Strategic Inclusion Advisory Group Application Form

Please complete the Application Form below to apply to become a member of DCFA SIAG.

The decision to progress your application to the next stage of the selection process will be based only on the information you provide on this form.

Please tell us which position your applying for

Strategic Inclusion Advisory Group Member
Caret IconCaret symbol

Personal Details

Please tell us your preferred title?

Select or enter value
Caret IconCaret symbol

Please tell us your Full Name?

Please tell us your full home address?

Please tell us your home postcode?

Please tell us the best email address we can use to make contact with you?

Please tell us the best phone number to contact you on?

Please tell us how best to contact you?

Select
Caret IconCaret symbol

If you have any requirements in respect of the recruitment or interview process, please provide details. if none please state N/A

Explain how you meet the requirements outlined in the role description.

Referring to the Role Purpose(s) and Responsibilities sections of the role description, provide examples from your experience at work, as a volunteer or in education which demonstrate that you have the capability to succeed in this role. (You can use bullet points in this section if you wish.)

Explain how your skills, knowledge & experience match the requirements outlined in the specification

Referring to the Person Specification section of the role description provide examples which demonstrate that you have the skills, knowledge and experience which are relevant to this role. (You can use bullet points in this section if you wish.)


You may attach your CV or additional information here

Drag and drop files here or

Derbyshire County FA is committed to ensuring that all applicants can access the application and selection process for this role. Please detail in the box below any adjustments you require to be made to the selection process (including interviews) should your application be progressed to the next stage.


References

Any offer of a role will be subject to receipt of 2 satisfactory references. Please provide the details of 2 referees who have agreed to provide a reference for you. Your first referee must be your current or most recent employer. Your second referee should be a different employer, representative of an organisation in which you volunteer or have volunteered or a representative of an educational establishment. Personal references should only be given where there is no previous employer, voluntary organisation or educational establishment to which reference can be made.

Please tell us the Name / Job Title / Emails Address/ Contact Number & Postal Address of your First Referee

Please explain how they know you?

Do you give permission for us to request a reference if you are offered a position?

Select
Caret IconCaret symbol

Please tell us the Name / Job Title / Emails Address/ Contact Number & Postal Address of your Second Referee

Please explain how they know you?

Do you give permission for us to request a reference if you are offered a position?

Select
Caret IconCaret symbol

Derbyshire County FA aims to meet the commitments set out in its equality policy. This includes not discriminating under the Equality Act 2010 and building an accurate picture of the make-up of the workforce in encouraging equality and diversity. The organisation needs your help and co-operation to enable it to do this. Please complete the form on this link

The completion of this form is voluntary.

I give my consent to the storage of personal data contained within this form for the purposes only of this application process. I can confirm and declare that the information provided on the form, to the best of my knowledge is complete, accurate and not misleading.