Personal Details Form

If you have continuous service (i.e. not more than a 3 month break) from the education sector (HE, FE or Schools), NHS or Local Government, please confirm as below. Please note this will be verified by the HR department and your previous employer:

Applicants for all posts (including those internally advertised) at the University are required to disclose any previous unspent criminal convictions. Posts in any of the job categories listed below are exempted from the regulations relating to spent convictions and applicants for posts in these categories are required to declare all convictions, regardless of whether they are spent or unspent.

Job categories excepted from the Rehabilitation of Offenders Act (ROA) regulations relating to spent convictions.

• Medical practitioner, nurse, midwife
• Medical laboratory technician
• Radiographer, occupational therapist, physiotherapist
• Health services personnel
• Any posts involving schooling or other dealings with young people

Under the ROA, a conviction becomes spent after a defined period of time, depending on the type of conviction. Certain sentences are under the Act can never be spent regardless of when they may have been served. These include any sentence of life imprisonment, any sentence of preventive detention and any sentence of imprisonment, youth custody or corrective training for a term exceeding 30 months. Applications to posts WHICH ARE NOT listed the job categories as being exempt from ROA regulations

Job categories excepted from the Rehabilitation of Offenders Act (ROA) regulations relating to spent convictions.

• Medical practitioner, nurse, midwife
• Medical laboratory technician
• Radiographer, occupational therapist, physiotherapist
• Health services personnel
• Any posts involving schooling or other dealings with young people

Under the ROA, a conviction becomes spent after a defined period of time, depending on the type of conviction. Certain sentences are under the Act can never be spent regardless of when they may have been served. These include any sentence of life imprisonment, any sentence of preventive detention and any sentence of imprisonment, youth custody or corrective training for a term exceeding 30 months. Applications to posts WHICH ARE NOT listed the job categories as being exempt from ROA regulations

Canterbury Christ Church University is committed to equality of opportunity for all and to this end we aim to ensure that no applicant is unfairly discriminated against. We would therefore be grateful for your co-operation in completing this equality data form. The data you provide will be used exclusively for anonymous statistical monitoring purposes and for statistical returns made to the Higher Educational Statistical Agency. If you have any queries, please do not hesitate to contact the Department of HR&OD. The University’s Equality and Diversity Policy Statement can be found here.

The term ‘disabled’ covers a wide range of impairments and long-term medical conditions. Some disabilities may be apparent, but there are conditions which some people may not realise are categorised as disabilities. These might include conditions such as diabetes, depression, multiple sclerosis (MS) and dyslexia.

If you have ticked ‘Yes’ to considering yourself to have a disability, we are requested to provide additional information to statutory bodies as to the nature of the disability(ies). Please indicate in one or two of the sections below what best defines the nature of your disability.

If you have declared a disability can you advise if you feel you will require a Personal Emergency Evacuation Plan. A Personal Emergency Evacuation Plan (PEEP) is specifically aimed at any staff with a declared disability which may affect their ability to exit a building in case of an emergency, for example a fire alarm. A PEEP is a short document detailing the agreed procedure for evacuating an individual to ensure their safety and that of others.

The following section is only to be completed by academic staff and is required for the completion of the University’s Staffing Return to the Higher Educational Statistical Agency (HESA).

Please provide details of membership of any professional body as well as your membership ID and expiry date of your membership.