two of the following:
1. Bank statements to cover the last six months;
2. Birth certificate issued at birth;
3. Adoption certificate;
4. Driving license (if this is a photocard license you will also need to bring the
paper counterpart with you);
5. Utility bill / council tax bill sent to you at your given address and dated within
the last six months;
6. Cheque book and bank card accompanied by three statements and proof of
signature;
7. Credit card accompanied by three statements and proof of signature;
8. Credit card with your photograph on it.
Plus one of the following as evidence of employment or academic history;
1. Pay slip
2. P60
3. P45
4. Academic reference
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