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"PETT: The next 50 years"

Application Form:

Heritage Officer (Assistant Archivist)


Application Closing Date: 5pm, Monday, January 9, 2017

Interviews: Tuesday, January 24, 2017


Download this form in Word doc format HERE



Planned Environment Therapy Trust

Application Form

Post Applied For: Heritage Officer (Assistant Archivist)

Personal Details

Surname (block capitals):

Forenames (in full):


Telephone (day):

Telephone (evening):


National Insurance No:

Do you have a right to work and live in the UK?: YES NO

The British Asylum and Immigration Act requires that all successful candidates must provide evidence of their immigration status and eligibility to work in the UK. You will be asked to provide evidence, if you are called for an interview.

Do you have a disability? YES NO

The Disability Discrimination Act 1995 (DDA) as amended, affects every stage of the recruitment process imposing a duty on employers to make reasonable adjustments to enable disabled people to compete on equal terms. Applicants with disabilities who meet the essential criteria will automatically be shortlisted

Please return this form, with all sections completed, by post to:

Dr. Craig Fees, Archivist

Planned Environment Therapy Trust Archive and Study Centre

Church Lane

Toddington nr. Cheltenham

Glos. GL54 5DQ

Career History (including, voluntary, home-based or part-time work)

Current and most recent employment

Briefly describe your current/most recent employment, highlighting duties, responsibilities, skills or experience gained that you feel are relevant to this post.

Employer’s name, Dates Reason Notice Salary

address and (from-to) for leaving Required

type of business Month/Year

Job Title:

Job description:

Past employment

Please provide details of your previous employment history starting with the most recent job and accounting for any gaps. It is essential that we are able to account for all periods of applicant’s history due to Safeguarding requirements. Any unaccountable gaps are likely to have an impact on selection. For posts within the last 5 years please confirm salary details. Please include any voluntary, home-based or part-time work.

Employers name, Dates Reason Position Salary

address & (from-to) for leaving held

type of business Month/Year

(continue on a separate sheet if necessary)

Education, professional qualifications and training

Where applicable please include details of examinations taken or about to be taken from which results are not yet available.

Name & address of school/ Dates attended Course Qualification

College/university/institution details & grades

Educational institution attended (from senior schooling):

Professional qualifications:

Training courses attended (if relevant to the person specification):

(continue on a separate sheet if necessary)

Most relevant experience/reasons for applying

The job description details the key areas of responsibility and tasks involved. The person specification details key areas of knowledge, experience and skills required. Please let us know in this section how you meet the person specification. Shortlisting will be based on how well you demonstrate your ability to meet these essential criteria (NB: CVs alone are not acceptable)

(Continue on a separate sheet if necessary – no more that 3 pages handwritten or 2 pages typed please)

Rehabilitation of Offenders Act 1974 (exceptions Order 1975)

Have you ever been convicted of a criminal offence, cautioned, reprimanded or given a final warning by the police, or do you have any court case pending? Because of the nature of the work, which may involve regular contact with children or vulnerable adults, this post is exempt from the Rehabilitation of Offenders Act 1974 and all convictions, both spent and unspent, must be disclosed. Non disclosure is likely to have an impact on selection.


If YES, please give details, with dates of offences, sentences, cautions, reprimands, final warnings and court cases pending:

Date of Offence Nature of Offence Sentence or nature of police court sanction

(The information contained on this application form will only be seen by staff/Trustees involved in the recruitment process)

This post requires a DBS check. Please provide details of any police inquiries made against you which may have a bearing on your suitability for this post. We believe that having a criminal record will not necessarily bar you from the position. This will depend on the nature of the circumstances and background of the offence(s).


Please give details of 2 people we may approach for a reference who can comment on your suitability for this position. One referee must be your present or most recent employer and the second a previous employer. Please note we may approach your referee before interview. (P.E.T.T. reserves the right to contact any of your previous employers)

Present/most recent employer:


Job title:





Second Referee:


Job title:





In what capacity does this person know you?

Data Protection

Information given on this application will be controlled under data protection legislation and will be used for the purposes of recruitment for the Planned Environment Therapy Trust. Should your application be successful the information will then be used for your personal records and payroll purposes. The information will be processed both manually and automatically for these purposes.


Before signing the declaration please read the following:

If you omit information that we have asked for we shan't be able to consider your application. If you are appointed to the post, a DBS check will be carried out. Final confirmation of your appointment will be subject to DBS clearance, and because of the nature of the project, an unsatisfactory DBS would result in instant dismissal.

I declare that the information contained on this form is true and accurate. I understand that if it is subsequently discovered that any statement is false or misleading, my employment may be terminated without notice.

I understand too that DBS check will be sought in the event of my application being successful, that final confirmation of my appointment will be subject to DBS clearance, and that because of the nature of the project, an unsatisfactory DBS would result in instant dismissal