Gloucestershire FA Women's Representative Team

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Personal Statement

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Personal Details

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First Name*

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Valid Driving License

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Education History

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Academic Qualifications

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Vocational Qualifications

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Present Employment

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Date Appointed

Employment History

Starting with your most recent job, please list your previous 2 roles within the last 3 years. Please also include any relevant work as a football club volunteer, Coach or Referee. *Bullet points acceptable

Job Title

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Organisation

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Start Date

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End Date

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Key Responsibilities / Achievements

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Reason for Leaving

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Job Title

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Organisation

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Start Date

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End Date

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Key Responsibilities / Achievements

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Reason for Leaving

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Volunteering

Please provide any further volunteer placements that you have completed since 2018.

Other Information

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Work Permit Required

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Disciplinary

Have you ever been subject to any disciplinary action that has resulted in dismissal or resigned whilst under disciplinary investigation? (Please tick the box if 'Yes')

Data Protection

The Data Protection Act (2018) aims to ensure that all organisations that collect, process and store information about individuals do so correctly (i.e. people about whom information is collected know of its existence and how to correct it if it is wrong). For Gloucestershire FA to process your application, we will create and maintain computer and paper records to collect, process and store the information about you as contained within the application form. Personal information contained within the application form will be used for the post applied for and no other purpose. The information will be kept confidential and used only by the assessment panel for the purpose of selecting the best candidate for the post. If successful, Gloucestershire FA will maintain computer and paper records about you during your employment and after you leave. If you are unsuccessful, relevant records will be removed within one year.

DBS Criminal Records Check

As this role involves direct access to young persons under the age of eighteen within the context of the job or any subsequently related activities or responsibilities, the successful candidate will undergo a thorough screening process which will include a DBS Enhanced Criminal Records Check to ensure their suitability for the role

References

Please supply the names and contact details of two referees, one of whom should be your current or most recent employer or education provider. No approach will be made to your present employer before an offer of employment is made to you.

Reference Name*

Please provide details for your current employer or Lead Tutor if still in Education.

Reference Job Title*

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Reference Name*

Please provide details of a 2nd Reference (this person must be known to you in a professional capacity and must not include a family member).

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Consent

I give my consent to the processing of the information given on this form on the understanding that it will be used only for the purposes set out above. I also confirm that to the best of my knowledge the above information is correct. I accept that providing deliberately false information could result in my dismissal.

Date*

Equality & Diversity Monitoring

Gloucestershire FA compiles anonymous information on individuals applying for any role with us. When you submit your application form below, you will be redirected to an Equality and Diversity Monitoring Form. Everyone should complete this survey, but if you prefer not to disclose some personal information, each question has a ‘prefer not to say’ option that you can select. Any information we receive is used solely for monitoring and statistical purposes, it is not used within the recruitment process.

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